Diarrhoea

Most episodes of diarrhoea are self-resolving. However, excessive diarrhoeal episodes (coupled with vomiting and inability to rehydrate through drinking) may cause the body to lose a significant amount of water and electrolytes (dehydration).

Visit the Emergency Department if you have any of the following:

• Travel to endemic areas of dysentery (high fever and travel).
• Signs of dehydration - little or no urine output.
• Severe weakness or dizziness.
• Passing of large volumes of blood or black stools.
• Severe abdominal pain.
• Persistent high fever (> 39 degrees).

Visit the GP or Polyclinic if you have any of the following:

• Multiple episodes of loose stools that do not show signs of reducing in 48 hours.
• Persistent vomiting with inability to keep liquids down.

What you can do:

• Stay Hydrated: Diarrhoea causes your body to lose a significant amount of water and electrolytes. Drink plenty of clear liquids like water, broth, or electrolyte-rich drinks. Avoid sugary drinks, fruit juices, and alcohol, as they can worsen dehydration.
• Practice Good Hygiene: To prevent the spread of infectious diarrhoea, wash your hands thoroughly with soap and water after using the bathroom, before eating, and after handling raw meat/seafood.
• Avoid Trigger Foods: Steer clear of foods that can irritate your digestive system, such as fatty, spicy, fried foods, dairy products (milk, cheese, yogurt) and gas producing foods (e.g., beans, cabbage, broccoli, lentils).
• Food diary: Keep a food diary to help pinpoint specific foods that trigger your diarrhoea. Common culprits include caffeine, artificial sweeteners, and certain types of carbohydrates (FODMAPs).
• Manage Stress: The gut-brain connection is powerful. Stress can significantly impact your digestive system. Incorporate stress-management techniques like yoga, meditation, or deep breathing exercises into your daily routine.

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