Washington Manual of Medical Therapeutics
Chronic Diarrhea
Chronic Diarrhea is a topic covered in the Washington Manual of Medical Therapeutics.
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- Diarrhea lasting >30 days is defined as chronic.
- Infectious causes are usually parasitic, including Cryptosporidium (see Chapter 16: Sexually Transmitted Infections, Human Immunodeficiency Virus, and Acquired Immunodeficiency Syndrome section on Opportunistic Infections in HIV), Giardia, and Entameba.
- Giardiasis is diagnosed by stool antigen testing or microscopic examination. Treatment is metronidazole 500 mg PO q12h for 7 days and tinidazole 2 g PO single dose or nitazoxanide 500 mg PO q12h for 3 days.
- Amebiasis is diagnosed by stool microscopy, antigen testing and serology. Treatment is metronidazole 500 mg q8h for 7–10 days, followed by iodoquin or paromomycin to eradicate cysts.
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- Diarrhea lasting >30 days is defined as chronic.
- Infectious causes are usually parasitic, including Cryptosporidium (see Chapter 16: Sexually Transmitted Infections, Human Immunodeficiency Virus, and Acquired Immunodeficiency Syndrome section on Opportunistic Infections in HIV), Giardia, and Entameba.
- Giardiasis is diagnosed by stool antigen testing or microscopic examination. Treatment is metronidazole 500 mg PO q12h for 7 days and tinidazole 2 g PO single dose or nitazoxanide 500 mg PO q12h for 3 days.
- Amebiasis is diagnosed by stool microscopy, antigen testing and serology. Treatment is metronidazole 500 mg q8h for 7–10 days, followed by iodoquin or paromomycin to eradicate cysts.
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Citation
Bhat, Pavat, et al., editors. "Chronic Diarrhea." Washington Manual of Medical Therapeutics, 35th ed., Wolters Kluwer Health, 2016. Washington Manual, www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602753/all/Chronic_Diarrhea.
Chronic Diarrhea. In: Bhat PP, Dretler AA, Gdowski MM, et al, eds. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602753/all/Chronic_Diarrhea. Accessed February 28, 2021.
Chronic Diarrhea. (2016). In Bhat, P., Dretler, A., Gdowski, M., Ramgopal, R., & Williams, D. (Eds.), Washington Manual of Medical Therapeutics (35th edition). Wolters Kluwer Health. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602753/all/Chronic_Diarrhea
Chronic Diarrhea [Internet]. In: Bhat PP, Dretler AA, Gdowski MM, Ramgopal RR, Williams DD, editors. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. [cited 2021 February 28]. Available from: https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602753/all/Chronic_Diarrhea.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Chronic Diarrhea
ID - 602753
ED - Williams,Dominique,
ED - Ramgopal,Rajeev,
ED - Gdowski,Mark,
ED - Dretler,Alexandra,
ED - Bhat,Pavat,
BT - Washington Manual of Medical Therapeutics
UR - https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602753/all/Chronic_Diarrhea
PB - Wolters Kluwer Health
ET - 35
DB - Washington Manual
DP - Unbound Medicine
ER -
