Current Approaches To Chronic Diarrhea

Abstract

Abstract

Chronic diarrhea, defined as a decrease in stool consistency for more than four weeks with daily stools over 200 grams. The increase in the frequency of defecation should beconsidered as part of the chronic diarrhea. Getting a good history and physical examination are the most important steps for the evaluation of chronic diarrhea and this may besufficient to direct therapy in some cases. Diet, medications, enfections, inflammatory bowel disease are some potential causes of chronic diarrhea. Patients with "red flag signs" endoscopic examinations for organic diseases should be considered first in the diagnostic approach. Chronic diarrhea can be divided into three groups; watery diarrhea (osmo-tic, secretory and functional), fatty diarrhea (malabsorption), and inflammatory diarrhea(inflammatory bowel disease).

Keywords

• Chronic diarrhea,definiti-on,differential diagnosis

Kronik Diyareye Güncel Yaklaşım

Öz

Öz

Kronik ishal dört haftadan uzun süren dışkı kıvamında azalmayla beraber günlük dışkı miktarının 200 gr üzerinde olmasıdır.  Dışkılama sıklığında artışta kronik diyarenin birparçası olarak dikkate alınmalıdır. İyi bir öykü ve fizik muayene kronik diyare yaklaşımında en önemli basamaklardır ve bazı durumlarda direk tedavi için yeterlidir. Diyet, ilaçlar,enfeksiyonlar, inflamatuar barsak hastalıkları kronik ishalin potansiyel nedenlerindendir.“Alarm semptomu” olan hastalarda organik hastalıklar açısından endoskopik incelemelertanı yaklaşımında ilk basamak olmalıdır. Kronik diyare üç gruba ayrılabilir; sulu ishal (osmotik, sekretuar ve fonksiyonel), yağlı ishal (malabsorbsiyon) ve inflamatuar ishal (infla-matuar barsak hastalıkları).

Anahtar Kelimeler

• Kronik diyare,tanım,ayırıcı tanı,tanısal testler,sınıflama

References

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