Yu kin gɛt dayarɛa ɔltɛm bak? Lɛ wi tɔk bɔt dis ‘Chronic Diarrhea’!

Wi ɔl dɔn gɛt dayarɛa sɔm tɛm na wi layf, nɔto so? I nɔ kin rili fayn fɔ gɛt stɔl we nɔ tay ɛn nid fɔ go na di bafa wantɛm wantɛm wit kramp na yu bɛlɛ. Bɔku tɛm, i kin apin afta wan ɔ tu dez we yu gɛt pɔyzin fɔ it, kol, ɔ fiva. Bɔt if yu gɛt dayarɛa we de te fɔ pas 4 wik , wi kin kɔl am ‘krɔnik dayarɛa’ ɔ dayarɛa we nɔ de dɔn.

Wetin na dis dayarɛa we nɔ de dɔn? Yu tink se i rili siriɔs?

Fɔ tɔk am simpul wan, dayarɛa we de kɔntinyu fɔ de na di stɔl we nɔ gɛt wata ɛn we gɛt wata ɛn we kin las fɔ pas 4 wiks. Sɔm sɔv dɛm sho se bitwin 1% ɛn 3% pan di pipul dɛm gɛt dis sik. Bɔt dis nɔmba kin pas pasmak bikɔs bɔku pipul dɛn nɔ kin go to tritmɛnt fɔ am pas dɛn gɛt ɔda sayn dɛn lɛk we dɛn bɛlɛ kin pen ɔ we dɛn de blɔd.

Naw yu go mɔs de wɔnda, "Na nɔmal tin fɔ gɛt dayarɛa ɔl di de?" Nɔto fɔ tru. Dis nɔto nɔmal tin. Yu kɔlon, di pat usay stɔl de mek, kin de riak to sɔntin we nɔ kɔmɔn. Fɔ sɔm pipul dɛm, dis kayn dayarɛa kin kam wit wan bɔdi wae nɔr kin ebul fɔ mɛn, bɔt dɛn kin kɔntrol di sayn dɛm. Bɔt bɔku tɛm, dɛn kin trit ɔda tin dɛn we kin mek pɔsin gɛt di rayt tritmɛnt.

Nɔmal wan, di wata we de west it we de kɔmɔt na yu smɔl intestinal kin tek yu big intestin smɔl smɔl ɛn tɔn to sɔlid stɔl. Bɔt we yu gɛt dayarɛa, fɔ sɔm rizin dɛn kin ambɔg dis prɔses. Wetin kin apin na dat yu pas stɔl we tu likwid. Dis min se yu big intestin nɔ kin izi fɔ absɔb wata lɛk aw i kin absɔb, ɔ i de pul bɔku wata, ɔ ɔl tu. Dis kin bi bikɔs ɔf prɔblɛm wit yu big intestinal insɛf, ɔr sɔntin we nɔrmal insay am.

Wetin mek wi kin kɔntinyu fɔ angri? Wetin na di men rizin dɛn?

Bɔrku sik kin mek yu gɛt dayarɛa ɔltɛm. Bɔt bifo yu tink bɔt wan sik, dɔktɔ go mɔs aks yu bɔt aw yu de it ɛn di mɛrɛsin dɛn we yu de tek. Bikɔs na dɛn tin ya kin mek wisɛf nɔ no bɔku tɛm, ɛn we wi kin kɔrɛkt izi wan .

Aw it ɛn drink kin afɛkt

Sɔm it ɛn drink dɛn kin mek pɔsin gɛt dayarɛa. If yu de it dɛn ɔltɛm, bɔku bɔku wan, ɔ if yu rili fil fɔ dɛn, dɛn kin de mek yu gɛt dayarɛa. If yu no di it ɛn drink dɛn we de mek yu gɛt dayarɛa ɛn ridyus ɔ pul dɛn ɔltogɛda, dat kin ɛp. Tink bɔt dɛn tin ya:

