Why does the stomach hurt and loose stools. Causes of diarrhea and abdominal pain

Timely diagnosis of diseases accompanied by diarrhea and pain in the stomach is a key factor in determining the effectiveness of treatment. Self-improvement at home should be carried out only with mild forms of pathology.

Causes and nature of pain

The occurrence of diarrhea at the same time indicates a serious illness. The reason is the widespread distribution of the pathological focus. In 70-80% of cases, there is an isolated dysfunction of either (pain syndrome comes first among the symptoms) or the large intestine (diarrhea progresses).

Possible causes of total dysfunction of the gastrointestinal tract (GIT):

• Acute food poisoning. The use of low-quality, stitched or poisonous products is accompanied by an increase in the symptoms of gastroenterocolitis. Discomfort in the abdomen occurs along with the release of loose stools.
• Intestinal infections - shigellosis, salmonellosis, cholera, amoebiasis. The vital activity of pathogenic microorganisms causes disruption of the functioning of all organs of the gastrointestinal tract.
• Acute pancreatitis.
• Nonspecific ulcerative colitis and. Pathologies are characterized by a progressive lesion of the intestinal mucosa with the appearance of abdominal pain against the background of diarrhea.
• Peptic ulcer of the stomach or duodenum,.
• Malignant neoplasms. The tumor disrupts the normal function of the stomach or other parts of the gastrointestinal tract, which negatively affects the entire body of the patient.

Depending on the cause of the pain, the nature of the corresponding symptom differs. Gastritis is accompanied by burning sensations in the abdomen - acute, the tumor process in the early stages of the pathology is asymptomatic. The nature of the discomfort serves as a criterion for the differential diagnosis of gastrointestinal diseases.

Associated symptoms

When the stomach hurts and diarrhea increases, the patient additionally suffers from a number of the following secondary symptoms:

• Increase in body temperature.
• Skin blanching.
• Irritability.
• Weakness.
• Sleep rhythm disorder.
• Headache.

The severity of the clinical picture depends on the severity of the underlying pathology.

First aid

Treatment of diarrhea and stomach pain should begin as soon as symptoms appear. First aid is aimed at stabilizing the function of the digestive tract and reducing the loss of body moisture. The main danger for a person suffering from severe diarrhea is the rapid removal of water from the body, which significantly impairs the function of the brain and all internal structures.

General rules for first aid for stomach pain with diarrhea:

• Stopping the use of a suspicious product or substance.
• Gastric lavage. The easiest way is to put two fingers on the root of the tongue. To enhance the effect, you must first drink up to 1 liter of warm salted water.
• Fractional consumption of warm drinks. The best option is tea, mineral water, compote.
• Doctor's call.

Taking medication is allowed if the cause of the disease is known. If the patient is unsure of his own diagnosis, it is better to wait for the arrival of the doctor.

Groups of drugs used for different types of abdominal pain and diarrhea:

• Antacids (), proton pump inhibitors (omeprazole). Used for high acidity of the stomach.
• Enzyme preparations ( , Festal). Means are relevant for pancreatic dysfunction.
• Antispasmodics (No-shpa, Baralgin). They are prescribed to eliminate severe pain syndrome.
• Sorbents (, Enterosgel). A group of drugs that are indispensable for poisoning. They bind toxins and help cleanse the body.

In extreme cases, with diarrhea, the use of Imodium or Loperamide is allowed. These funds inhibit intestinal motility, which can significantly worsen the patient's condition.

What can not be done?

Against the background of pain in the abdomen, provoked by the use of acids or alkalis, it is impossible to wash the stomach with the method described above. The reason is the repeated passage of irritating substances through the esophagus with aggravation of damage to the mucous membrane.

Do not take Imodium and Loperamide unless absolutely necessary. The reason - stagnation of feces and toxins in the intestine increases the degree of intoxication of the body. Doctors recommend to defecate more often and compensate for the loss of moisture by drinking plenty of water. This reduces the chance of developing negative consequences in the future.

When should you urgently see a doctor?

Calling a doctor for pain in the abdomen, accompanied by diarrhea, should not occur at the slightest indigestion. It is important to know when to ask for help.

Indications for calling a doctor:

• Diarrhea 8-10 times a day.
• Severe condition of the patient.
• Sharp "dagger" pain in the abdomen.
• Hardening of the abdominal muscles - "wooden belly".
• An increase in body temperature against the background of diarrhea and pain up to 39 ° C.
• The appearance of bloody or green impurities in the stool.

These symptoms indicate the progression of serious diseases that threaten the health and life of the patient.

Which doctor treats stomach pain and diarrhea?

Therapy of diarrhea progressing against the background of pain in the stomach is carried out by doctors of the following specialties:

• Gastroenterologist - most pathologies of the gastrointestinal tract.
• Infectionist - with a viral or bacterial lesion of the intestine.
• Surgeon - with the development of complications (peritonitis) requiring immediate surgery.

In the early stages of symptom progression, patients traditionally turn to a GP or family doctor, who assesses the situation and decides whether to refer the patient to a more specialized specialist.

Treatment

Therapy of abdominal pain against the background of diarrhea is aimed at normalizing gastrointestinal motility while minimizing discomfort. The choice of medication depends on the underlying cause of the pathology. The main groups of drugs are described above. Only the dosage and duration of use differ, which in each case is prescribed individually.

An important aspect of the successful treatment of diarrhea is the restoration of normal water-salt balance. For this, the patient is given infusions of specialized fluids (saline, Ringer-Lactate, Regidron, etc.). The goal is to restore the lost amount of electrolytes and fluids in the body.

With the development of peritonitis (a possible complication of peptic ulcer or tumor process), an immediate operation is required to save the patient's life.

In mild forms of diseases, the use of folk remedies is allowed, which are designed to reduce pain and “fasten” the stool. The following options are popular:

• A decoction from the serpentine bush.
• Tea brew.
• A combination of kitchen salt and vodka.
• Rice broth and the like.

Before using traditional medicine, it is recommended to consult a doctor.

Prevention

There is no specific prevention of gastrointestinal diseases. To prevent the occurrence of the corresponding symptoms, it is necessary to monitor the quality of the products consumed, give the food sufficient heat treatment, and lead a healthy lifestyle.

