Diarrhea

Loose, watery stools often settle in a few days. The priority is replacing fluids, noticing warning signs, and knowing when the pattern needs medical advice.

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Quick Reference Facts

System FocusGastrointestinal
Clinical CharacterSubjective patient manifestation
Diagnostic UrgencyMonitor for red flag progress

Visual guide

Understanding diarrhoea
Paying attention during the day
A closer look at the gut

In simple words

Diarrhoea means loose or watery stools more often than is normal for you. A short episode is common and often improves on its own, but it can lead to dehydration—especially in children, older adults and people with other health conditions.

Clinical Meaning

What matters most is how long it has lasted, whether fluids are staying down, and whether there are warning signs such as blood, fever, severe pain, dehydration or a recent medicine change. Most cases do not need tests, but a clinician may investigate a persistent, severe or unusual pattern.

Common Causes

  • A stomach bug, food poisoning, or contaminated food or water
  • A medicine side effect, including antibiotics, or a food intolerance
  • Irritable bowel syndrome or anxiety-related bowel changes
  • Inflammatory bowel disease, coeliac disease or another long-term digestive condition when symptoms keep returning

Clinical Red Flags

Seek urgent medical attention at an emergency department or primary care clinic if you present with any of the following symptoms:

  • Get urgent help for blood or pus in stool, black tarry stool, severe abdominal or rectal pain, a high fever, or symptoms that are rapidly worsening.
  • Seek prompt advice for dehydration: very little or dark urine, dizziness, unusual sleepiness, confusion, dry mouth, or inability to keep fluids down.
  • Get medical advice early for a baby or young child, an older adult, pregnancy, a weakened immune system, kidney disease, diabetes, cancer treatment, or diarrhoea lasting more than two days in an adult or 24 hours in a child.

Lifestyle & Diet Support

Take frequent small drinks of water or an oral rehydration solution. Eat when you feel able, starting with simple foods, and avoid alcohol, rich foods, fruit juice and fizzy drinks if they make symptoms worse. Rest, wash hands carefully with soap and water, and do not prepare food for others while you are unwell. Ask a pharmacist or clinician before using medicine to stop diarrhoea, especially for a child or when there is fever or blood in stool.

Frequently Asked Questions

Take frequent small drinks of water or an oral rehydration solution. If you also feel sick, small sips are often easier. Avoid fruit juice and fizzy drinks if they make symptoms worse.
Eat when you feel able. Start with simple foods and avoid rich, fatty or spicy foods if they worsen your symptoms. Staying hydrated matters more than forcing food.
Get urgent help for blood or black stool, severe pain, high fever, rapid worsening, or signs of dehydration such as very little urine, marked dizziness, confusion or inability to keep fluids down.
Some causes, such as a stomach bug, can spread easily. Wash hands with soap and water often, clean shared surfaces, avoid preparing food for others, and stay home while unwell.
A clinician may discuss individual supportive options for a known, non-urgent pattern, but this must not delay fluid replacement or medical care when warning signs are present.
Clinical & academic detailShow detail

Differential Diagnosis Matrix

Differential Diagnosis Overview

A clinician may ask about recent travel, food, sick contacts, antibiotics or other medicines, and whether there is fever, blood, pain or weight loss. Stool or blood tests are considered when symptoms are severe, persistent or suggest a specific infection or underlying condition.

Reference Citations & Evidence Sources

Clinical Reviews & Textbooks
  • CIT-0135Clinical Review pending verification
  • CIT-0136Clinical Review pending verification

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