• Kɔfi/Ti: We yu drink kɔfi i de mek yu bɔdi muv kwik kwik wan, ɔ ‘motility’. Dis min se di it we de west na di big intestinal de push kכmכt kwik kwik wan bifo i tu sכlid. I nɔ klia yet if dis na bikɔs ɔf di kafin we de insay kɔfi ɔ ɔda kemikal dɛn. Sɔm pipul dɛn kin gɛt di sem tin we dɛn kin du we dɛn drink ti we gɛt kafinɛ lɛk aw dɛn kin gɛt kɔfi we nɔ gɛt kafinɛ. Dis min se, .Difrεn pipul dεm kin sεnsitiv to difrεn kεmεkal dεm (di milk כ shuga we yu put insay yu kכfi/ti kin bi fכs bak). If yu de drink dɛn tin ya ɔltɛm, yu kin gɛt bad bad tin dɛn we go apin to yu fɔ lɔng tɛm.
• Rɔm: Rɔk kin mek di bɔdi kwik bak, mɔ we pɔsin ɛmti bɛlɛ. Bɔt if yu drink bɔku rɔm, yu digest kin slo, ɛn dis kin mek yu nɔ gɛt wata na yu bɔdi ɛn yu kin gɛt kɔnstipɛshɔn. Bɔt if yu de drink bɔku rɔm ɔltɛm, difrɛn tin kin mek yu gɛt dayarɛa - inflamɛns. If yu kɔlon inflam, swel, ɔ wund bikɔs ɔf rɔm, i nɔ go ebul fɔ tek wata ɛn minral igen nɔmal wan. If di layn na yu kɔlon dɔn pwɛl, i kin ivin lik wata.
• Sɔm shuga: Sɔm shuga nɔ kin izi fɔ digest, ɛn if yu it am tumɔs, i kin mek yu gɛt dayarɛa. Yu intestinal kin nɔ gɛt di ɛnzaym dɛn we yu nid fɔ digest dɛn, ɔ yu nɔ kin gɛt ɛni wan pan dɛn atɔl. Atifishal switin dεm lεk sorbitol, mannitol, εn lactulose na sɔm pan di shuga dεm we di mכtalman in intestin dεm nכ kin ebul fכ daygεst. Na dat mek dɛn nɔ de ad kalori. we di intestכn dεm nכ ebul fכ brok dεn shuga dεm ya, dεn de pul mכr wata fכ εp fכ fכs dεm kכmכt na di bכdi. Fruktכz kin gεt dis ifekt bak insay sכm כmכnt dεm. Na dat mek it dɛn we dɛn mek wit kɔn sirop we gɛt bɔku fruktɔs kin mek pɔsin gɛt dayarɛa. Sɔm pipul dɛn kin gɛt alɛji, ɔ nɔ kin gri fɔ tek sɔm patikyula kayn shuga. Laktose intolerance (difεlt fכ digεst milk εn dairy prodakt) na di mכst kכmכn pan dεn tin ya.
• Fɔ it we yu nɔ de it: If i nɔ izi fɔ yu fɔ digest wan patikyula it, yu nɔ kin it da it de. Bɔku tɛm dis kin min se yu dijestiv sistɛm nɔ gɛt di ɛnzaym dɛn we yu nid fɔ dayjɛst da it de. Sɔm ɛgzampul dɛn na we pɔsin nɔ de tek gluten (wan prɔtin we de insay it dɛn lɛk wit), we i nɔ de tek histamin, ɛn sɔm we we i nɔ de tek shuga (kabɔhaydrɛt). Dayrɛa kin kam bikɔs ɔf it dɛn we nɔ de digest fayn.

Yu tink se di mɛrɛsin we wi de tek go bi di rizin?

Bɔrku mɛrɛsin kin mek yu gɛt dayarɛa ɔltɛm as sayd ɛfɛkt. Dɛn kin mek dis sik difrɛn difrɛn we dɛn. If yu gɛt am, i dipen pan bɔku tin, lɛk di doz fɔ di mɛrɛsin we yu de tek, di it we yu de it, ɛn ɔda mɛrɛsin dɛn we yu gɛt. Yu dɔktɔ go luk yu kɔmplit mɛdikal istri fɔ no if na di mɛrɛsin de mek yu gɛt am. Sɔm mɛrɛsin dɛm wae kin mek yu gɛt dayarɛa ɔltɛm na:

