Frequent diarrhea can have various causes, ranging in severity from 'minor' to 'generally fatal'. Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.
Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose frequent diarrhea, we could:
unexplained fevers that hit hard
moderate unexplained weight loss
moderate epigastric pain
past PPI antacid use
significant meal-induced pain
anal itching at night
major unexplained weight loss
meals worsen epigastric pain
high sensitivity to bright light
abdominal pain relieved by BM
severe left iliac pain after meals
poor bodily coordination| Cause | Probability | Status |
|---|---|---|
| Gallbladder Disease | 90% | Confirm |
| Epstein-Barr Virus | 18% | Unlikely |
| Irritable Bowel Syndrome | 17% | Unlikely |
| Rapid Stool Passage | 1% | Ruled out |
| Ulcerative Colitis | 0% | Ruled out |
| Bacterial Dysbiosis | 0% | Ruled out |
| Blastocystosis | 0% | Ruled out |
| Pancreatitis | 0% | Ruled out |
|
Approximately how often do you suffer from diarrhea?
Possible responses:
→ Very rarely / it is not a problem / don't know→ Occasionally - a few times a year → Regularly - once a month or more → Often - once a week or more → Frequently / several times a day |
IBS is a condition affecting the colon, which normally absorbs water from stool. IBS can cause rapid stool transit, less water absorption, and therefore loose and watery stool with frequent bouts of diarrhea.
IBS often reduces the amount of time that stool remains in the intestines, and therefore also the amount of water that is absorbed. This results in very loose and watery stool, and frequent episodes of diarrhea. Not having diarrhea as a symptom therefore strongly suggests that IBS may not be the problem.
It should be noted, however, that some suffers (especially those with IBS-C – Irritable Bowel Syndrome with Constipation) will suffer from the opposite problem: stool remains for a longer time in the intestines, more water is absorbed, stool becomes hard and dry, and constipation results. Many patients suffer from both diarrhea and constipation.