With our lifestyle nowadays, our stomach being upset has become very normal.  But if diarrhoea keeps recurring then it is not normal.  Chronic diarrhoea can be frustrating, embarrassing, and sometimes even indicate a more serious health concern. If you’re curious about the causes and solutions, you’re in the right place.

What is Chronic Diarrhoea?

Chronic diarrhoea is characterised by loose or watery stools that last for more than four weeks. Unlike a temporary stomach bug, this condition doesn’t simply resolve on its own. It can signal various underlying issues, making it crucial to determine the cause.

Hidden Causes of Chronic Diarrhoea

1.   Irritable Bowel Syndrome (IBS)

One of the leading causes of chronic diarrhoea is IBS, especially IBS-D (diarrhoea-predominant IBS). This condition affects gut function, often resulting in unpredictable bowel movements, bloating, and abdominal discomfort.

Fix it: Managing IBS typically involves dietary changes, such as adopting a low-FODMAP diet, reducing stress levels, and sometimes using prescribed medications.

2.   Food Intolerances and Sensitivities

Certain foods can trigger diarrhoea, even if you don’t have a full-blown allergy. Common offenders include dairy (lactose intolerance), gluten (coeliac disease or non-coeliac gluten sensitivity), artificial sweeteners, and high-fat foods.

Fix it: Keeping a food diary and eliminating suspected triggers can help identify what’s causing your symptoms. A healthcare professional can also suggest tests for food intolerances.

3.   Infections and Post-Infectious Issues

Bacterial, viral, or parasitic infections can persist in the gut, leading to ongoing digestive problems. In some instances, an infection can result in post-infectious IBS, where symptoms continue long after the initial illness has passed.

If you’ve recently traveled or experienced food poisoning, a stool test can help identify any lingering infections. Depending on the cause, antibiotics or probiotics may be suggested.

4.   Inflammatory Bowel Disease (IBD)

Conditions such as Crohn’s disease and ulcerative colitis lead to chronic inflammation in the gut, resulting in diarrhea, blood in the stool, weight loss, and fatigue. Unlike IBS, IBD is an autoimmune disorder that necessitates medical treatment.

If you have persistent diarrhoea accompanied by severe abdominal pain, fever, or blood in your stool, consult a gastroenterologist for a thorough evaluation and appropriate treatment.

5.   Small Intestinal Bacterial Overgrowth (SIBO)

An imbalance in gut bacteria can result in SIBO, a condition where excessive bacteria in the small intestine disrupt digestion and absorption, causing diarrhoea, bloating, and gas.

SIBO is diagnosed through breath tests and is typically treated with antibiotics or dietary changes to restore gut flora balance.

6.   Stress and Anxiety

The connection between the gut and the brain significantly impacts digestive health. Stress and anxiety can lead to diarrhoea by accelerating gut motility and affecting digestion.

Practices like mindfulness, therapy, meditation, and regular exercise can help manage diarrhoea triggered by stress.

When to See a Doctor

While occasional diarrhoea isn’t usually a major issue, chronic diarrhoea can result in dehydration, nutrient deficiencies, and weight loss. Seek medical attention if:

• You have diarrhoea lasting more than four weeks.
• There is blood or mucus in your stool.
• You experience unexplained weight loss or severe abdominal pain.
• You suspect an underlying medical condition.

Regain Control of Your Gut Health

Chronic diarrhoea doesn’t have to dictate your life. By identifying the cause and taking appropriate measures, you can find relief and enhance your overall well-being. If you’re facing ongoing digestive challenges, Gastro Clinic is here to live a life without discomfort. Book a consultation today and take the first step towards a healthier gut.