• 'NSAIDs' `(nonsteroidal anti-inflammatory drugs)` - pen kil, fכ egzampl aspirin `(aspirin)`, ibuprofen `(ibuprofen)`.
• Proton pump inhibitors (PPI) - Mεdikeshכn dεm we dεn gi fכ gastritis.
• Antibayɔtik - Fɔ ɛgzampul, amoxicillin, sɛfalɛksin.
• Sɔm ɛbul supamakit ɛn ti dɛn gɛt tin dɛn lɛk senna.
• Fɔ tek bɔku vaytamɛn ɛn minral dɛn lɛk vaytamɛn C ɛn magnɛsiɔm.
• Antasid dɛn we gɛt magnɛsiɔm.
• di antidipreshan dεm - spεshal wan dεm we de fכ di sεlektiv sεrotonin riuptek inhibito dεm (SSRI) tכp, fכ egzampl. flɔksɛtin (Prozac®), sɛtralin (Zoloft®).
• Beta-blockers - Mɛrɛsin fɔ ay blɔd prɛshɔn.
• Metformin - na mɛrɛsin fɔ dayabitis.
• Kimotɛrapi - Tritmɛnt fɔ kansa.
• Misyuz ɛn ɔva yuz laxative, mɔ pan kɔndishɔn lɛk bulimia nervosa.

Difrɛn kayn dayarɛa de? Wetin na di tin dɛn we kin mek dɛn du dat?

Sɔntɛnde, dɔktɔ dɛn kin sheb di dayarɛa to tri ɔ 4 kayn fɔ mek i izi fɔ no di tin we kin mek pɔsin dayarɛa. Dɛn kayn tin ya kin ɛp dɔktɔ dɛn fɔ no di patikyula tin dɛn we di stɔl gɛt. Dɛn kayn ya de riprizent brayt kategori dɛm fɔ di pɔsibul kɔz dɛm. Di tri men kayn dɛn na: dayarɛa we de mek pɔsin in bɔdi wam, dayarɛa we gɛt ɔyl, ɛn dayarɛa we gɛt wata. Sɔm pipul dɛn kin sheb wata dayarɛa to tu ɔda sɔbtayp (secretory ɛn osmotic) ɛn dɛn kin tek am se na 4 men kayn.

Dayrɛa we gɛt wata

Wata dayarɛa kin apin we yu kɔlon nɔ ebul fɔ tek inof wata ɛn ilɛktrɔlayt frɔm yu stɔl, ɔ we i de pul mɔ pas aw i de absɔb.

• Osmotic constipation de kכz fכ di nyutriεnt dεm we nכ de digεst כ we dεn nכ de abzכp fayn fayn wan. Dɛn tin ya kin drɔ mɔ wata insay di kɔlon. (Dis na aw sɔm laxatives de wok.)
• Sekretɔri dayarɛa de tɔk bɔt wata dayarɛa we difrɛn sik dɛn kin kam wit.

Sɔm tin dɛn we kin mek dis apin:

• di bayl asid dayariya (dis kin apin we tu mכch bayl de bכku na di intestinal; dεn kכl am bak bayl asid malabsכpshכn (BAM)).
• 'Maykroskopik kolεt' `(Maykroskopik kolεt)`.
• Nεv dεm we dεn dכn pwεl we dayabεtis (diabetic neuropathy) kin mek.
• Vagotomy (we dɛn kin du ɔpreshɔn fɔ pul di bɛlɛ nerv).
• Hyperthyroidism (tayroyd gland we de wok pasmak).
• 'Adrenal gland prɔblɛm' `(Adrenal dizayd)`.
• Nyuroɛndokrin tɔmɔs dɛn.
• ‘Iritabl Bɔwel Sindrom’ (IBS).

Fat Dayarɛa / Steatorrhea we pɔsin kin gɛt

Sɔntɛnde, yu stɔl kin gɛt wata ɛn pas lɛk dayarɛa bikɔs ɔf bɔku ɔyl. Dis kin apin we yu bɔdi gɛt prɔblɛm fɔ brok ɛn absɔb di fat fayn fayn wan, ɔ we di baktri dɛm na yu intestinal de mek tumɔs fat asid. Ɔyl dayarɛa nɔ kin apin bɔku tɛm, bɔt i kin apin bɔku bɔku wan wan tɛm. I kin smɛl bad pas aw i kin smɛl, ɛn i kin lɛf ɔyl dɔti na di tɔylɛt. I kin kam wit sɔm sayn dɛm bak lɛk fɔ nɔs, nɔr de it fayn, ɛn fɔ lɛf fɔ it bɔku bɔku it.

