Chronic diarrhea is defined as the abnormal passage of ≥3 loose or liquid stools per day for ≥4 weeks with or without a daily stool weight >200 g/day.
The definition of chronic diarrhea based on symptoms alone will lead to an overlap with functional bowel disorders eg irritable bowel syndrome.
Categories include watery diarrhea (eg osmotic, functional or secretory), inflammatory diarrhea and fatty diarrhea.

Diarrhea%20in%20adults%20-%20chronic Management

Specialist Referral

  • Consider referring to the following specialists as indicated: 
    • Gastroenterologist: For patients with chronic diarrhea presenting with alarm symptoms or those who require a GI endoscopy
    • Endocrinologist: For patients with suspected or confirmed chronic diarrhea that is endocrine-related 
    • Dietitian: For patients needing assistance with diet modification in managing celiac disease or IBS
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Gastroenterology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pearl Toh, 19 Jan 2021
Updates from the SECURE-IBD* registry reveal that treatment with thiopurine, either alone or in combination with tumour necrosis factor inhibitors (TNFis), for inflammatory bowel disease (IBD) was associated with a greater risk of severe COVID-19 compared with TNFis monotherapy.
Stephen Padilla, 2 days ago
Children infected with SARS-CoV-2, the causative agent of the coronavirus disease 2019 (COVID-19), may also develop acute appendicitis, according to a study.
Audrey Abella, Yesterday
A meta-analysis presented at Crohn’s and Colitis 2021 demonstrated reductions in disease activity among adults with Crohn’s disease (CD) who were taking antibiotics.