Pain in the stomach against the background of diarrhea is a situation that requires close attention from both the patient and the doctor. With timely seeking help, the risk of complications and progression of the problem is minimal.

Useful video about abdominal pain and diarrhea

As you know, stool disorder is not a disease, but a symptom that signals violations in the functioning of the digestive organs and malfunctions in the normal functioning of the human body. With the help of diarrhea, the body gets rid of irritating and toxic substances that destabilize the functions of the body. Often, a concomitant factor in loose stools is temperature and pain of a different nature. However, if diarrhea does not stop for a long time and there are no symptoms such as temperature and pain, then the definition of the causes that cause this digestive upset comes to the fore.

Loose stools without pain have different causes in adults and in young children. The main causes of diarrhea, in which the body temperature remains unchanged and nothing hurts with such diarrhea, are:

• mild food poisoning;
• rotavirus infection of the gastrointestinal tract;
• nervous disorders, stressful situation.

In general, many bowel diseases with diarrhea pass without fever, but are accompanied by pain in the abdomen. However, if diarrhea is observed without pain and temperature, but traces of blood are visible in the feces, then urgent medical attention should be sought immediately. This rule is especially true for children under the age of three, because such signs may indicate a serious illness.

Features of the anatomical structure of the gastrointestinal tract in children determine their predisposition to diarrhea. Infants have very weak enzymatic activity, which impairs the digestion of food. In addition, fluid absorption is weakened in the baby’s stomach, and toxic substances, on the contrary, are absorbed very quickly. Loose, odorless stools are the most basic sign of enteritis, which often occurs without manifestations of pain. In the process of digestion of food, the breakdown of plant fiber by intestinal bacteria occurs, which is accompanied by the release of gases.

Chronic enteritis without fever and pain, but with severe odorless diarrhea, can lead to osteoporosis, night blindness, bleeding. Compliance with a strict diet in this disease leads to the development of hypoproteinemia, anemia due to a lack of vitamin B12. Regardless of the cause of diarrhea that is not accompanied by fever and pain, treatment should be started immediately to avoid dehydration.

First of all, it is necessary in order to restore the inevitable loss of fluid and nutrients during diarrhea, to take a large amount of liquid in the form of decoctions, dried fruit compotes, teas, special saline solutions. If there is a disorder of the stool that is not associated with an infection or medication, and when nothing hurts, treatment can be carried out at home. However, a visit to a doctor is necessary to prescribe adequate treatment. After all, self-administration of drugs can lead to a deterioration in health. And even if it is possible to restore a normal stool, then it is likely that diarrhea will return, but in a more severe form.

Rotavirus infection, which causes frequent, painless diarrhea, is very common in children, especially in preschool years. In such babies, immunity has not yet been formed and the virus that causes the infection easily enters the child's body through dirty hands, poor-quality food, dirty water or through household items. Starting without an increase in temperature, further inflammation causes a very high temperature. However, in adults, in more than 90% of cases, the disease proceeds without symptoms at all, manifesting itself only with diarrhea. However, despite the absence of temperature and pain, such a person is a danger to others as a source of infection.

Loose stools in an adult

Maybe you have loose stools because of them. Very often doctors miss this factor. I've had loose stools for over a year now. 1 time per day. no pain. no temperature. With what it can be connected?

Diarrhea is often accompanied by abdominal cramps, vomiting, and high fever. The causes of loose stools in adults are the use of unboiled dirty water, allergic phenomena to food (for example, dairy products), or to a drug.

If too frequent stools and loose stools without fever and other alarming symptoms are noticed in adults, you can try to cope with this phenomenon on your own. With diarrhea, you need to drink more fluids warm or at room temperature.

My husband almost always has loose stools + gases. Nothing else worries him, he is 30 years old. She doesn't want to go to the doctor. What can be done to improve the situation? According to the descriptions, it can be different light with unprocessed food, just liquid and it seems to be similar to rice water. All this is accompanied by an accumulation of gases. Often there is heartburn.

Loose stools in an adult

Gastrointestinal tract - leads to very bad consequences, and a stool in the form of rice water is generally a sign of an infectious disease !! Loose stools for a month now. I don’t go to the toilet at all during the day, but I can go 15 times a day. It is accompanied by a temperature (sometimes 37.8) and great weakness. I didn’t vomit, but I felt sick. I drink bifiform, it doesn’t help.

I recently got sick. He recovered in 4 days. Is the stool slightly greenish by any chance? And also if your stomach growls. If your stools are greenish, then you most likely have the stomach flu. It looks like the description.

Help. A week ago, discomfort appeared in the abdomen: not exactly pain, but discomfort and a slight burning sensation (but the burning sensation is in the stomach, and not in the esophagus, as happens with heartburn). And after a couple of days, diarrhea began, very liquid.

Every morning at first feces in pieces, and then liquid. Day 5, it goes like water, there is no appetite, on the first day the temperature was high, I felt sick, vomited, weakness.

Loose stools during pregnancy

Good afternoon. For about a year now, I have had loose stools a couple of times a day, not even a stool, but just thick, transparent yellowish mucus, sometimes with blood. Just the other day I thought, all of a sudden something serious, I didn’t drink any medicines, I didn’t torment and don’t torment the pain, I just got tired of going to the toilet 5-7 times a day and decided to devote time to this problem.

Stomach hurts, temperature from 37 to 38… Help

Hello, my husband has been complaining about loose stools for 2-3 months. On pain in the abdomen, in the navel area, there is also a spasm. There is dryness in the mouth and on the lips. We eat right, occasionally eat fried food.

Which doctor should I contact for diarrhea?

For adults, this is most often just a nuisance, but in children and the elderly, diarrhea can lead to dehydration and other serious consequences. Complications of diarrhea include dehydration, which manifests itself in dry lips, thirst, frequent breathing, and infrequent urination.

It can be water, broth, but alcohol, coffee, milk and fruit juices should be avoided. With diarrhea in an infant, you should continue to breastfeed him.

Diarrhea prevention is simple and well known. Unpasteurized dairy products, eggs, poultry, and meats can all harbor bacterial colonies that quickly lead to diarrhea and other gastrointestinal problems. Meat ensure complete heat treatment.