Di tin dɛn we kin mek i apin:

• Malabsorption disorders - Dis min se di nyutriεnt dεm nכ de abzכp fayn fayn wan. εgzampl dεm: pankrεas insufisεns (di pankrias in wok we de dכn dכn), siliak sik.
• Smɔl intestinal baktriyal ɔvagrɔw (SIBO).
• Mesenteric ischemia (we de blok di bכdi vεsul dεm we de gi di intestines).
• Gastric bypass surgery (ɔpareshɔn pan di dijestiv trakt).

Inflammatory Dayarɛa we de mek pɔsin gɛt sik

Dis kayn dayarɛa kin apin we yu gɛt inflamɛns na yu kɔlon, we dɛn kɔl kɔlayt. Di inflamɛns de afɛkt di layn na yu kɔlon. I kin swel, we kin mek i nɔ ebul fɔ tek di tin dɛn we de insay di bɔdi. Dayarɛa we kin kam wit inflamɛns kin apin bɔku tɛm bɔt i kin kam ɛn go. I kin kam bak wit bɛlɛ pen, fiva, ɔ blɔd na yu stɔl. Inflammatory kondishɔn dɛm wae kin mek yu gɛt dayarɛa ɔltɛm na:

• Infεkshכn dεm we de kɔntinyu, fכ egzampl infεkshכn dεm we parasayt dεn kכz, כ pseudomembranous colitis we di baktri dεm C. diff kכz.
• Inflammatory bowel disease (IBD) - Dis de tɔk bɔt inflammatory bowel disease. Ɛgzampul dɛn: ɔlsɛrativ kɔlayt, Crohn’s disease.
• Ischemic colitis (inflameshכn we de kכz bay we di bכdi de dכn to di big intestin).
• Divεrtikulayt (inflamεshכn pan di sכm sכm pכch dεm na di big intestin).
• Rεdyushכn kolεtis (inflamεshכn na di kכlon we dεn kכz bay rεdyushכn tεrapi).
• Kansa.

Wetin na di bad tin dɛn we kin apin we pɔsin kɔntinyu fɔ it?

Imajin, bɔku tɛm yu kin gɛt fɔ go na di bafa kwik kwik wan, ɔ i nɔ kin izi fɔ yu fɔ ol yu bɔdi. Aw dis sik kin afɛkt yu ɛvride layf? I kin rili anɔynt fɔ tink bɔt di batrum we de nia yu ɔltɛm.

I at fɔ kip dis abit fɔ ayd frɔm ɔda pipul dɛn fɔ lɔng tɛm. I kin afɛkt aw yu gɛt kɔnfidɛns pan yusɛf ɛn aw yu de liv yu layf. If yu gɛt wok, mɔ di wok we bɔku pipul dɛn de du, i kin afɛkt dat bak.

Na yu bɔdi, if yu gɛt dayarɛa we nɔ de dɔn , dat kin mek yu gɛt prɔblɛm wit yu bɔdi ɛn di bad tin dɛn we i kin du. As dayarɛa de kɔntinyu, yu bɔdi de lɔs bɔku bɔku wata, ɛn ilɛktrɔlayt dɛn, we na impɔtant minral dɛn we de insay di wata we de insay di bɔdi.

If ilɛktrɔlayt nɔ de igen, i kin gɛt siriɔs prɔblɛm dɛn. I kin afɛkt yu at, yu lɔng, yu bren, ɛn yu nervɔs sistɛm. If yu nɔ gɛt wata na yu kidni, dat kin mek yu gɛt prɛshɔn bak pan yu kidni, ɛn dis kin mek yu gɛt sik na yu kidni.

Wetin yu kin du na os fɔ dis?

Yu kin nid dɔktɔ advays ɛn tritmɛnt fɔ stɔp dis. Bɔt sɔm tin dɛn de we yu kin tray bifo da tɛm de:

