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Chronic diarrhea in tropics.

S K Mittal1

  • 1Department of Pediatrics, Maulana Azad Medical College, New Delhi, India.

Indian Journal of Pediatrics
|January 2, 2001
PubMed
Summary

Diarrheal diseases are common in the tropics, with prolonged episodes causing significant mortality and malnutrition. This review covers persistent and chronic diarrhea, highlighting tropical-specific causes like poor sanitation and infections.

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Area of Science:

  • Tropical medicine
  • Gastroenterology
  • Public health

Background:

  • Diarrheal diseases are a major health concern in tropical regions.
  • Prolonged diarrhea contributes significantly to mortality and malnutrition.
  • Types include persistent, chronic, and recurrent diarrhea.

Purpose of the Study:

  • To review the epidemiology, risk factors, etiology, pathophysiology, and management of persistent diarrhea.
  • To discuss the distinct etiological considerations of chronic diarrhea in the tropics compared to Western countries.
  • To highlight key factors contributing to chronic diarrhea in tropical settings.

Main Methods:

  • Literature review focusing on persistent and chronic diarrhea in tropical regions.
  • Analysis of etiological factors, including infections and environmental conditions.
  • Discussion of diagnostic differentiation between various forms of chronic diarrhea.

Main Results:

  • Persistent diarrhea has specific epidemiological and etiological profiles in the tropics.
  • Chronic diarrhea in the tropics is often linked to poor living conditions and infections.
  • Celiac disease is a notable cause of chronic diarrhea in Indian populations.

Conclusions:

  • Understanding the unique causes of diarrhea in the tropics is crucial for effective management.
  • Differentiating chronic diarrhea from non-specific forms is essential for appropriate nutritional assessment.
  • Addressing sanitation and infection control are key to reducing the burden of diarrheal diseases.

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