Diseases » Diarrhea » Treatments

Treatments for Diarrhea

Treatments for Diarrhea

The list of treatments mentioned in various sources for Diarrhea includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Newborns and infants require very special care because dehydration can be dangerous
• Children need special attention as many medications may be inappropriate
• Watchful waiting - sometimes diarrhea is not serious enough to need significant treatment.
• Anti-diarrheal medications
  • Immodium AD
• Dehydration prevention treatments - one of the most important treatment aspects of diarrhea is avoiding dehydration (or treating it), particularly for infants, children and the elderly.
  • Water - but not enough alone, need electrolytes as well.
  • Fluids - broth or soups (for salt/sodium)
  • Fruit juices
  • Soft fruits
  • Vegetables (for potassium)
  • Infant rehydration solutions - special medications containing the required electrolytes
    • Pedialyte
    • Ceralyte
    • Infalyte
• Vitamin B3 - possibly used for related vitamin B3 deficiency
• Vitamin A - possibly used for related vitamin A deficiency
• Vitamin B6 - possibly used for related vitamin B6 deficiency
• Vitamin B12 - possibly used for related vitamin B12 deficiency
• Adequate hydration
• Diet of clear liquids- soft drinks, broths, juices, water
• Oral rehydration therapy- ORS powder
• Loperamide
• Bismuth bisalicylate
• Lomotil
• Painkillers to counter the pain that can accompany diarrhoea

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Diarrhea: Research Doctors & Specialists

• Digestive Health Specialists (Gastroenterology):
  • Gastroenterology (Digestive Specialists)
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Drugs and Medications used to treat Diarrhea:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Diarrhea include:

