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Related Experiment Videos

Factitious diarrhoea.

K Ewe, U Karbach

    Clinics in Gastroenterology
    |July 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Factitious diarrhea, often presenting as chronic diarrhea in females with high stool volume, requires careful diagnosis. Identifying laxative abuse through specific tests and physical signs is crucial for management.

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    Area of Science:

    • Gastroenterology
    • Internal Medicine

    Context:

    • Chronic diarrhea presents a diagnostic challenge for gastroenterologists.
    • Functional bowel syndrome accounts for most chronic diarrhea cases.
    • Organic diseases are less common causes of persistent diarrhea.

    Purpose:

    • To outline diagnostic criteria for factitious diarrhea.
    • To describe methods for identifying laxative abuse.
    • To discuss management challenges in factitious diarrhea.

    Summary:

    • Factitious diarrhea should be suspected in female patients with unexplained chronic diarrhea, high daily stool volume (>500 g/24 h), and specific physical findings.
    • Diagnostic clues include melanosis coli, cathartic colon, positive room search, and chemical detection of laxatives in biological samples.

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  • Management is complex due to patient denial and resistance to psychiatric or psychological support, often limiting physician intervention to preventing harmful treatments.

    • Impact:

    • Highlights the importance of considering factitious diarrhea in specific patient profiles.
    • Provides a diagnostic pathway for a difficult-to-diagnose condition.
    • Emphasizes the challenges in managing patients with factitious diarrhea and the potential limitations of medical intervention.