Orange Diarrhea with Bloating

This post is a response by a doctor to a question one of our community members asked.

Kitkat123 Asks:

So two days ago my stomach started to feel a bit uneasy and i had diarrhea and when i go it hurts when i push like im pushing to hard, today is the same and it is orangeish and burns but i also jave a uncomfortable feeling in lower stomach and a bit of my lower back like im bloated. Then last week on tuesday i had diarrhea and felt dizzy but it went back to normal till two days ago. I have some antibiotics that my dr gave me a while ago for a uti and i started to take them today just in case it coukd be a bad uti but i dont think thats it.

Dr Nitesh’s reply:

Diarrhoea is defined when you have at least 3 loose or liquid bowel movements per day. It can lead to symptoms like stomach pain, abdominal cramps, bloating, thirst, weight loss, occasional back pain and fever. Other possible symptoms can include blood or pus in stools, persistent vomiting and dehydration. Most commonly diarrhoea occurs due to infectious cause which can be bacterial, viral or parasitic. These infections usually spread via feco-oral route or directly from another person who is infected. Poor sanitation and lack of clean water are one of the leading reasons for spread of infectious diarrhoea. Norovirus is the most common cause of infectious diarrhoea in adults. Recent antibiotic use can increase the chances of clostridium difficile infection leading to diarrhoea.

You should visit your doctor if you have diarrhoea lasting more than 2-3 days or if there is persistent vomiting, symptoms of dehydration, significant weight loss, pus or blood in the stool. Diagnosing the cause of infectious diarrhoea will require evaluation of your blood and stool samples. For all cases of diarrhoea, rehydration is the most important step in the management. Oral rehydration salt is the preferred replacement fluid for diarrhoea. Every loose stool should be followed by replacement of fluid by drinking a cup of liquid. During a diarrhoeal illness you should eat foods which are rich in fibre as these help to thicken the stool, also limit foods which make diarrhoea worst like creamy, fried and sugary foods. Antibiotics are only used to treat diarrhoeas caused by bacterial infections. There is mixed evidence for role of probiotics in diarrhoea. No study has clearly demonstrated their role in management of diarrhoeal illness but probiotics do have some role in prevention of traveller’s diarrhoea.

Long term diarrhoea lasting more than 2 weeks usually occurs due to non-infectious causes like lactose intolerance, celiac disease, irritable bowel syndrome, bile acid diarrhoea and some medications.

Potentially serious complications of diarrhoea include dehydration and mal-absorption. Mal-absorption is usually seen in patients with chronic diarrhoea.

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