• Alamine Expectorant
• Ambenyl Expectorant
• Ambenyl Syrup
• Codeine
• A.B.C. Compound w/Codeine
• Accopain
• Actagen-C
• Actifed w/Codeine
• Alamine-C
• Anacin 3 w/Codeine #2-4
• Anacin w/Codeine
• APC w/Codeine
• Atasol-8,-15,-30
• Ban-Tuss
• Benylin Syrup w/Codeine
• Bitex
• Bromanyl Cough Syrup
• Bromotuss
• Bromphen DC
• Brontex
• Bufferin w/Codeine
• Butalbital Compound
• Chemdal Expectorant
• Chem-Tuss NE
• Cheracol
• Chlor-Trimeton Expectorant
• Coactifed
• Codecon-C
• Codehist DH
• Codehist Elixir
• Codeine Contin
• Coricidin w/Codeine
• Co-Dimetane Cough Syrup-DC
• Dimetane Expectorant-C
• Dimetapp-C
• Dimetapp w/Codeine
• Empirin w/Codeine No. 2,4
• Empracet-30,-60
• Empracet w/Codeine No. 3,4
• Emtec-30
• Exdol-8,-15,-30
• Extra Strength Acetaminophen with Codeine
• Glydeine
• Isoclor Expectorant
• Lenoltec w/Codeine No. 1,2,3,4
• Mersyndol
• Naldecon-CS
• Normatane
• Novadyme DH
• Novahistex C
• Novo-Gesic
• Nucochem
• Nucofed
• Omni-Tuss
• Oridol-C
• Panadol w/Codeine
• Paveral
• Pediacof
• Penntuss
• Phenaphen No. 2,3,4
• Phenaphen w/Codeine No. 2,3,4
• Phenergan w/Codeine
• Poly-Histine
• Promethazine CS
• Pyra-Phed
• Robaxacet-8
• Robaxisal-C
• Rounox w/Codeine
• SK-Apap
• Tamine Expectorant DC
• Tecnal C
• Terpin Hydrate and Codeine
• 318 AC&C
• Triafed w/Codeine
• Triaminic Expectorant w/Codeine
• Triatec-8,30
• Tussaminic C Forte
• Tussaminic C Ped
• Tussi-Organidin
• Tylenol w/Codeine
• Tylenol w/Codeine No. 1,2,3,4
• Tylenol w/Codeine Elixir
• VC Expectorant w/Codeine
• Veganin
• Loperamide
• Anit-Diarrheal
• Apo-Loperamide
• Diarrid
• Dom-Loperamide
• Imodium
• Imodium AD
• Kaopectate 1-D
• Maalox A/D
• Pepto Diarrhea Control
• Anacin 3 w/Codeine No. 2-4
• Attapulgite
• Bismuth Subgallate
• Devrom
• Bismuth Subsalicylate
• Children's Kaopectate
• Colo-Fresh Pepto-Bismol
• Pepto-Bismol Maximum Strength
• Cholestyramine resin - mainly used to treat diarrhea associated with high fecal bile acids
• Prevalite - mainly used to treat diarrhea associated with high fecal bile acids
• Questran - mainly used to treat diarrhea associated with high fecal bile acids
• Questran Light - mainly used to treat diarrhea associated with high fecal bile acids
• Novo-Cholamine - mainly used to treat diarrhea associated with high fecal bile acids
• Novo-Cholamine Light - mainly used to treat diarrhea associated with high fecal bile acids
• PMS-Cholestyramine - mainly used to treat diarrhea associated with high fecal bile acids
• Questran Light Sugar Free - mainly used to treat diarrhea associated with high fecal bile acids
• Difenoxin and Atropine
• Diphenoxylate and Atropine
• Lomotil
• Lonox
• Kaolin and Pectin
• Lactobacillus - mainly used to treat diarrhea caused by antibiotic use
• Bacid - mainly used to treat diarrhea caused by antibiotic use
• Kala - mainly used to treat diarrhea caused by antibiotic use
• Lactinex - mainly used to treat diarrhea caused by antibiotic use
• Megadophilus - mainly used to treat diarrhea caused by antibiotic use
• MoreDophilus - mainly used to treat diarrhea caused by antibiotic use
• Probiotica - mainly used to treat diarrhea caused by antibiotic use
• Superdophilus - mainly used to treat diarrhea caused by antibiotic use
• Fermalac - mainly used to treat diarrhea caused by antibiotic use
• Lacterol Fort - mainly used to treat diarrhea caused by antibiotic use
• Sinuberase - mainly used to treat diarrhea caused by antibiotic use
• Nitazoxanide - mainly used to treat diarrhea caused by Cryptosporidium parvum or Giardia lamblia
• Alinia - mainly used to treat diarrhea caused by Cryptosporidium parvum or Giardia lamblia
• Colufase - mainly used to treat diarrhea caused by Cryptosporidium parvum or Giardia lamblia
• NTZ - mainly used to treat diarrhea caused by Cryptosporidium parvum or Giardia lamblia
• Opium Tincture
• Paregoric
• Polycarbophil
• Equalactin
• FiberCon
• Fiber-Lax
• FiberNorm
• Konsyl Tablets
• Phillips Fibercaps
• Lofenoxal
• Kaolin
• Bispectin
• DeWitt's Antacid Powder
• Donnagel
• Kaomagma with Pectin
• Pectin
• Diareze
• Bilberrry

Unlabeled Drugs and Medications to treat Diarrhea:

Unlabelled alternative drug treatments for Diarrhea include:

• Cholestyramine - mainly used to treat diarrhea caused by Quinidine
• Questran - mainly used to treat diarrhea caused by Quinidine
• Questran light - mainly used to treat diarrhea caused by Quinidine
• Novo-Cholamine - mainly used to treat diarrhea caused by Quinidine
• Novo-Cholamine Light - mainly used to treat diarrhea caused by Quinidine
• Prevalite - mainly used to treat diarrhea caused by Quinidine
• Sucralfate - mainly used to treat radiation therapy patients
• Apo-Sucralfate - mainly used to treat radiation therapy patients
• Carafate - mainly used to treat radiation therapy patients
• Dom-Sucralfate - mainly used to treat radiation therapy patients
• Novo-Sucralfate - mainly used to treat radiation therapy patients
• Sulcrate - mainly used to treat radiation therapy patients

Latest treatments for Diarrhea:

The following are some of the latest treatments for Diarrhea:

• IV fluid
• Oral fluids
• Bismuth subsalicylate
• Kaolin pectin
• Diphenoxylate
• Loperamide
• Quinolones
• Erythromycin
• Trimethoprim-sulfamethoxazole
• Ceftriaxine
• Ampicillin
• Tetracycline
• Doxycycline
• Vancomycin
• Metronidazole
• Iodoquinol

Hospital statistics for Diarrhea:

These medical statistics relate to hospitals, hospitalization and Diarrhea:

• 0.069% (8,818) of hospital consultant episodes were for diarrhoea and gastroenteritis in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
• 87% of hospital consultant episodes for diarrhoea and gastroenteritis required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
• 46% of hospital consultant episodes for diarrhoea and gastroenteritis were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
• 54% of hospital consultant episodes for diarrhoea and gastroenteritis were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
• more hospital information...»

