I have diarrhea. What should I do?
The discussion about diarrhea has increased lately, especially with the rise of cyclosporiasis. Although unpleasant, it is manageable and can be treated at home
TL;DR
- Most diarrhea cases resolve within three to four days and can be managed at home with hydration.
- Seek medical care if diarrhea lasts longer than a week, is accompanied by fever (101F or higher), blood or mucus in stool, severe abdominal pain, prolonged vomiting, or signs of dehydration.
- Older adults, individuals with kidney disease, weakened immune systems, or recent antibiotic use should consult a doctor sooner.
- Prioritize hydration by drinking water, tea, or sports drinks; oral rehydration solutions are recommended if dehydration occurs.
- Avoid fatty, spicy, high-fiber foods, alcohol, caffeine, and overly sugary drinks; focus on bland, modest portions.
- Over-the-counter bismuth subsalicylate can reduce frequency and cramping; loperamide may be used under specific conditions (no blood, fever, or recent antibiotics).
- Practice good hygiene, including frequent handwashing, to prevent the spread of contagious diarrhea.
- Probiotics are not recommended for diarrhea relief.
- Use soft, slightly wet toilet paper and pat instead of rubbing to avoid anal irritation; barrier ointments can help protect the skin.