During the year a couple of times there was a temperature with vomiting and panos. There are no pains in the stomach. What an amazing weight lift. For heartburn I drink Reni, sometimes (very rarely) soda, coal does not help mine at all. And if the diarrhea is red. Then you need to go to the doctor. Unsubscribe and I recommend what to do with the intestinal flu.

If yes. You most likely have the stomach flu. You need a diet. Eat just boiled rice for 2-3 days. Only him. And take activated charcoal. up to 7 days should pass.

I have had loose stools for quite a long time, maybe a year somewhere, rarely when normal. Diarrhea (loose stools) is not a disease, it is a syndrome that can be caused by very different reasons, which, however, are quickly determined.

Diarrhea doesn't hurt

My son (3d) has had diarrhea for the fourth day. Runs on the potty several times a day. Sometimes he doesn’t even have time to run, everything pours from him the floor. Because of this, I'm afraid to even walk with him. A couple of times right in the bushes had to sit. With all this, nothing worries the son. The stomach doesn't hurt. Cheerful and cheerful. Running, laughing. Eats well too. But this endless diarrhea annoys me. I gave him loperamide. Did not help. Girls, what can you give a child for diarrhea?

Girls, tell me how to help a child? On Wednesday morning, I woke up with a fever, started eating, and immediately started crying. I gave a sub simplex, I thought gases - it did not help. They called an ambulance - there is no snot, the breath is clean, the throat is not red. As soon as he ate, he fell asleep. The pace all day is 37.5, the child is lethargic. It did. The doctor from the clinic prescribed smecta and kipferon. The pace rose to 38, knocked down with a cefecon candle, the pace did not rise again. She gave smecta for 2 days, pooped green stinky gruel. We were sprinkled with smects, the doctor came on Friday and said that.

Non-traditional and folk methods of treatment:

1) Take every hour until diarrhea stops, 1 teaspoon of starch diluted in 1 glass of warm water.

2) Prepare a mixture of 3 carrot roots, 1 beet and 3 celery stalks. Take 3 times a day for 0.5-1 glass 30 minutes before meals.

3) Gooseberry juice and mashed berries take 1 tablespoon 3 times a day 30 minutes before meals.

4) Drink 0.5 cups of a weak solution of potassium permanganate (pink).

5) Pour water over rye crackers and let them brew. Drink a little throughout the day.

6) Decoctions and pear compotes have astringent properties. Pear pulp should not be eaten. Its fibers enhance intestinal motility.

7) Pour 1 tablespoon of crushed pomegranate peel with 1 cup of boiling water, insist until the water turns color and drink the whole glass.

8) Pour 1 teaspoon of dry herb wormwood with 1 cup of boiling water, leave for 30 minutes. Take 1 tablespoon 3 times a day.

9) Pour 1 tablespoon of good rice 0.5 l. boiling water and put it to boil on a slow fire for 40 minutes. Eat 1 time.

10) Pour 4 teaspoons of dried blueberries with 1 glass of cold water, leave for 8 hours. Drink throughout the day in small sips.

11) Pour 1 tablespoon of mint leaves with 1 cup of boiling water, leave for 40 minutes and strain. Drink regularly in the morning on an empty stomach, in the evening before going to bed. A cup of warm broth is drunk slowly, in small sips.

12) Pour 1 tablespoon of fireweed herb (sold in a pharmacy) with 1 glass of boiling water, leave for 2 hours and strain. Take 0.5 cup 3 times a day.

13) For diarrhea in children, use an infusion of hawthorn fruit. Pour 5gr. dry fruit 1 cup hot water, boil for 10 minutes, leave for 30 minutes and strain. Boiled water to bring the volume to the original. Take 1 tablespoon 3 times a day.

14) Pour 2 teaspoons of geranium herb with 2 cups of cold boiled water, leave for 3 hours. Drink in large sips throughout the day.

15) Pour 1 tablespoon of Potentilla herb erect with 1 cup of boiling water. Boil 30 minutes and strain. Squeeze out the remaining raw materials, add the broth with boiled water to a full glass. Take 1 tablespoon 3 times a day.

16) Pour 1 teaspoon of oak bark with 2 glasses of cold water and leave for 3 hours. Take 0.5 cup 3-4 times a day before meals.

17) Pour 2 teaspoons of highlander herb rhizomes (sold in a pharmacy) with 1 cup of boiling water, leave for 20 minutes and strain. Take 1 tablespoon 3 times a day. Strong astringent.

18) Brew as a tea 1 tablespoon of St. John's wort in 1 cup of boiling water. Take 150 ml. 3-4 times a day before meals with a tendency to diarrhea.

19) Mix 1 teaspoon of stinging nettle leaf and blackberry leaf, pour 1.5 cups of boiling water, insist in a warm place for 2 hours. Drink 0.3-0.5 cups 3-4 times a day.

20) Pour 1 tablespoon of lingonberry leaves with 1 cup of boiling water, leave for 30 minutes and strain. Take chilled 1-2 tablespoons 3-4 times a day.

21) Raw egg white is good for diarrhea. Carefully separate it from the yolk and drink.

Diarrhea- this is a syndrome that manifests itself as watery loose stools (diarrhea) 3 or more times a day or loose stools with an admixture of blood more than 1 time per day.

Frequent bowel movements, loose stools, loose stools, diarrhea, watery stools

Diseases that can cause diarrhea

Gastroenteritis (stomach flu)

AIDS virus

Inflammatory bowel disease: intestinal problems

irritable bowel syndrome

Microscopic colitis (lymphocytic colitis and collagenous colitis)

toxic shock syndrome

Diarrhea can be caused by:

Medications (both prescription and over-the-counter)

Acute diarrhea is transmitted by the fecal-oral route by ingestion of food and water contaminated with microorganisms. The causative agents of diarrhea are: bacteria (E. coli, salmonella, dysentery bacteria, cholera vibrio), viruses (rotaviruses, adenoviruses, enteroviruses) and protozoa (Giardia, dysenteric amoeba). The severity of the manifestation of the disease depends on the pathogen, the number of microbes that have entered the gastrointestinal tract, the state of the human immune system.

Acute intestinal infection caused by Escherichia coli occurs with moderate symptoms of general intoxication: chills, weakness, loss of appetite, fever up to 38 C, paroxysmal pain in the lower abdomen, false urge to defecate, loose stools up to 10 times a day. Symptoms last no more than a week.