Hospitals & Medical Clinics: Diarrhea

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Diarrhea:

• Digestive Health (Gastroenterology) -- Hospital Quality Ratings
• more hospital ratings...»

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Diarrhea, on hospital and medical facility performance and surgical care quality:

• 50 Best Hospitals Report
• Women's Health Best Hospitals
• Patient Safety
• Hospital Quality and Clinical Excellence Study (2009)

Medical news summaries about treatments for Diarrhea:

The following medical news items are relevant to treatment of Diarrhea:

• All about irritable bowel syndrome
• Comparison trial shows Fosamax to be a winner for osteoporosis treatment
• Crohn's patients suffering from bone loss benefit most from only calcium and vitamin D therapy
• Digestive system disorder is gaining awareness with it's increasing prevalence amongst children
• Drug approved for treatment of diabetic peripheral neuropathy
• Drug company receives FDA approval for high dose GERD treatment
• FDA approval of weight loss pill is not necessarily good news
• Melatonin a treatment for abdominal condition
• More available treatments for dementia
• Period pain (see Dysmenorrhea)
• Reflux medication tied with Clostridium gut infection
• Weight loss drug, orlistat, proves itself in trials
• More news »

Discussion of treatments for Diarrhea:

In most cases, replacing lost fluid to prevent dehydration is the only treatment necessary. (See "Preventing Dehydration" below.) Medicines that stop diarrhea may be helpful in some cases, but they are not recommended for people whose diarrhea is from a bacterial infection or parasite--stopping the diarrhea traps the organism in the intestines, prolonging the problem. Instead, doctors usually prescribe antibiotics. Viral causes are either treated with medication or left to run their course, depending on the severity and type of the virus.

Preventing Dehydration

Dehydration occurs when the body has lost too much fluid and electrolytes (the salts potassium and sodium). The fluid and electrolytes lost during diarrhea need to be replaced promptly--the body cannot function properly without them. Dehydration is particularly dangerous for children, who can die from it within a matter of days.

Although water is extremely important in preventing dehydration, it does not contain electrolytes. To maintain electrolyte levels, you could have broth or soups, which contain sodium, and fruit juices, soft fruits, or vegetables, which contain potassium.

For children, doctors often recommend a special rehydration solution that contains the nutrients they need. You can buy this solution in the grocery store without a prescription. Examples include Pedialyte, Ceralyte, and Infalyte.

Tips About Food

Until diarrhea subsides, try to avoid milk products and foods that are greasy, high-fiber, or very sweet. These foods tend to aggravate diarrhea.

As you improve, you can add soft, bland foods to your diet, including bananas, plain rice, boiled potatoes, toast, crackers, cooked carrots, and baked chicken without the skin or fat. For children, the pediatrician may recommend what is called the BRAT diet: bananas, rice, applesauce, and toast. (Source: excerpt from Diarrhea: NIDDK)

Buy Products Related to Treatments for Diarrhea

Book Excerpts: Treatment of Diarrhea

• Treatment - Diarrhea - Acute
• Treatment - Diarrhea - Chronic
• Treatment - Diarrhea – Acute
• Treatment - Diarrhea – Chronic, No Blood or Weight Loss
• Treatment - Diarrhea – Chronic, with Weight Loss
• Emergency interventions - Diarrhea
• Nursing considerations - Diarrhea
• Emergency Actions - Diarrhea
• Nursing considerations - Fecal incontinence
• Nursing considerations - Diarrhea
• VI. Treatment - Diarrhea - Case 17-1 2-Month-Old Boy
• VI. Treatment - Diarrhea - Case 17-4 15-Month-Old Boy

Treatments of Diarrhea: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Diarrhea.

