Launching January 2027

Diarrhea

Diarrhea At A Glance

  • Diarrhea means passing loose, watery, or more frequent stools than normal and is a symptom rather than a disease itself.
  • Most acute cases last only a few days and are commonly caused by viral infections, food poisoning, or certain medications.
  • Common symptoms include frequent bowel movements, urgency, abdominal cramping, nausea, bloating, and sometimes fever or vomiting.
  • Diarrhea can have many causes, including infections, antibiotics, food intolerances, IBS, inflammatory bowel disease, celiac disease, and stress or anxiety.
  • Treatment often focuses on replacing fluids and electrolytes, adjusting the diet, and treating the underlying cause when one is identified.
  • Severe or prolonged diarrhea can cause dehydration and electrolyte imbalances, so symptoms such as dizziness, dark urine, decreased urination, or persistent vomiting should be taken seriously.

Table of Contents

Table of Contents

What Is Diarrhea?

Diarrhea is the passage of loose, watery, or more frequent stools than normal. It is a common symptom rather than a disease itself and can range from mild and short-lived to severe or chronic. Most episodes of diarrhea last only a few days and improve without complications, but prolonged diarrhea can lead to dehydration and electrolyte imbalances.

Diarrhea may be classified as:

  • Acute Diarrhea: Lasts less than 14 days and is most commonly caused by viral infections, food poisoning, or certain medications.
  • Persistent Diarrhea: Lasts between 2 and 4 weeks.
  • Chronic Diarrhea: Lasts longer than 4 weeks and may be caused by digestive disorders such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), celiac disease, or other medical conditions.

Most cases of acute diarrhea improve with hydration, rest, and supportive care.

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Provides easy-to-understand information about diarrhea, common causes, diagnosis, treatment, and prevention.

Diarrheal Diseases – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/healthywater/hygiene/disease/diarrhea.html

Provides information about diarrheal illnesses, dehydration, prevention, and food and water safety.

How Common Is Diarrhea?

Diarrhea is one of the most common gastrointestinal symptoms worldwide. Adults typically experience at least one episode of acute diarrhea each year, while young children may experience several episodes annually.

Although most cases are mild and self-limited, diarrhea remains a leading cause of dehydration, especially among young children, older adults, and individuals with weakened immune systems.

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Provides information about the frequency, causes, and treatment of diarrhea.

What Symptoms Might You Notice?

Symptoms vary depending on the underlying cause.

Common symptoms may include:

  • Loose or watery stools
  • Frequent bowel movements
  • Urgent need to have a bowel movement
  • Abdominal cramping
  • Abdominal pain
  • Bloating
  • Nausea
  • Vomiting
  • Fever
  • Loss of appetite
  • Dehydration
  • Blood or mucus in the stool (in some cases)

Signs of dehydration may include:

  • Dry mouth
  • Increased thirst
  • Dark-colored urine
  • Dizziness
  • Fatigue
  • Decreased urination

How Is Diarrhea Diagnosed?

Your healthcare provider will review your symptoms, travel history, recent food intake, medications, medical history, and perform a physical examination.

Most cases of acute diarrhea do not require extensive testing. However, persistent, severe, or bloody diarrhea may require additional evaluation.

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Explains how diarrhea is evaluated and when additional testing is recommended.

Diarrhea infographic – click to enlarge

What Causes Diarrhea?

Diarrhea has many possible causes.

Common causes include:

  • Viral gastroenteritis (“stomach flu”)
  • Food poisoning
  • Bacterial infections
  • Parasitic infections
  • Certain medications (especially antibiotics)
  • Irritable bowel syndrome (IBS)
  • Inflammatory bowel disease (Crohn’s disease and ulcerative colitis)
  • Celiac disease
  • Lactose intolerance
  • Artificial sweeteners
  • Stress and anxiety

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Learn about the many causes of diarrhea and when medical evaluation is needed.

What Can Make Diarrhea Worse?

Several factors may worsen diarrhea or delay recovery.

Common factors include:

  • Dehydration
  • Drinking alcohol
  • Fatty or spicy foods
  • Dairy products (for some individuals)
  • Caffeine
  • Certain medications
  • Untreated gastrointestinal infections
  • Underlying digestive disorders

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Provides information about common triggers and factors that worsen diarrhea.

Prevention

Many cases of diarrhea can be prevented by practicing good hygiene and food safety.