Diarrhea caused by salmonella, dysentery bacteria is severe. Frequent watery stools up to 10-30 times a day, mixed with blood and pus. Abdominal pain, false urge to defecate. During and after defecation, tenesmus occurs - a pulling nature of pain in the rectal area, the temperature rises to 40 C. Due to dehydration of the body, tachycardia occurs, a decrease in blood pressure, dry skin, and weakness.

The most severe infectious disease prone to pandemic spread - cholera, begins suddenly, acutely with frequent, profuse, watery diarrhea, repeated vomiting, quickly leading to dehydration. Muscle weakness, dry skin increases, pulse quickens, blood pressure drops, convulsions appear. Body temperature remains normal or decreased, there are no abdominal pains, nausea.

Allocate traveler's diarrhea. It occurs in the first two weeks in people traveling outside their region, and lasts no more than one week. The causes of this form of diarrhea are changes in diet, water quality, changing climatic conditions, stress. All cases of the disease are associated with infection of water and food by microorganisms. The disease begins acutely, body temperature is normal, nausea, vomiting, cramping abdominal pain, frequent, up to 10 times a day, watery stools appear. The disease disappears when taking enveloping agents and observing the diet, sanitary and hygienic rules (avoid eating food that is not thermally processed enough, unpasteurized dairy products, tap water, vegetables and fruits washed with such water; wash hands before eating and after visiting public places, toilet).

Acute respiratory diseases, often caused by adenovirus and rotavirus infection, along with catarrhal symptoms (nasal congestion, rhinorrhea, dry cough, sore throat) can cause acute viral gastroenteritis, manifested by frequent loose stools, nausea, vomiting, fever, muscle weakness. In severe influenza, more often "swine", along with fever up to 40C, headache, pain in muscles and joints, dry cough, shortness of breath, and frequent, loose stools occur.

Chronic diarrhea manifests itself in many diseases of the gastrointestinal tract. Chronic pancreatitis is characterized by pain in the upper abdomen, girdle, radiating to the left side of the chest. The pain is accompanied by nausea, vomiting that does not bring relief, bloating and frequent, copious, fetid stools, steatorrhea. Exacerbation of the disease provokes the use of spicy, fatty, smoked foods, alcohol.

Bloody diarrhea, especially at night, abdominal pain, anemia, fever up to 38 degrees, joint pain - occur with ulcerative colitis, Crohn's disease, pseudomembranous colitis, intestinal tumors.

Celiac disease is a congenital disease caused by a deficiency of enzymes that break down cereals, manifested by diarrhea (abundant, frothy stools), bloating, weight loss, anemia. Exacerbations of the disease are associated with the use of products from wheat, rye, oats, barley.

Diarrhea is accompanied by non-infectious colitis. They can be caused by the toxic effect of drugs (cytostatics, antibiotics, digoxin, salicylates, diclofenac, uncontrolled use of laxatives), allergies, helminthic invasion, alcohol abuse, after radiation therapy.

Antibiotic-associated diarrhea occurs during administration or 1-10 days after discontinuation of drugs. It is manifested by cramping pains in the abdomen, subsiding after a plentiful watery stool. After discontinuation of the drug, the symptoms quickly disappear.

Functional diarrhea in irritable bowel syndrome is associated with impaired intestinal motility and is determined when all diseases are excluded. This condition develops at a young age, the manifestations are associated with the transferred stress, against the background of depressive conditions. Disturbed by pain, rumbling, bloating, impaired stool in the form of pseudodiarrhea (increased stool with a formed stool consistency).

Examination for diarrhea

To make a diagnosis, a bacteriological examination of feces is necessary, while identifying the causative agent of the disease, fecal analysis for worm eggs - to determine helminthic invasion, fecal occult blood analysis - to exclude bloody diarrhea, fecal examination for dysbacteriosis - to assess the state of intestinal microflora.

Coprocytogram - will help to identify the inflammatory process in the intestine, and the degree of digestion of food, the determination of elastase-1 in the feces, its presence confirms the diagnosis of chronic pancreatitis.

Complete blood count - it determines the signs of acute or chronic inflammation, the presence of anemia. With frequent, profuse diarrhea, it is necessary to assess the degree of dehydration of the body, for this, electrolytes, total protein and protein fractions are determined in a biochemical blood test.

In chronic diarrhea, a colonoscopy is performed, sigmoidoscopy is performed to exclude the pathology of the colon.

To assess the motor function of the intestine, to identify organic changes in the intestine, an x-ray examination is performed - irrigoscopy.

Ultrasound of the abdominal cavity and small pelvis - to exclude diseases of the pancreas, liver, tumors in the abdominal cavity and retroperitoneal space.

Treatment of diarrhea (diarrhea)

In the treatment of diarrheal syndrome, diet is necessary. The food is fractional, all dishes are steamed or boiled, spicy, salty, fried, smoked foods, alcoholic drinks, canned food, carbonated drinks, coffee, chocolate are excluded. It is recommended to take mucous soups, rice porridge, crackers, baked potatoes, boiled eggs.

With a mild form of diarrhea, rehydron, gastrolith are used to prevent dehydration. The contents of the package are dissolved in 1 liter of boiled water, cooled to room temperature and taken in small sips after each loose stool, 200 ml. You can prepare solutions yourself. Take 1 teaspoon of table salt, 1 teaspoon of soda, 8 teaspoons of sugar, 1 glass of orange juice, dissolve in a liter of boiled water, take a glass after each case of loose stools. The volume of liquid drunk should be at least 2-3 liters.

With diarrhea, they take enveloping agents, adsorbents that adsorb and remove viruses, pathogenic bacteria, toxins, and intestinal gases from the body. These are drugs: activated charcoal (1-2 grams 4 times a day, dissolving the tablets in 0.5 cups of boiled water), smecta (1 sachet 3 times a day, dissolving the contents in boiled water), polyphepam (1 tablespoon 3 times a day, diluted in 100 ml of water). They are used 1 hour before meals and medication, for 3-7 days.

