Tuesday 1 March 2016

Secretory Diarrhea | May all be good and all come true


What causes secretory diarrhea? 

a. Cholera 
b. Laxatives 
c. Excess Phenolphthalein intake 
d. Clostridium difficile 
e. Amoebiasis


Ans. (A) Cholera; (B) Laxatives; (C) Excess phenolphthalein intake;
Infections causing secretory diarrhea
- Cholera, Cryptosporidium
- ETEC
- Campylobacter.
Secretory Diarrhoea
- Exogenous stimulant - laxatives
- Chronic ethanol intake.
- Endogenous laxatives (dihydroxy bile acid)
- Idiopathic secretory diarrhoea.
- Bowel resection, fistula.
- Partial bowel obstruction
- Hormone producing tumour.
(Carcinoid, Vipoma, Medullary carcinoma of thyroid, mastocytosis, gastrinoma,
Colorectal villous adenoma)
- Addison’s disease
- Congenital electrolyte absorption defect.

• Clostridium difficile cause inflammatory diarrhoea.