Chronic Diarrhea Recommendations

Recent guidelines for adults with chronic diarrhea (>4 weeks):

Full text link: LR Schiller, DS Pardi, JH Sellin. Clin Gastroenterol Hepatol 2017; 15: 182-193.

A few key points:

  • The authors advocate treatment, not testing, for adults who meet Rome criteria for irritable bowel syndrome (IBS) without alarm symptoms.
  • Dietary history is essential.
  • “True food allergies are rare causes of chronic diarrhea in adults”
One of my colleagues questioned whether this product could be part of an effective cleanout

One of my colleagues questioned whether this product could be part of an effective cleanout