Attention! The use of antidiarrheal agents (imodium, loperamide) is contraindicated in acute intestinal infections, as they prevent the removal of part of the toxins from the liquid contents of the intestine, with bloody diarrhea, as these drugs contribute to the aggravation of damage to the intestinal mucosa, thereby aggravating the course of the disease.

In the treatment of diarrhea, medicinal plants are used that have a bactericidal, astringent, anti-inflammatory effect. Blueberries (1-2 teaspoons of dried berries are poured into a glass of boiling water, cooled and taken 4 times a day), decoctions of oak bark, alder fruit, burnet root (2 tablespoons of plants are poured into 0.5 liters of boiling water, boiled for 20 minutes, cooled, and take 2 tablespoons 4 times a day). Accepted within 7-10 days.

Diarrhea is a sign of many diseases, but above all, it causes dehydration of the body, which leads to the development of convulsions, coma. Possible complications of diarrhea include: infectious-toxic shock, sepsis, peritonitis.

The outcome of the disease can be unfavorable in patients with immunodeficiency conditions (taking hormones, cytostatics, HIV-infected, undergoing chemotherapy and radiation therapy). Delayed treatment can lead to poor outcome.

Which doctor should I contact for diarrhea

If diarrhea occurs, you should contact a general practitioner (general practitioner, pediatrician, family doctor). He will assess the severity of the patient's condition, prescribe the necessary examinations and treatment. You may need to consult a gastroenterologist.

Patients with diarrhea should urgently seek medical help if: loose stools more than 10 times a day, high fever, bloody diarrhea, mucus in the stool, copious light-colored stools, a decrease in body temperature below normal, diarrhea in children under 5 years of age, and adults older 60 years old, with a sharp decrease in blood pressure and deterioration of the general condition.

Therapist of the highest category Vostrenkova I.N.

All the causes that cause abdominal pain and diarrhea can be conditionally divided into three large groups: poisoning, inflammatory processes and infectious diseases. A separate group includes diseases that are not directly related to gastrointestinal problems, but only have certain symptoms in the form of diarrhea and abdominal pain.

poisoning

This reason is the most common. It is caused by eating expired or poor-quality food. Poisonings come in varying degrees of severity. Diarrhea, severe pain in the abdomen and fever, lasting more than 2 days, is a reason for an immediate visit to the hospital, because. signals inflammatory processes or acute intestinal infection. If diarrhea occurs without an increase in body temperature, then this indicates ordinary poisoning, which, as a rule, disappears after the body gets rid of unnecessary toxins and toxins. It is important to observe the diet here. Eliminate foods that provoke diarrhea and drink more liquids, because. during loose stools, the body loses a lot of water, which in turn is fraught with dehydration.

Attention! During diarrhea, drink at least 3 liters of fluid per day to avoid dehydration

Inflammatory processes

One of the most dangerous inflammatory diseases is appendicitis. Many people mistakenly think that appendicitis necessarily raises body temperature. In fact, appendicitis very often proceeds without fever. This disease is characterized by dull or sharp pains in the abdomen, usually concentrated around the umbilical region. Possible diarrhea or vomiting. The pain does not go away with a change in body position and can only increase over time. After a few hours, the pain may shift either down the abdomen or to the right side. There is dryness in the mouth, the heartbeat quickens. It is important to provide timely medical care to the patient in time.

Colitis and enterocolitis. These diseases are associated with inflammatory processes occurring in the large and small intestines. Manifested in the form of acute pain in the abdomen, diarrhea, nausea, vomiting, false urges, flatulence. The chair is liquid, sometimes with blood streaks. After a bowel movement, a slight relief is felt. Most often, the cause of these diseases is the improper functioning of the gastrointestinal tract, nutritional errors, the abuse of heavy and fatty foods, hereditary nature, climate change. The basis of treatment is the timely intake of sorbents: "", "", " Enterosgel«, « Phosphalugel» or ordinary activated carbon. They also take drugs to eliminate increased gas formation in the intestines, which is one of the causes of sharp pain when gas bubbles press on the intestinal walls. The group of drugs that eliminate flatulence include: Espumizan«, « Passagex". To relieve pain, you can take medications belonging to the group of antispasmodics: "", " Duspatalin«, « Neobutin«, « Iberogast«.

Cholecystitis, pancreatitis, JVP. These diseases are both acute and chronic. But in both cases, they are accompanied by severe abdominal pain, nausea and diarrhea. With cholecystitis, pain is localized on the right, with pancreatitis at the top of the abdomen. For cholecystitis, pancreatitis and JVP, belching, a constant feeling of nausea, upset stools, and lack of appetite are characteristic. With inflammation of the gallbladder, pancreas, drugs containing enzymes are taken: Mezim«, « Festal«, « Pancreatin«.

For women, abdominal pain and stool disorder may indicate ectopic pregnancy, inflammation of the ovaries and appendages. These diseases require immediate medical attention. Also, the above symptoms may indicate the approach of menstruation. Due to hormonal changes in the body, the uterus increases in size and presses on the walls of the intestine, which causes pain and diarrhea. This condition before the onset of critical days does not require medical assistance and disappears on its own 1-2 days after the onset of menstruation. If the disorder of the stool and abdominal pain does not go away on its own or after taking medications belonging to the group of sorbents and antispasmodics, then it is worth visiting a gynecologist and gastroenterologist.

Diseases of an infectious nature

In the first place among diseases of an infectious nature, accompanied by pain in the abdomen and diarrhea, goes intestinal or rotavirus infection It is also called the stomach flu. Most often, diseases of an infectious nature are accompanied by an increase in body temperature. But they can also run at normal temperatures. In addition to acute pain and frequent stools (sometimes up to 10-15 times a day), there is a lack of appetite, intolerance to certain odors, and severe weakness.

Dysentery. A very dangerous infectious disease caused by Shigella bacteria. Dysentery is characterized by the same symptoms as rotavirus infection. But there are still distinctive features. With rotavirus, copious frequent stools, and with dysentery, stools are much less common. In dysentery, stools with mucus and streaks of blood.

Like any infectious disease, dysentery and rotavirus infection are treated with antiviral drugs: Cycloferon«, « Kagocel". Sorbents are also prescribed: " Enterofuril«, ««, « Enterol". Antibiotics for viral infections are not prescribed.