Diarrhea - Acute: Treatment
(In a Page: Signs and Symptoms)

• Treatment is generally supportive
• Fluid resuscitation (oral, if possible, or IV)
• Antimotility agents: Opiates (e.g., loperamide) and parasympathetic inhibitors (e.g., diphenoxylate plus atropine); former concerns that these agents may slow the clearance of pathogens have been disproved
• Antibiotic therapy is reserved for severe disease
  –Most authorities recommend empiric treatment with a fluoroquinolone or trimethoprin-sulfamethoxasole in patients with severe or bloody diarrhea, fever, or fecal leukocytes
  –If Giardia, C. difficile, or E. histolytica is suspected, treat empirically with metronidazole
  –Antibiotic therapy increases the risk of hemolytic-uremic syndrome in children with E. coli O157:H7
  –There is no good evidence that antibiotics prolong the carrier state in Salmonella infections
• Advise patient to hydrate with glucose-containing, caffeine-free beverages, and to avoid lactose, sorbitol-containing gum, and raw fruit until symptoms subside

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Diarrhea - Chronic: Treatment
(In a Page: Signs and Symptoms)

• Fluid resuscitation: Oral, if possible, or IV (e.g., normal saline or lactated Ringer's)
• Nonspecific antidiarrheal agents (e.g., loperamide, codeine, tincture of opium) and fiber supplementation may be attempted initially
• Diabetic neuropathy: Control blood sugar, metoclopramide may be used
• Irritable bowel syndrome: High-fiber diet, anticholinergics
• Inflammatory bowel disease is treated with steroids for acute exacerbations and daily prophylactic therapy with 5-aminosalicyclic agents
  –Bowel resection may be necessary
• Lactose intolerance: Lactose-free diet
• Diseases of malabsorption: Gluten-free diet, long-term antibiotics
• Intestinal neoplasm: Consultation with gastroenterology, oncology, and/or surgery

>

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Diarrhea – Acute: Treatment
(In A Page: Pediatric Signs and Symptoms)

• Mainstay of treatment is rehydration to correct fluid and electrolyte deficits
  –Oral route is best in mildly to moderately dehydrated children who can tolerate PO fluid
  –IV fluids: Useful in severe to moderate dehydration
  –Estimate fluid deficit using % of weight loss, and add this to maintenance requirement and ongoing losses
  – Correct over 24–48 hours

• Antibiotics
  –Not necessary in most cases, can precipitate HUS
  –Indicated for V. cholerae, Shigella, and G. lamblia
  –Indicated in selected circumstances: Salmonella in very young infant, if febrile, or positive blood culture
  –Metronidazole for C. difficile (if antibiotic elimination doesn’t help)
• Refeeding: No benefit to withholding milk, incidence of lactose intolerance overstated
• Probiotics: Lactobacillus rhamnosus for rotavirus

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Diarrhea – Chronic, No Blood or Weight Loss: Treatment
(In A Page: Pediatric Signs and Symptoms)

• Treatment is directed at cause
• Chronic nonspecific diarrhea
  –Restriction of fluid intake to <90 mL/kg/day
  –Reduction of fruit juices (<8 ounces/day)
  –Elimination of sorbitol-containing juices
• Carbohydrate malabsorption
  –Trial elimination or reduction of offending sugar
  –Lactase (Lactaid) for lactose intolerance
  –Sucrase (Sucraid) for sucrase-isomaltase deficiency
• Small intestine bacterial overgrowth
  –Antibiotic therapy with metronidazole alone or in combination with ampicillin or Bactrim
  –Surgery for partial small bowel obstruction
• Low-fat diet: Increase fat intake to approximately 40% of total daily calorie intake
• Irritable bowel syndrome
  –Anticholinergic therapy or antidepressants
• Acrodermatitis enteropathica: Zinc supplements

>>>>> >>

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Diarrhea – Chronic, with Weight Loss: Treatment
(In A Page: Pediatric Signs and Symptoms)

• Correct malnourished states
• IBD: Anti-inflammatories (e.g., steroids, 6MP, 5ASA)
• CD: Lifelong gluten-free diet
• CF: Pancreatic enzyme and nutritional supplements including fat-soluble vitamins (ADEK)
• Allergy: Food antigen avoidance
• Sucrase-isomaltase deficiency: “Sucraid” enzyme
• Neural crest tumors: Surgical resections
• VIPoma: Somatostatin
• Gastrinoma: Proton pump inhibitors
• Whipple disease: Trimethoprim-sulfamethoxazole
• Abetalipoprotenemia: No specific treatment
  –Supplements of fat-soluble vitamins and MCT oil
• Acrodermatitis enteropathica: Zinc supplements
• Giardiasis: Metronidazole or nitazoxamide
• Hyperalimentation: Parenteral nutrition may be needed for familial enteropathies

