Diarrhea

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When to see a doctor

By Mayo Clinic staff

Most cases of diarrhea clear on their own without treatment. However, diarrhea may cause a loss of significant amounts of water and salts. See your doctor if you experience any of the following.

Seek immediate medical attention
In children, particularly young children, diarrhea — especially if combined with either fever or vomiting or both — can sometimes lead to dehydration. Call your doctor if your child's diarrhea doesn't improve after 24 hours or if your baby:

  • Hasn't had a wet diaper in three or more hours
  • Has a fever of more than 102 F (39 C)
  • Has bloody or black stools
  • Has a dry mouth or cries without tears
  • Is unusually sleepy, drowsy, unresponsive or irritable
  • Has a sunken appearance to the abdomen, eyes or cheeks
  • Has skin that doesn't flatten if pinched and released

Schedule a doctor's visit
In adults, diarrhea usually resolves on its own without any complications. See your doctor if:

  • Your diarrhea persists beyond three days without any sign of improvement
  • You become dehydrated — as evidenced by excessive thirst, dry mouth or skin, little or no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine
  • You have severe abdominal or rectal pain
  • You have bloody or black stools
  • You have a fever of more than 102 F (39 C)
References
  1. Diarrhea. National Institute for Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/diarrhea/index.htm. Accessed May 12, 2010.
  2. Ferri FF. Ferri's Clinical Advisor 2010. Philadelphia, Pa.: Mosby; 2009. http://www.mdconsult.com/das/book/body/200844987-2/0/2088/0.html. Accessed May 12, 2010.
  3. Schiller LR, et al. Diarrhea. In: Feldman M, et al. Sleisinger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa.: Saunders; 2010. http://www.mdconsult.com/book/player/linkTo?type=bookHome&isbn=978-1-4160-6189-2&eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&uniq=200844987-3. Accessed May 12, 2010.
MY00149 June 26, 2010

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