Attention! With intestinal infections, it is important to start treatment on time and seek help from a specialist.

Video - Causes of vomiting, diarrhea, abdominal pain

Other causes of diarrhea and abdominal pain

1. IBS or irritable bowel syndrome. In recent years, this disease is classified as a mental disorder that manifests itself in the body in response to stress, anxiety, excitement. The key to successful treatment of IBS is constant monitoring by a psychotherapist and the use of sedatives. If discomfort occurs, sorbents and antispasmodics can be taken.

   

2. heart attack. Very often, with a heart attack, patients experience severe abdominal pain and diarrhea.

   

   

3. Intestinal obstruction. With intestinal obstruction, cramping and spastic pains in the lower abdomen and in the navel region are characteristic.

   

4. Crohn's disease, various ulcers and ulcerative colitis. With these diseases, there may be a disorder of the stool and severe pain in the abdomen. The stool is usually bloody and mucus. Sometimes body temperature may rise.

   

5. Oncological diseases of the gastrointestinal tract. In the early stages, diarrhea and sharp pains can serve as the first signals of malfunctions in the body.

   

6. Pregnancy. Due to the hormonal changes that occur in a woman's body, abdominal pain and diarrhea (against the background of delayed menstruation) may be present in the first trimester of pregnancy. With various pathologies, this condition can also be observed in the third trimester.

   

Attention! This group of diseases has completely different causes of diarrhea and abdominal pain, so it should be treated by other specialists.

Treatment regimen

1. Drink plenty of water, at least 3 liters of pure water per day.
2. Timely intake of necessary drugs.
3. Bed rest.
4. Exclusion from the diet of harmful and junk food.
5. Strict health monitoring.
6. If the condition worsens, a mandatory consultation with a specialist is required to find out the cause of the disease, diagnose and pass the necessary tests (general blood test, which shows the presence or absence of an inflammatory process in the body, analysis of feces and urine, ultrasound of the abdominal cavity) to exclude various pathologies.

Medical treatment

poisoning	Inflammatory processes	Diseases of an infectious nature
Sorbents: "Smecta", "Polysorb", "Neosmectin", "Enterosgel", "Phosphalugel", activated carbon	Sorbents: "Smecta", "Neosmectin", "Polysorb", "Enterosgel", "Phosphalugel", activated carbon. To eliminate flatulence: "Espumizan", "Passage". To relieve spasms and pain syndrome: "Trimedat", "Duspatalin", "Neobutin", "Iberogast". To improve digestion and normalize stool: "Mezim", "Festal", "Pancreatin"	Antiviral drugs: "Cycloferon", "Kagocel". Sorbents: "Smecta", "Polysorb", "Neosmectin", "Phosphalugel", "Enterosgel", activated carbon to remove toxins and toxins accumulated in the body

ethnoscience

1. 1 tbsp dill seeds pour a glass of boiling water, let it brew for 10-15 minutes. Drink instead of tea. The decoction relieves spasms, regulates intestinal motility, improves digestion.
2. Pour a handful of dry pomegranate peels with water, boil over low heat for 10-15 minutes. Then insist and take 2/3 cup after meals. Pomegranate peel is a well-known remedy for diarrhea.
3. Soak crusts of dry rye bread in water for 15-20 minutes. Take a decoction 4-5 times a day for 2/3 cup.
4. Rice broth left after cooking rice is taken during the day for 1/2 cup.
5. Strong black tea. Brew regular black tea, add sugar (but not honey) and drink 3-4 times a day. Excellent remedy for diarrhea and dehydration.

Video - Causes and effects of persistent diarrhea

Prevention

1. Do not forget about the basic rules of hygiene. Be sure to wash your hands with soap after going outside.
2. Always carry wet antibacterial wipes and antiseptic liquid with you.
3. Wash fruits and vegetables thoroughly before eating.
4. Buy meat, fish and dairy products only from trusted suppliers.
5. Do not eat foods that have expired.
6. Store cooked food in the refrigerator.

There are a large number of different organs in the abdominal cavity, and only a specialist can determine the cause of pain in any of them. But if discomfort is accompanied by loose stools, then often the main reason is malnutrition, and then we can talk about the symptoms of various pathologies.

Diarrhea

Diarrhea or, as people say, diarrhea, appears when the gastrointestinal tract is disturbed. For this disease, the characteristic symptoms are: severe pain in the abdomen, vomiting, diarrhea and fever. In some cases, the body thus tries to cleanse itself of accumulated toxins, mucus and decay products. In the event that abdominal pain is accompanied by rumbling, bloating, sour smell, feces that look like foam, then we can talk about the presence of putrefactive and fermentative processes in the body. The causes of diarrhea can also be considered poisoning with poor-quality foods or alcoholic beverages, diarrhea can occur during pregnancy or menstruation.

Liquid stools are especially dangerous for young children and the elderly, this is due to the fact that their weak body cannot return to normal and rapid dehydration occurs, which can have serious consequences.

In any case, diarrhea is a condition that is characterized by bowel movements more than three times a day, while liquid or watery stools come out of it in large quantities. Often, diarrhea is accompanied by vomiting, nausea, or fever.

The chronic form of diarrhea develops with inflammation of the esophagus, with an ulcer of the lining of the rectum and colon, with a malignant neoplasm of the rectum.

irritable bowel syndrome

The disease very often appears in the inhabitants of large cities; it can be provoked not only by biological causes, but also by various stressful situations and social problems. This syndrome is characterized by the presence of pain in the left iliac region, discomfort may either appear (after stress, overstrain), or disappear. It should be noted that after a bowel movement, the condition returns to normal. Symptoms of the syndrome are: bloating, loose stools, increased peristalsis, mushy feces with mucus, a feeling of incomplete bowel movement after going to the toilet.

