Diarrhea and prostration indicate that the symptoms of diarrhea are relatively serious. There are various causes of diarrhea. Common infections will cause patients to have frequent bowel movements, but the amount of stool is not large, and there is a feeling of tenesmus. It will also be accompanied by weight loss and malabsorption syndrome. 1. Gastrointestinal symptoms include frequent urge to defecate, small amount of stool each time, and a feeling of urgency and heaviness in the abdomen. The lesions are mostly in the rectum or sigmoid colon; there is no feeling of urgency and heaviness in the small intestine. Abdominal pain in the lower abdomen or left lower abdomen that is relieved after bowel movements is often caused by sigmoid colon or rectal lesions. Diarrhea caused by small intestinal diseases is mostly accompanied by pain around the navel, which often does not subside after defecation. Secretory diarrhea is often painless. 2. Frequency of diarrhea and characteristics of stool: In acute diarrhea, bowel movements may occur more than 10 times a day, and the stool is often thin. If it is a bacterial infection (bacillary dysentery), it often contains blood and pus. If the stool is syrupy or jam-like, it may indicate amoebic dysentery. Thin, watery stools are common with food poisoning. Hemorrhagic necrotizing enteritis causes bloody stools like meat-washing water, with a fishy odor. 3. Associated symptoms (1) Fever may occur in acute bacillary dysentery, typhoid or paratyphoid fever, intestinal tuberculosis, colon cancer, malignant lymphoma of the small intestine, Crohn's disease, acute attack of nonspecific ulcerative colitis, sepsis, viral enteritis, thyroid crisis, etc. (2) Obvious weight loss may be seen in gastrointestinal malignancies and malabsorption syndrome. (3) Accompanied by rash or subcutaneous hemorrhage is seen in sepsis, typhoid or paratyphoid fever, measles, allergic purpura, pellagra, etc. (4) Patients with joint pain or swelling may suffer from Crohn’s disease, chronic nonspecific ulcerative colitis, lupus erythematosus, intestinal tuberculosis, Whipple’s disease, etc. (5) Abdominal masses are seen in gastrointestinal malignancies, intestinal tuberculosis, Crohn's disease and schistosomiasis granuloma. (6) Patients with severe water loss often suffer from secretory diarrhea such as cholera and bacterial food poisoning, and may also suffer from uremia. |
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