OBJECTIVES
By theend of this presentation you should be able to;
.know the definition of diarrhoea
.know the types and subtypes of diarrhoea
.causes and predisposing factors or diarrhoea
.signs and symptoms of diarrhoea
.management of diarrhoea
3.
Introduction
Diarrhoea isthe passage of three or more loose or liquid stools per day or
more frequently than normal (WHO 2024).
Diarrhoea is the most common illness that affects the population. This
presentation is going to explain more on the types, causes and the
predisposing factors, signs and symptoms and most importantly the
management of diarrhoea.
4.
TYPES OF DIARRHOEA
1.Acutediarrhoea
It lasts for less than two weeks.
Classified into : acute watery and acute bloody diarrhoea(dysentery)
2. Chronic diarrhoea
This one lasts for more then four weeks.
3. Persistent diarrhoea
Lasts between two to four weeks.
5.
CAUSES OF DIARRHOEA
1.Medication
Certainmedications such as antibiotics, can disrupt gut flora and cause diarrhoea.
2. Infections
Infections caused by pathogens such as bacteria(salmonella, Escherichia coli
,shigella), viruses and parasites(entamoeba histolytica) can cause diarrhoea.
e.g. gastroenteritis caused by rotavirus and norovirus
3. Food intolerance and allergies
(i)Lactose intolerance
Inability to digest lactose, a sugar that is found in dairy product, can cause diarrhoea.
(ii) Celiac disease
This is an immune reaction to eating gluten, a protean found in wheat, barley and rye.
4.Stress and anxiety
Stress hormones increases gut motility by increasing the speed of food movement through the digestive system, leading to diarrhoea.
Stress hormones also change the balance of gut secretions leading to the increase in water and electrolytes in the gut which can cause
diarrhoea.
5.Lifestyle
Consuming food that is high in fibre and spicy can cause diarrhoea.
6.
PREDISPOSING FACTORS OFDIARRHOEA
. Poor hygiene
. Age
. overcrowding
. Lifestyle
. immunity
. lack of knowledge of food handling practices
7.
SIGNS AND SYMPTOMSOF DIARRHOEA
. Signs of dehydration such as:
sunken eyes, dry lips and increases skin turgor
. Abdominal pain
. Urgency to pass out stools
. Bloating
. Nausea and vomiting
8.
MANAGEMENT OF DIARRHOEA
1.Fluidreplacement
The most critical aspects of diarrhoea management is preventing dehydration. The nurse should:
(I).Encourage fluid intake
(ii). Administer oral rehydration therapy for mild to moderate diarrhoea, to replenish the lost fluids
and electrolytes(WHO 2013).
(iii).Electrolyte monitoring
Nurses should monitor patients for electrolyte imbalances particularly potassium and sodium levels.
(iv). Infuse intravenous fluids for severe dehydration.
Intravenous fluids such as normal saline and ringer’s lactate, help to replace lost fluids and
electrolytes.
2. Pharmacological management
In some cases, medication may be used to treat diarrhoea.
Ant motility agents e.g. loperamide, may be used to slow down bowel movements but should be
avoided in cases of bacterial diarrhoea with fever or blood in stools (Potter and Perry ).
Zinc supplements can also be administered as they reduce duration of diarrhoea episodes by 25%
and reduce stool volume by 30% (WHO 2024).
9.
3. DIETARY CHANGES
Avoidspicy, fatty or high fibre foods, rather consider probiotics and probiotic
rich foods like yogurt.
Minimize meal quantity but eat frequently in the case of bloating and
abdominal pains.
10.
4. Therapuetical
managment
If thepatient hyperthemic or has fever tapid sponging should be
done.
The patient should also be positioned in a comfortable position to
relieve pain.
11.
conclusion
To sumit all, diarrhoea an essential health issue requiring awereness, prevention
and proper management. By understanding the causes and more importantly how
to manage it, its impact on lives and communities can be reduced.
12.
References
Potter P.A andPerry A.G (2017) Fundamentals of Nursing
World Health Organization (2013) Oral Rehydration Salts
World Health Organization (2024) Diarrhoeal Disease