- Reasons for
- Concomitant diseases
- Treatment of
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Yellow diarrhea can occur both with eating disorders and with the pathology of the digestive system. With diarrhea, the stool weight exceeds 250 grams per day( approximately more than 3 acts of defecation), and the amount of water in it is more than 60-85%.
Severe diarrhea can lead to hypovolemia, hypo- and dehydration, changes in electrolyte balance, and acid-base balance of the blood. In the absence of treatment, the work of the heart, kidneys, brain and other organs is disrupted. Therefore, if diarrhea occurs periodically, then it is necessary to undergo a medical examination to find out and eliminate the cause.
Causes of
Depending on the mechanism of development, diarrhea is divided into:
- on osmotic ( in the intestinal lumen the content of electrolytes increases and the water concentrates on the concentration gradient).It develops after taking laxatives or antacid preparations containing magnesium, the use of xylitol, sorbitol, mannitol, certain medications, and also with enzyme deficiency. The stool is normalized after two or three days of starvation;
- secretory ( the secretory function of the intestinal epitheliocytes increases significantly).Noninfectious develops due to the intake of laxatives or certain medications, intoxication, and as a result of the production of stimulants of secretion by the hormone-producing tumor. Infectious secretory diarrhea develops when mucous membranes are exposed to infectious agents( Vibrio cholera, E. coli, Helicobacter jejuni, Yersinia enterocolitica, Clostridium difficile, Staphylococcus aureus);
- exudative ( as a result of damage to the intestinal epithelium from the blood and lymphatic vessels, water, electrolytes, proteins, as well as erythrocytes and leukocytes leak into the lumen).It develops due to the impact of pathogenic bacteria( Shigella, Salmonella, Yersinia, Escherichia, Aeromonas), viruses and protozoa. Noninfectious nature of diarrhea occurs with ulcerative colitis. With this mechanism, blood is visible in the feces;
- diarrhea, caused by impaired intestinal motility ( develops due to weakening or strengthening of the motor activity of the intestine, which leads to an accelerated passage of intestinal contents).
The color of the stool depends on the food that prevails in the diet. If a person consumes a lot of meat, then the feces turn black and brown, the vegetable food gives a light brown shade. Milk diet leads to the release of light yellow feces. With increased fermentation of carbohydrates, feces have a greenish-yellow color. By the color of feces, their consistency and the presence of foreign impurities, one can make an assumption about the cause of the onset of the symptom.
So, if the inflammatory process is more pronounced in the small intestine, the discharges are abundant and watery, can be foamy and with impregnations of undigested food particles. If the large intestine suffers more, there are frequent desires for defecation( sometimes false), and the stool is not plentiful, but with mucus. When the functions of the pancreas are violated, bile fat( steatorrhea), and with lesions of the liver, white stools.
Diarrhea of yellow color in an adult appears due to a lack of bile enzyme or as a result of an accelerated passage of fecal matter
Concomitant diseases
In diseases of the digestive tract in the intestine, the processes of fermentation and putrefaction are intensified, so the color and odor of feces change. An acidic odor occurs if fermentation is increased in the intestine. In the pathology of the digestive system, regardless of the food used, the feces change color and can turn green, yellow, bright yellow or black.
Diarrhea of green color indicates the development of intestinal infection( dysentery, salmonellosis, dysbiosis), impaired liver function and blood diseases.
Black feces appears with bleeding in the upper parts of the digestive tract, or maybe as a result of taking medicines containing iron, bismuth, activated carbon, and multivitamins( the condition does not deteriorate).
And if black or green feces can scare with diarrhea, often yellow feces are considered sick variants of the norm and they do not rush to consult a doctor. In most cases, yellow feces in adults appear in serious diseases requiring medical intervention. The yellow color of feces with diarrhea occurs with the following conditions.
In infectious enteritis( esherichiosis)
The disease manifests itself with nausea, vomiting, pain and abdominal turbulence, diarrhea, headache, fever. Stool up to 10-15 times a day, watery, plentiful. With prolonged diarrhea, dehydration develops.
Salmonellosis
When the disease rises body temperature, symptoms of intoxication appear, the patient is worried about spastic pain in the upper abdominal or umbilical region, nausea, vomiting, diarrhea. Feces are watery, foamy, fetid, dark yellow sometimes with a greenish tinge. If the bacterium is located in the large intestine, then by the 2nd to the 2nd day of the disease the volume of feces decreases, and blood and mucus are noticeable in the feces.
Rotavirus infection or intestinal flu
It is considered a disease of dirty hands, as the infection enters the body through unwashed hands or food. When the disease increases body temperature, there is vomiting, nausea, abdominal pain, flatulence, rumbling. The stool is plentiful, watery-foamy, often yellow-green or bright yellow, and then becomes a gray-yellow color, with a pungent odor, usually without noticeable impurities, but sometimes with mucus.