Causes and symptoms

Pain in the abdominal cavity, accompanied by diarrhea, can be triggered by:

• ulcer of the stomach and duodenum, often 30 minutes after eating, especially acidic and spicy, the first signs begin to appear;
• with various diseases of the intestine, cramping pain occurs, accompanied by intermittent diarrhea;
• intestinal flu or rotavirus infection (caused by viruses of the genus Rotavirus, enteroviruses (noroviruses), astroviruses, adenoviruses), in addition to diarrhea, also cause nausea, vomiting, headaches, fever, body weakness;
• acute appendicitis, in which the focus of pain is in the right lower abdomen, in the case of an inflammatory process of the caecum, loose stools occur;
• dysentery, which is characterized by severe diarrhea, paroxysmal pain, with a severe course of the disease, the temperature rises to 38-40 degrees, the patient becomes pale, his heart rate increases, weakness appears, he feels “broken”, the disease is treated in the infectious diseases department of a medical institution under doctor's control;
• massive bleeding from the esophagus, the stomach of the initial part of the duodenum is characterized by liquid or mushy black feces, which has an unpleasant fetid odor, black diarrhea is a symptom of serious diseases of the digestive system;
• enteritis (inflammation of the small intestine), its main symptoms are pain in the abdomen, severe upset and vomiting, if the disease occurs in an acute form, then dehydration of the body occurs, intoxication and disturbances in the functioning of the cardiovascular system appear, the cause is a lack of vitamins, protein , due to which there is a violation of the absorption of food elements, which can provoke a disorder in the secretory and motor function of the small intestine;
• chemical poisoning is always manifested by vomiting and loose stools, increased sweating, dizziness, and increased salivation is added to these general symptoms, abdominal pain occurs 30 minutes after eating.

Treatment

If diarrhea is mild, then you can treat it at home, but in severe cases, with an acute course of the disease, specialist help is needed. The main principle of treatment is to drink plenty of water to prevent dehydration of the body - at least two liters per day, you can drink boiled water, herbal tea (chamomile, mint), non-carbonated mineral water.

You can not eat anything until the exact cause of the disease is established, and you do not need to take medications.

In the event that diarrhea is accompanied by severe vomiting, you can take saline solutions, for example, rehydron, but if there is no vomiting, then it is permissible to use smectite, activated charcoal or enterosgel.

Many people take abdominal discomfort extremely lightly, completely ignoring it or self-medicating. It is absolutely impossible to do this, because even a slight pain can be a manifestation of a terrible disease. It is worth talking in more detail about the causes of uterine cramps and how to get rid of them.

Why does my stomach hurt

From time to time, people may feel discomfort that does not pose a danger to life. The stomach can get sick as a result of eating too salty, cold, overheated foods, fatty foods containing a lot of cholesterol. Cramps can be manifested intolerance to certain foods. These phenomena are not cause for concern. Causes of abdominal pain, dangerous for the body:

• circulatory problems;
• infectious diseases;
• problems of the digestive tract;
• a number of diseases of the spine, nervous system;
• toxicoinfection and intoxication;
• oncology.

Cutting in the stomach

Sometimes such pain, accompanied by diarrhea, causes a sharp dehydration of the body and a general deterioration in the condition of the patient, which is why he is taken to the hospital. If a person has a stomachache and even a disorder, this indicates:

acute pain

Its origin is clearly defined, that is, a person immediately points to the area of ​​\u200b\u200bthe body that gives him the most torment. What causes acute abdominal pain:

• severe damage to internal organs;
• toxic infections;
• acute intestinal infections;
• diseases of the chest, kidneys, genital organs.

An acute abdomen is a condition that occurs in diseases that require urgent medical attention:

• appendicitis;
• rupture of the fallopian tube, twisting of the cyst leg in women;
• cholecystitis;
• infringement of a hernia;
• pancreatitis;
• perforation of a stomach ulcer;
• ruptures of the peritoneal organs as a result of trauma;
• thrombosis of intestinal vessels, acute obstruction.

Cutting in the stomach

Often accompanied by lack of appetite and nausea. Diarrhea and pain in the stomach notify, in most cases, of exacerbations of an ulcer or gastritis. Discomfort occurs at the top and in the middle of the abdomen. Pain can also be psychologically stressful. Colic in the stomach can be a sign of oncology or polyps - accumulations of cells on the inner walls of the organ.

severe pain

Only a specialist can make an accurate diagnosis, however, there are a number of diseases for which such symptoms are more characteristic. Severe abdominal pain and diarrhea are noted with:

1. Appendicitis.
2. Intestinal infections. Violent cramps. The body temperature rises, there is general weakness, dizziness.
3. Ulcer of the stomach or duodenum. As a rule, severe discomfort begins after eating.
4. Crohn's disease. Inflammatory process of the small intestine, then passing to other areas. An additional symptom is increased gas formation. When the disease progresses, a person constantly has frequent bowel movements (up to 30 times a day).
5. Food poisoning. After something of poor quality has entered the body, the condition worsens after two to three hours. May feel sick, open vomiting (profuse).

Pain on the left side of the belly button

In this area, there are many organs whose pathologies can lead to spasms. Pain in the abdomen to the left of the navel begins due to:

1. A malignant tumor of the parts of the intestine located on the left.
2. Stretching or rupture of the abdominal aorta. Accompanied by spasms of the abdomen, back.
3. Diverticulitis. The disease is typical for people of retirement age.
4. Intestinal obstruction.
5. Crohn's disease.
6. Ectopic pregnancy in the left tube, cysts, ovarian rupture, endometriosis.
7. Volvulus of the sigmoid colon.
8. Constipation.
9. Hernias. If the pathology has formed on the left, then a bulge will appear in this zone, there will be a burning sensation.
10. Diseases of the stomach: gastritis, pylorospasm, ulcers, gastroduodenitis.
11. pancreatitis.
12. Diseases of the spleen.
13. Ulcerative, pseudomembranous or ischemic colitis.

Pain below the belly button

As a rule, a symptom informs about diseases of the colon or pathologies of the female genital organs. Pain below the navel is likely with:

• ischemic state of the intestine;
• endometriosis;
• atherosclerosis of the intestinal vessels (accompanied by atonic constipation);
• cystitis;
• irritable bowel syndrome;
• oncology of the genital organs;
• aneurysm of the abdominal aorta;
• fibroma of the uterus.

Stomach pain and diarrhea

The list of diseases for which this symptom is characteristic is very extensive. A person often has a stomach ache and diarrhea with problems with the organs of the digestive system. This phenomenon can cause all types of gastritis and ulcers. In the presence of stomach cramps, it is imperative to undergo an examination to exclude oncology. Sometimes dull pain occurs after overeating or, conversely, excessively long fasting. May have a stressful origin, although rare.

