الفهرس 
TREATMENT OF A CASE OF chrONIC DIARRHEAOnly 14 pages are availabe for public view
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Abstract
Diarrheal d1seases are a major health pcoblem in the war ld today, such
morb1d1ty and mortality results from complications of prolonged mreractable
d1arrhea. Although diarrhea ” dlff1cult to def1ne quantnat1vely, mtracrable d1arrhea
IS distmguished from the chrome nonspecifiC d1arrhea syndrome by malabsorptiOn,
malnu:rnwn and !allure to thnve, most commonly cused by allerg1c (cel1ac sprue, cow’s
milk allergy) or mfectwns (postmfectwns enterocolJtis, g1ar d1astsl disease. A
s1mdar pathophyswlog1c syndrome often develops, mucosal villous atrophy, crypt
pro!Jferation and inilammatwn lead to carbohydrate, fat, and protem malabsorptiOn the
resulung d1arrhea may mvolve several mecharusms mcludH1g osmotic and secretory
diarrhea, bactena1 overgrowth and diSordered motility, eventually malnutntwn and fadure to
thnve may develop into a v<owus cycle w1th failure to heal mucosal damage and
further debllitatwn, d1agnosJS of chrome diarrheal dtsease should mclude a caerful
dietary history and attension to signs of malnutritiOn.
Manageme:ot JS ch1e!ly d1rected at prov1dmg adequat<” nutrtt1on through oral
elemental d1e:s or total parenteral nurtton, however long rehabJiltatJOns may be
necessary 1f early mtervent1on is not insututed ,prevent1on of the orig1nal
causes can be most effect1vely implemented by encouragmg breast feeding.