Helpful prevention tips include:

  • Wash your hands frequently with soap and water.
  • Practice safe food preparation and storage.
  • Drink clean, safe water.
  • Wash fruits and vegetables before eating.
  • Cook meat thoroughly.
  • Avoid cross-contamination during food preparation.
  • Follow travel recommendations regarding food and water safety.
  • Stay up to date on recommended vaccinations, including rotavirus vaccination for infants.

Learn More

Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/healthywater/hygiene/disease/diarrhea.html

Provides practical recommendations for preventing diarrheal illnesses and reducing dehydration.

Labs

Laboratory testing depends on your symptoms and the suspected cause.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Evaluates for infection or anemia.
  • Comprehensive Metabolic Panel (CMP): Assesses kidney function, electrolyte balance, and hydration.
  • Stool Culture: Identifies bacterial infections.
  • Stool Ova and Parasite Examination: Detects parasitic infections.
  • Clostridioides difficile (C. diff) Testing: Recommended when diarrhea develops after antibiotic use or hospitalization.
  • Fecal Occult Blood Test: Detects hidden blood in the stool.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing commonly used to evaluate diarrhea.

Diagnostics

Additional testing depends on the duration, severity, and suspected cause of diarrhea.

Common diagnostic tests may include:

  • Colonoscopy: Evaluates chronic diarrhea, inflammatory bowel disease, and colorectal abnormalities.
  • Flexible Sigmoidoscopy: Examines the lower portion of the colon.
  • Abdominal CT Scan: May identify inflammatory bowel disease, diverticulitis, or other abdominal conditions.
  • Upper Endoscopy (EGD): May be recommended if celiac disease or upper gastrointestinal disorders are suspected.

Learn More

American College of Gastroenterology (ACG)
https://gi.org/

Provides patient education about gastrointestinal testing and digestive disorders.

Treatment & Management

Treatment Options

Treatment depends on the underlying cause of your diarrhea.

Treatment options may include:

  • Oral rehydration solutions
  • Increased fluid intake
  • Dietary modifications
  • Anti-diarrheal medications when appropriate
  • Probiotics in selected situations
  • Antibiotics for certain bacterial infections
  • Treatment of underlying digestive disorders

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Provides information about treatment options for acute and chronic diarrhea.

Lifestyle Changes

Healthy habits can reduce your risk of diarrhea and help support recovery.

Helpful lifestyle changes include:

  • Drink plenty of fluids.
  • Eat bland foods as tolerated.
  • Wash your hands frequently.
  • Practice safe food handling.
  • Avoid foods that worsen your symptoms.
  • Limit alcohol and caffeine while recovering.
  • Maintain good hydration during illness.
  • Follow your healthcare provider’s dietary recommendations.

Learn More

Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/healthywater/hygiene/disease/diarrhea.html

Provides recommendations for preventing diarrheal illnesses and dehydration.

Medications

Treatment depends on the cause of your diarrhea.

Common medications may include:

  • Oral Rehydration Solutions: Replace fluids and electrolytes lost through diarrhea.
  • Loperamide (Imodium®): May reduce diarrhea in certain situations but should not be used for some infections unless directed by a healthcare provider.
  • Bismuth Subsalicylate (Pepto-Bismol®): May relieve diarrhea, nausea, and upset stomach.
  • Probiotics: May help restore normal intestinal bacteria in selected individuals.
  • Antibiotics: Used only when specific bacterial infections are confirmed or strongly suspected.

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Provides information about medications commonly used to treat diarrhea.

Procedures

Most people with diarrhea do not require surgery or invasive procedures. Treatment depends on the underlying cause of the diarrhea. However, certain procedures may be recommended to diagnose persistent symptoms or treat serious complications.

Common procedures may include:

  • Colonoscopy: A flexible camera is used to examine the colon and rectum for inflammatory bowel disease (IBD), polyps, colorectal cancer, or other abnormalities.
  • Flexible Sigmoidoscopy: Examines the lower portion of the colon and may be used to evaluate chronic diarrhea or rectal bleeding.
  • Upper Endoscopy (EGD): May be recommended if celiac disease or other upper gastrointestinal disorders are suspected.
  • Intravenous (IV) Fluids: May be necessary for severe dehydration or when oral fluids cannot be tolerated.
  • Hospitalization: Severe diarrhea caused by dehydration, electrolyte imbalances, serious infections, or complications may require inpatient treatment.

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Learn about diarrhea, diagnostic testing, dehydration, and treatment options.

What Should You Expect Long-Term?

Most cases of acute diarrhea improve within 2 to 7 days without long-term complications.

Some people may develop persistent or chronic diarrhea due to conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (Crohn’s disease or ulcerative colitis), celiac disease, food intolerances, or other digestive disorders.

