Diarrhoea

Question 1

Symptoms

Answer 1

nausea
vomiting
abdominal pain
flatulence

Question 2

Disease causes

Answer 2

Infection
malabsorption
faecal impaction
bowel cancer,
IBD
IBS
food intolerance

Question 3

GP referral

Answer 3

blood/mucus in stool

severe abdominal pain

fever

severe vomiting

signs of severe dehydration

worsening of symptoms

diarrhoea lasting more than 14 days

unintentional weight loss

Question 4

Acute diarrhoea treatment

Answer 4

Rehydration with oral rehydration solution should be sufficient.
For adults: short course of antidiarrheal can be used for symptom control

Question 5

Chronic Diarrhoea treatment

Answer 5

Pharmacological therapy should be used under specialist supervision.

Question 6

Pharmacological therapy

Answer 6

Loperamide, Diphenoxylate + atropine.

Question 7

Gastrostop how to take?

Answer 7

Take 2 capsules with water initially, followed by 1 capsules with water after each loose bowel motion as needed. Do not take more than 8 capsules per day. Can be taken with or without food. If symptoms persist for more than 48 hours, seek medical advice from your doctor.

Question 8

gastrostop pregnancy and breastfeeding

Answer 8

Pregnancy: 1-2 doses are safe, short time use safe for first trimester

Breastfeeding: Short-term safe will need to monitor the baby

Question 9

Who can use gastro stop?

Answer 9

Children 12 and over

Question 10

Adverse affects of gastrostop

Answer 10

abdominal cramps

nausea

constipation

Question 11

Oral rehydration solution

Answer 11

Hydrolyte electrolyte powder for oral solution

Hydrolyte effervescent electrolyte solution

Hydrolyte ready to use solution oral liquid

Question 12

Hydrolyte electrolyte powder for oral solution

Answer 12

1 Sachet in 200ml - sip slowly and frequently

Adults - Max 20 sachet a day

Children 6-12 years - 13 sachets max

Children 3-6 years - 10 sachets max

Children younger than 3 - 7 sachets max

Less than 12 months - 5 sachets max

Question 13

Non-pharmacologic therapy

Answer 13

Rehydrate with oral rehydration solution

Increase intake of starchy food

Practice good hand hygiene

Limit intake of fatty, sweet or spicy food

Avoid caffeine, alcohol and drinks with high sugar content

Exclude children with diarrhoea from childcare centers and preschool

Question 14

Medication that causes diarrhoea

Answer 14

Antibiotics
Metformin
NSAIDS
Cytotoxins
Antacids

Question 15

Lifestyle causes

Answer 15

Certain food
Oversea travel
Exposure to someone who has infectious diarrhoea

Question 16

Imodium oral liquid

Answer 16

For kids
6-8 - 15ml first stool, 7.5ml after each stool loose stool. No more than 30ml
9-11 - 15ml first stool, 7.5ml after each stool loose stool. No more than 45ml