Pain around the belly button

The reason for this phenomenon is difficult to determine. Among the possible options for why a person has pain around the navel, the following can be distinguished:

• enteritis, especially during exacerbations;
• intestinal ischemia;
• appendicitis;
• enterocolitis;
• abdominal migraine (more often in adolescents);
• small intestine cancer;
• umbilical hernia;
• diverticulitis;
• volvulus of the small intestine;
• viral gastroenteritis.

Pain in the lower abdomen and diarrhea

These signs in most cases indicate poisoning with food or chemicals. As a rule, a person not only has pain in the lower abdomen and diarrhea, but also a high temperature rises, vomiting opens, and perspiration appears. If relief does not occur during the day, then it is imperative to see a doctor. Other (less common) causes of diarrhea and lower abdominal pain include:

• autoimmune pathology;
• infection (viral or bacterial);
• tumors;
• bowel disease;
• stress.

Abdominal pain on the right

This symptom has many causes. The onset of pain in the abdomen on the right can tell about:

• enteritis;
• appendicitis;
• Crohn's disease;
• exacerbation of chronic cholecystitis;
• ulcerative colitis;
• gastritis;
• pancreatitis;
• intestinal infections.

Twisting stomach and diarrhea

This phenomenon is very common. If a person has a twisting stomach and diarrhea, then this probably indicates:

Cramps and diarrhea

Unpleasant sensations begin in the small intestine, gradually intensifying and capturing the entire organ, even the anus can hurt. Abdominal cramps and diarrhea are caused by irritation resulting from:

• diseases of the stomach, pancreas;
• intestinal obstruction;
• overeating;
• the presence of worms in the body;
• poisoning;
• stressful state;
• bacterial infection of the intestine.

Sharp pain and diarrhea

Sudden unpleasant sensations appear as a result of many pathologies. The real reason for feeling a sharp pain in the abdomen and diarrhea should be discussed, focusing on additional symptoms:

1. An increase in temperature, the presence of mucus in the masses of feces, fever. As a rule, these symptoms indicate a viral infection: salmonellosis, dysentery, typhoid fever.
2. High temperature and sharp pain in the umbilical region. If these symptoms accompany diarrhea, then the person most likely has appendicitis or a hernia. Perhaps stones came from the kidneys.

Pain in the abdomen in a child

It is more difficult to diagnose a small patient than an adult. As a rule, children are not able to accurately describe the nature of spasms, their localization, strength. Abdominal pain in a child with diarrhea should not be treated on its own, it is necessary to visit a doctor who will accurately determine the cause of the disease. It is worth talking in more detail about which ailments, in the presence of the specified symptoms, are diagnosed more often than others.

With temperature

Sometimes this is how the body responds to eating certain foods, such as unwashed fruit. However, if the baby has a fever and a stomach ache, this can tell about such ailments:

• appendicitis;
• dysentery;
• pancreatitis;
• cholecystitis;
• intestinal infection;
• peritonitis (more often in girls);
• acute diverticulitis.

Underbelly

Babies complain less often about discomfort in this area. If a child has pain in the lower abdomen, you need to make sure that there are no:

• intestinal infection;
• dysbacteriosis;
• intolerance to a number of products;
• cystitis (especially in girls);
• appendicitis;
• the lower abdomen can pull due to problems in the genitals;
• intestinal obstruction.

At the baby

Diagnosing some kind of disease in such crumbs is the most difficult. If a baby has a stomach ache, it is caused by:

• dysbacteriosis;
• the introduction of complementary foods;
• intolerance to lactose, gluten;
• teething;
• SARS;
• surgical pathologies;
• cystic fibrosis.

What to do with diarrhea

Based on additional symptoms, you should decide whether to see a doctor. In some cases, diarrhea can be overcome without the help of a specialist. What to do with diarrhea:

1. Drink plenty of fluids to keep your body hydrated. You can take a drug for rehydration, for example, Regidron.
2. Take absorbent medications. Activated charcoal or a similar preparation will do. The medicine will absorb toxins and remove them from the body. A solution of potassium permanganate also has a similar effect.
3. Watch your diet, do not eat what can provoke diarrhea.
4. You can take probiotics with bifidus or lactobacilli.
5. Try folk remedies for diarrhea: walnut tincture, soaked black bread, potato starch diluted in water, decoction of oak bark.

What to do if the child has a stomachache

You can try to help the baby on your own at home if there are no other deteriorations in the condition. What to do if a child has a stomachache:

1. Gas-producing foods should be removed from the diet.
2. If you don’t know what to give your baby, try using drugs for bloating: Disflatil, Espumizan.
3. If the tummy hurts after eating, let the child drink sorbens: Mezim, Enterosgel, Festal.
4. With spasms and diarrhea, Linex or Laktovit will help.
5. If the condition does not improve within half an hour and is aggravated by other symptoms, then an ambulance must be called.

What to do if the stomach twists

Sometimes the discomfort is not accompanied by diarrhea. What to do if the stomach twists:

1. If possible, try to lie down, stop physical activity.
2. Take activated charcoal, No-Shpu, Smecta, Mezim, Espumizan.
3. Drink plenty of fluids and try not to eat for a while.
4. Eat fractionally, only healthy foods. Give up coarse foods, alcoholic drinks, strong tea, animal fats, coffee, hot bread, muffins. Eat light soups, fish and lean meats, boiled eggs.

Find out more about whether they exist and how to properly take them.

What to do if the stomach hurts and diarrhea

You can give yourself first aid on your own if you suddenly twisted. What to do if your stomach hurts and diarrhea:

1. Drink plenty of pure water, unsweetened tea or mineral water.
2. Take Regidron.
3. To remove toxins from the body, drink Enterosgel, Smecta.
4. Do a gastric lavage with potassium permanganate.
5. Loperamide, Furazolidone help well from poisoning.
6. To get rid of spasms, drink No-Shpu, Bral, or another local anesthetic.
7. For some time, stick to a diet, give up foods rich in fiber, dairy products, juices, salty and sweet.
8. Indomethacin, a non-steroidal anti-inflammatory drug, helps with diarrhea.
9. If you do not feel better in a day or feel even worse, be sure to call an ambulance.

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