Severe or prolonged diarrhea can lead to dehydration, electrolyte imbalances, malnutrition, and unintended weight loss if left untreated.

Early diagnosis and treatment often improve long-term outcomes.

What Can You Do At Home?

Home care plays an important role in recovery.

Helpful tips include:

  • Drink plenty of fluids.
  • Use oral rehydration solutions if recommended.
  • Eat bland foods such as bananas, rice, applesauce, and toast (BRAT diet) if tolerated.
  • Avoid greasy, spicy, or high-fat foods until symptoms improve.
  • Limit caffeine and alcohol.
  • Wash your hands frequently.
  • Take medications exactly as directed.
  • Gradually return to your normal diet as symptoms improve.

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Provides practical recommendations for managing diarrhea and preventing dehydration.

Frequently Asked Questions

How long does diarrhea usually last?

Acute diarrhea usually lasts 2–7 days, although recovery depends on the underlying cause.

Can diarrhea cause dehydration?

Yes. Diarrhea can quickly lead to dehydration, especially in young children, older adults, and people with chronic illnesses.

Should I take anti-diarrheal medication?

Not always. Anti-diarrheal medications may not be recommended for certain bacterial infections or diarrhea accompanied by high fever or bloody stools. Ask your healthcare provider before taking these medications.

When should I see a healthcare provider?

Seek medical evaluation if your diarrhea lasts more than 2 days in adults without improvement, more than 24 hours in young children, if you become dehydrated, or if you have severe pain, fever, or blood in your stool.

Can antibiotics cause diarrhea?

Yes. Antibiotics can disrupt the normal bacteria in your intestines and may cause diarrhea, including Clostridioides difficile (C. difficile) infection.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What is causing my diarrhea?
  • Do I need stool testing or additional evaluation?
  • Am I becoming dehydrated?
  • Should I take anti-diarrheal medication?
  • Do I need antibiotics?
  • Are there foods I should avoid?
  • When should I seek emergency medical care?

Specialist Referrals

Most cases of diarrhea are treated by a primary care provider. Depending on your symptoms or diagnosis, your provider may recommend seeing a specialist.

You may be referred to:

  • Primary Care Provider: Coordinates diagnosis, treatment, and follow-up care.
  • Gastroenterologist: Evaluates chronic diarrhea, inflammatory bowel disease, celiac disease, IBS, and other digestive disorders.
  • Infectious Disease Specialist: Evaluates severe or unusual infectious causes of diarrhea.
  • Registered Dietitian: Provides nutritional counseling for chronic digestive disorders or food intolerances.

Learn More

American College of Gastroenterology (ACG)
https://gi.org/

Provides patient education about digestive diseases, chronic diarrhea, and specialty care.

Is Diarrhea Curable?

Many causes of diarrhea are temporary and completely treatable, especially viral gastroenteritis, food poisoning, or medication-related diarrhea.

Some chronic conditions, such as Crohn’s disease, ulcerative colitis, celiac disease, or irritable bowel syndrome (IBS), cannot always be cured but can often be successfully managed with medications, dietary changes, and ongoing medical care.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Severe dehydration
  • Loss of consciousness
  • Confusion
  • Severe abdominal pain with a rigid abdomen
  • Difficulty breathing

Seek prompt medical evaluation if you notice:

  • Bloody or black stools
  • Persistent vomiting
  • High fever
  • Severe abdominal pain
  • Diarrhea lasting longer than several days
  • Signs of dehydration, including dizziness, dry mouth, dark urine, or decreased urination

Learn More

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Learn about complications of diarrhea and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Diarrhea – NIH MedlinePlus
https://medlineplus.gov/diarrhea.html

Easy-to-understand information about diarrhea, symptoms, diagnosis, treatment, and prevention.

Centers for Disease Control and Prevention (CDC) – Diarrheal Diseases
https://www.cdc.gov/healthywater/hygiene/disease/diarrhea.html

Comprehensive information about diarrheal illnesses, dehydration, food safety, and prevention.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/

Reliable information about digestive diseases, diarrhea, gastrointestinal disorders, and digestive health.

American College of Gastroenterology (ACG)
https://gi.org/

Evidence-based patient education about chronic diarrhea, digestive disorders, and available treatments.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, do not improve as expected, or new symptoms develop. Call 911 immediately if you experience severe dehydration, loss of consciousness, difficulty breathing, severe abdominal pain, or another medical emergency.

Get personalized care for Diarrhea

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.