Mechanism

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Mechanism


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To expel the contents of the lower digestive tract, the fluidity of the contents of the small and large intestines is increased. Active transport of Na+ back into the gut initiates a reverse sodium transport. This causes both Cl- and HCO3 to follow passively, as well as water. Now in the intestines, the water dilutes toxins as well as triggering contractions of the intestine due to increase in intestinal distension. These contractions push the contents of the lower GI tract towards and out of the anal canal. Medications such as loperamide are designed to prevent such contractions in response to the distension, and should not be used to prevent diarrhea. Such inhibition actually prolongs the infection or irritation, and can cause a worsening over time because the evacuation of the bowel contents has been delayed.

Diarrhea
This is a common condition which is usually self limiting. A variety of causes are outlined in this article.

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