Chronic unexplained diarrhea: a logical and cost-effective approach to assessment

摘要

Purpose of reviewThe workup of chronic unexplained diarrhea can be equally frustrating for care providers and patients. It carries a physical, financial, and social toll. In this review we provide a sensible approach to evaluating and managing chronic diarrhea.Recent findingsBile acid diarrhea is becoming increasingly recognized as a potential cause behind some cases of chronic diarrhea.SummaryA detailed history and physical examination can provide clues that guide a logical approach to the evaluation. We suggest a cost-effective approach to the workup and management of chronic diarrhea based on individual patient factors related to clinical history and physical exam. We find that this approach leads to initiation of treatment in a time-efficient fashion and avoids unnecessary testing.