Chronic diarrhoea

Investigation of chronic diarrhoea

I congratulate the authors of the recently revised ‘‘BSG guidelines for the investigation of diarrhoea’’ for their excellent overview of this important clinical problem.(Gut 2003; 52(suppl V):v1–15). I would however take issue with the suggestion that measurement of stool volumes in outpatients is impractical. In my experience such measurement is readily achievable and cheap, merely requiring a...

Wernicke's encephalopathy following chronic diarrhoea.

A 62-year-old man, admitted to our hospital to investigate a chronic diarrhoea, developed a con fusional state. Clinical history revealed intestinal symptoms since four weeks and a weigh loss of two kilograms. neurological examination disclosed intermittent upbeat nystagmus and a severe gait ataxia. Laboratory findings were normal. Based on clinical features, Wernicke’s encephalopathy (We) was ...

An Approach to Chronic Diarrhoea

Diarrhoea is a universal human experience. It is both a symptom and a sign. On symptoms it is defined as abnormal passage of three or more loose or liquid stools per day. As a sign, diarrhoea is an increase in stool weight (or volume) of more than 200 grams (or mL) per 24 hours on a Western diet. Previous studies have suggested that stool weight is higher in Indians, and the upper limit of norm...

Duodenal diverticulosis and chronic diarrhoea.

diagnostic skin tests. All parasites may not necessarily produce as intense or as long-lasting an immediate hypersensitivity as does T. canis (Wiseman and Woodruff, 1970), and any trial of an antigen in subjects with different known infections should preferably include a direct comparison with their response to homologous antigen. This sesponse cannot be predicted reliably from the presence of ...

Chronic diarrhoea associated with Septata intestinalis.