• Tink gud wan bɔt di tin dɛn we yu de it. Tink bɔt if na sɔntin we yu de it ɔ drink ɔltɛm de mek yu gɛt dayarɛa. If yu drink kɔfi, ti, rɔm, ɔ ɛnitin we gɛt atifishinal switin (lɛk diet soda), tray fɔ kɔt dɛn wan dɛn de fɔs. If yu gɛt ɔyl dayarɛa, tray fɔ pul ɔyl it dɛn na yu it fɔ si if dat go ɛp. Laktose intolerance na tin we rili kɔmɔn, mɔ pan pipul dɛn we kɔmɔt na Afrika ɔ Eshia. Yu kin tray bak fɔ kɔt di dairy. Yu kin tray bak fɔ it strikt ɛliminɛshɔn it, lɛk it we nɔ gɛt bɔku FODMAP, fɔ no ustɛm na yu it alɛji.
• If yu de tek ɛni mɛrɛsin ɔltɛm, aks yu dɔktɔ if ɛni wan pan dɛn kin de mek yu gɛt dayarɛa. If na so i bi, aks if yu kin tray ɔda we ɔ stɔp fɔ tek am fɔ sɔm tɛm.
• Mek shɔ se yu gɛt wata we yu gɛt dayarɛa. Tray fɔ yuz wata we de mek yu gɛt wata, fɔ drink spɔt, ɔ fɔ yuz ilɛktrɔlayt miks we yu miks wit wata. If yu drink jɔs wata, dat nɔ go gi yu ilɛktrɔlayt.

Aw a go pul dis bɛlɛ we de at ɔltɛm? A nid fɔ go to dɔktɔ?

If yu dɔn tray fɔ chenj simpul tin dɛn na yu it ɛn mɛrɛsin ɛn yu dayarɛa nɔ go dɔn, yu fɔ rili go to dɔktɔ. Yu dɔktɔ go tek tɛm luk di tin dɛn we kin mek yu gɛt dayarɛa ɔltɛm ɛn no di rayt tritmɛnt. Fɔ trit di ɔndalayn kɔndishɔn kin ɛp fɔ sɔlv yu dayarɛa, ɔr i nɔr pɔsibul fɔ trit di ɔndalayn kɔndishɔn dairekt wan. If na so, yu dayarɛa kin nid fɔ gɛt patikyula tritmɛnt.

Di tritmɛnt kin inklud:

• Opiate antidiarrheals: Dɛn tin ya de slo di akshɔn we yu kɔlon de du ɛn i de mek di absɔpshɔn go ɔp. Bɔku tɛm, na di fɔs tin we dɛn kin pik fɔ yuz lopermid. I nɔ de adikshɔn ɛn dɛn kin gɛt am ova-di-kɔnta (OTC).
• Dɛn kin gi bayl asid binder fɔ di wan dɛn we gɛt bayl asid dayarɛa.
• Klɔnidin fɔ dayarɛa we pɔsin kin gɛt we i gɛt dayabitis.
• Eluxadoline fɔ dayarɛa we IBS (irritable bowel syndrome) kin mek.
• Antibayɔtik ɔ antiparasitik fɔ infɛkshɔn.
• Fayba supliment, lεk psyllium, kin εp fכ tik di stכl εn slo dεn pas.

Ustɛm yu fɔ rili go to dɔktɔ?

I nɔr kin ɛva fayn fɔ go to dɔktɔ if yu gɛt dayarɛa we nɔr de dɔn. If yu nɔ tink se yu go ebul fɔ fiks am bay we yu kɔt sɔntin pan yu it, yu go mɔs nid tritmɛnt. If e dɔn de fɔ lɔng tɛm, yu kin gɛt ɔda prɔblɛm dɛn, we kin nid tritmɛnt bak. If yu gɛt ɔda sayn dɛn lɛk dis, go to dɔktɔ wantɛm wantɛm:

• Fiva
• Pen
• Blɔd we de na di stɔl
• We yu nɔ bin want fɔ lɔs yu wet
• Paleness we pɔsin kin gɛt
• Wik ɔ taya pasmak

Fɔ dɔn, a fɔ se...

Pan ɔl we dayarɛa kin bɔku, bɔku tɛm i kin go kwik ɛn dɛn nɔ kin gɛt tritmɛnt. Bɔt, yu fɔ rili tɔk to dɔktɔ bɔt dayarɛa we de fɔ wan mɔnt ɔ mɔ. Sɔntɛnde, di tin we kin mek i apin kin bi sɔntin we simpul ɛn we izi fɔ sɔlv. Ɔda tɛm dɛn, yu kin si se yu gɛt wan sik we de mek yu nid fɔ gɛt kɔmpleks tritmɛnt. Bɔt, nɔ ignore dis sayn. Yu dɔktɔ kin ɛp yu.

` Dayarɛa, Dayarɛa we nɔ de dɔn, Flatulence, Dijestiv Sistɛm, Intestinal Disizin, Wɛlbɔdi, Kronik Dayarɛa