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Diarrhea: Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))

If the patient’s diarrhea is profuse, check for signs of shock—tachycardia, hypotension, and cool, pale, clammy skin. If you detect these signs, place the patient in the supine position and elevate his legs 20 degrees. Insert an I.V. line for fluid replacement. Monitor the patient for electrolyte imbalances, and look for an irregular pulse, muscle weakness, anorexia, and nausea and vomiting. Keep emergency resuscitation equipment handy.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Diarrhea: Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)

Administer an analgesic for pain and an opioid to decrease intestinal motility, unless the patient has a possible or confirmed stool infection. Ensure the patient’s privacy during defecation, and empty bedpans promptly. Clean the perineum thoroughly, and apply ointment to prevent skin breakdown.

ALERT: Excessive diarrhea may cause skin breakdown and excoriation. To decrease excoriation and facilitate drainage measurement, insert a rectal tube or large indwelling catheter.

Help the patient maintain adequate hydration, administering I.V. fluid replacements. Measure liquid stools, and weigh the patient daily. Monitor electrolyte levels and hematocrit.

Quantify the amount of liquid stool and carefully observe intake and output.

Patient teaching

Explain the purpose of diagnostic tests to the patient. These tests may include blood studies, stool cultures, X-rays, and endoscopy.

Advise the patient to avoid spicy or high-fiber foods (such as fruits), caffeine, high-fat foods, and milk. Suggest smaller, more frequent meals if he has had GI surgery or disease. If appropriate, teach the patient stress-reducing exercises, such as guided imagery and deep-breathing techniques, or recommend counseling.

Stress the need for medical follow-up to patients with inflammatory bowel disease (particularly ulcerative colitis), who have an increased risk of developing colon cancer.

» READ BOOK EXCERPT ONLINE »

Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007

Diarrhea: Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

If the patient’s diarrhea is profuse, check for signs of shock, including tachycardia, hypotension, and cool, pale, clammy skin. If you detect these signs, place the patient in the supine position and elevate his legs 20 degrees. Insert an I.V. line for fluid replacement. Monitor patient for electrolyte imbalances, and look for an irregular pulse, muscle weakness, anorexia, and nausea and vomiting. Keep emergency resuscitation equipment handy.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Fecal incontinence: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Maintain proper hygienic care, including control of foul odors.

▪ Provide meticulous skin care.

▪ For the neurologically capable patient with chronic incontinence, provide bowel retraining.

▪ Take measures to allay the patient's embarrassment.

▪ Provide emotional support for the patient.

Patient teaching

▪ Teach the patient to perform Kegel exercises to strengthen abdominal and perirectal muscles.

▪ Discuss how to maintain proper hygiene.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Diarrhea: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Administer an analgesic for pain and an opiate to decrease intestinal motility, unless the patient has a possible or confirmed stool infection.

▪ Ensure the patient's privacy during defecation, and empty bedpans promptly.

▪ Clean the perineum thoroughly, and apply ointment to prevent skin breakdown.

▪ Note the amount and characteristics of the patient's stool.

▪ Monitor intake and output.

▪ Obtain serum samples for electrolytes and treat imbalances.

▪ Provide fluid replacement orally or I.V., as appropriate.

Patient teaching

▪ Stress the need for medical follow-up to patients with inflammatory bowel disease (particularly ulcerative colitis) who have an increased risk of developing colon cancer.

▪ Emphasize the importance of maintaining adequate hydration.

▪ Explain food or fluids that should be avoided.

▪ Discuss stress reduction techniques.

▪ Explain the diagnosis and treatment plan.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Diarrhea - Case 17-1: 2-Month-Old Boy: VI. Treatment
(Pediatric Complaints and Diagnostic Dilemmas)

» READ BOOK EXCERPT ONLINE »

Source: Pediatric Complaints and Diagnostic Dilemmas, 2003

Diarrhea - Case 17-4: 15-Month-Old Boy: VI. Treatment
(Pediatric Complaints and Diagnostic Dilemmas)

» READ BOOK EXCERPT ONLINE »

Source: Pediatric Complaints and Diagnostic Dilemmas, 2003

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