Diarrhea

There are both common 'non-medical' causes and medical causes of diarrhea

Foods

  • Dairy (Lactose)

  • Sodas (Fructose)

  • Excess fruit

Medications

  • Some liquid medications

  • Antibiotics

  • Normal side effects of medications that are now too strong

Liquid food through a feeding tube

Overtreatment of constipation

Anxiety

Medical Causes

Infections especially post antibiotic use

Related to type of cancer

History of abdominal radiation treatments

Overflow incontinence from fecal impaction

Bleeding from the intestine

Aggravation of underlying irritable bowel

What to Do First

  • Review all medications with the Hospice Team

  • Review whether this is a new problem or aggravation of old problem prior to hospice

  • Take a look at diet - eliminate dairy, sodas, and excess fruit

  • Review whether the diarrhea started after prolonged bout of constipation - if yes, discuss with team

Medications/Strategies

Anti-diarrhea medications are very effective:

  • Imodium A-D. This is readily available over the counter. Use as instructed

Make sure to stay hydrated with fluids that contain some salt

  • If diet is not sugar restricted, Gatorade if very effective
  • Can use Pedialyte, Broths
  • If urinating normally, this is a good sign that staying hydrated

Have available Ointment/Salves for 'Sore Butt'

  • Butt balm
  • Baby wipes
  • A&D Ointment

When to Call the Hospice

  • Diarrhea persisting despite use of Imodium

  • Feeling dehydrated despite fluid intake, or unable to take fluids because of
    nausea/vomiting

  • Bloody bowel movements

  • Increasing or new abdominal pain