Defecation in infectious diseases can be up to 20 times a day, diarrhea persists for 3 to 7 days
Dysentery
Acute infection causes fever, febrile symptoms, poisoning symptoms, cutting pain in the right ileal region or in the lower abdomen, sometimes nausea, vomiting. Diarrhea can be up to 10 times a day, the discharge quickly becomes meager, they can detect blood, pus, mucus. The urge to defecate is very painful sometimes false.
Ulcerative colitis
The feces become light yellow, pus and blood can be seen in it. Pain in the abdomen is strong, cramping, their localization depends on the place of the intestinal lesion( in the lower abdomen, in the left ileal region).
Diseases of the pancreas
In pathology, the stool is porridge yellowish in color with a greasy sheen, since it contains a large amount of undigested fats. In the pathology of patients, burping torments, persistent nausea, vomiting after eating, and girdling abdominal pain.
Liver pathology
With inflammation of the gland, the feces acquire a shade of light yellow to gray, since bilirubin, which gives the stool a light brown color, does not decay and is not excreted from the body, but continues to circulate through the bloodstream, provoking itching, rashes, yellowing of the skinand the sclera.
Changing the hormonal background
Liquid yellowish feces in an adult can appear with a change in the level of hormones( in pregnancy, menopause).Often he appears with diabetes, thyroid gland diseases.
Prolonged drug therapy
Antibiotics are capable of causing disorders in the consistency and color of the stool. Drugs affect the composition of the intestinal microflora, which leads to dysbiosis. Most often, a liquid yellow stool appears due to the inflammatory process in the intestines, dysbiosis or pancreatitis( on the violation of the liver, pancreas indicates a plaque yellow in the tongue).
But the color of the stool depends on the products used, for example, yellow diarrhea in an adult is observed if a person sits on a strict milk diet or consumes only carbohydrate food. If you have a symptom, you need to pay attention to the general state of health and if it is satisfactory( there are no abdominal pains, nausea, vomiting), then you should change the diet and adhere to a rational diet.
No medication is required if diarrhea occurs after overeating, stress or climate change
Treatment of
If diarrhea occurs, you must stop eating at least 4 hours, and drink as much water as possible to avoid dehydration. Next, follow the diet No4, which reduces inflammation, reduces fermentation and putrefaction in the intestines. From the diet, products that stimulate secretion and peristalsis are excluded.
With diarrhea, you can eat rusks or dried wheat bread, porridges cooked on the water, mucous soups, dietary meat and fish, boiled vegetables, jelly, sour-milk products. Dishes should be steamed or boiled, and they need to be warm, because the cold strengthens the intestinal motility.
Eliminate diarrhea with sorbents. These drugs absorb toxic substances and remove them from the body. Drugs are produced in tablets, capsules, powders for the preparation of suspensions, gels and drinking solutions.
As the main active substance can be used:
- activated carbon( Sorbeks, Carbolen);
- aluminosilicate( Smecta, Enterosgel, Neosmectin, Diosmentite);
- silicon salts( Polysorb, White coal, Atoxyl);
- organominerals( Polifan, Polyphepanum);
- vegetable components( Pictovit, Chitosan).
Sorbents differ in sorption capacity and spectrum of action( which enterosorbents to give to a child with yellow diarrhea can be read here).With the help of sorbents, only harmful compounds that negatively affect the intestinal mucosa can be removed. If the yellow diarrhea in an adult appears due to the development of infection, then it will be necessary to take antibacterial or antiviral drugs, which can be prescribed only by a doctor.
If diarrhea is caused by bacteria or protozoa, then antibacterial agents must be taken.
Antidiarrhoeal preparations for poisoning can not be taken because they stop intestinal peristalsis, which prevents the excretion of toxic substances, which is why they continue to be absorbed by the mucosa and poison the body. If the symptom is due to increased motor function of the intestine, then drugs that reduce peristalsis, for example, Imodium, are used.
To eliminate a symptom that arises periodically, one can only find out the cause of the pathology and understand the mechanism of diarrhea development. If the diarrhea is not infectious in nature, then a complete GI examination should be done to find out the underlying disease that caused stool disruption. The patient must pass a blood test, feces, undergo ultrasound of the abdominal cavity.
On the analysis of blood, it can be determined whether the inflammatory process is taking place in the body and how much it is expressed. The stool analysis shows whether there are blood, mucus, undigested food particles, fat, starch in the stool, on the basis of which a preliminary diagnosis can be made. Ultrasound examination will help to find out the contours, structure and sizes of the abdominal cavity organs, will it reveal whether there are neoplasms.
In case of secretory diarrhea, oral rehydration is prescribed( soldering with drugs that restore the water-salt balance), and if it is not possible, the infusion therapy( dropper) is indicated. To eliminate the hormone-producing tumor, surgical intervention is performed, and if this is not possible, an octreotide is prescribed that prevents the excessive formation of hormones that activate enterocytes.
To determine the cause of yellow diarrhea, see a doctor. The specialist will diagnose and prescribe the necessary treatment after the examination, which includes a therapeutic diet and in some cases the use of medications( antibiotics, enterosorbents, antidiarrhoeal agents).