Cirit Birit (Diarrhea ): Sebab dan simptom

Berikut ialah sebab-sebab terjadinya cirit-birit yang selalu terjadi di kalangan kita, tidak kira sama ada kanak-kanak atau orang dewasa. Selain itu, simptom atau tanda-tanda cirit-birit atau diarrhea ini perlu juga diketahui kerana kalau dibiarkan ia boleh membahayakan kesihatan kerana badan akan menjadi kering (dehidrasi) disebabkan cecair badan habis keluar.

Setelah mengetahui simptom cirit-birit, langkah segera perlu diambil supaya keadaan ini dapat dikawal dan dipulihkan.

What Causes Diarrhea?

By Joanne Barker
Reviewed by Louise Chang, MD

Diarrhea is inconvenient, unpleasant, and happens to nearly everyone. Of all reported illnesses in the U.S., diarrhea is the second most common. The average adult has diarrhea four times a year. American children typically have seven to 15 cases of diarrhea by the time they reach age five.

Everyday things such as food, medication, or stress can cause diarrhea. However, diarrhea sometimes may signal an underlying medical condition. If diarrhea keeps you running for the toilet, read on to learn about some common triggers and how you can cope.

Bacterial Causes of Diarrhea

Bacteria are part of everyday life, and normally bacteria and humans live together peacefully. However, some bacteria can wreak havoc on your digestive well-being. These tiny bugs find fertile breeding ground in raw meats, eggs, shellfish, and unpasteurized milk.

Cases of food contamination causing diarrhea are rare in the U.S., says Alexander Rapisarda, MD, a specialist in gastroenterology and hepatology at Robert Wood Johnson University Hospital in East Brunswick, N.J. He tells WebMD, “The most common food-related cases of diarrhea come from food that was not refrigerated well enough or went bad before the patient ate it.”

To reduce your risk of bacteria-related diarrhea, cook meat, poultry, and eggs completely. Wash your hands, utensils, and surfaces. Refrigerate leftovers quickly, don’t leave them at room temperature longer than necessary.

When deciding where to dine out, look for health department ratings online or posted in the restaurant. These ratings indicate the restaurant kitchen’s levels of cleanliness and food safety.

Viral Causes of Diarrhea

Some viral infections can lead to diarrhea and vomiting. These viral strains are highly contagious, traveling easily from unwashed hand to unwashed hand. Shared drinks, utensils, and contaminated food also provide passage into your unsuspecting stomach. People who no longer have symptoms or never exhibited symptoms in the first place can sometimes spread these viruses.

Just like with bacteria, hand washing, clean kitchens, and common sense go a long way to keep viruses under wraps. If you or someone you know has diarrhea, do not eat or drink from the same containers. You might never know for sure if a bacteria or virus caused your diarrhea — the symptoms and incubation periods are often the same. In either case, the diarrhea and stomach upset usually work their way out of your system within two to three days.

Traveler’s Diarrhea

Delhi Belly and Montezuma’s Revenge are two nicknames for an experience shared by many unhappy travelers. Depending on the country, between 30% and 70% of travelers suffer a bout of diarrhea and vomiting, courtesy of contaminated local foods or water. If you travel to a developing country, avoid raw, unpeeled produce and water from the faucet. Eat only cooked foods prepared in a clean kitchen and stick with bottled water, even to brush your teeth. Typically, traveler’s diarrhea works its way out of your system within 12 hours.

Chronic Diarrhea

Sometimes diarrhea does not go away of its own accord. Chronic diarrhea has many possible causes, including some medications or intolerance to certain foods. Persistent and repeated bouts of diarrhea can also be a sign of a serious underlying condition.

1. Diarrhea caused by medication

Sometimes good medicines lead to bad diarrhea. “As more patients are treated with antibiotics, we see more cases of Clostridium difficile colitis,” Rapisarda tells WebMD. While going after bad bacteria, antibiotics can also kill good bacteria that protect your intestines. “Ironically, antibiotics to treat one type of infection can make a patient more vulnerable to this other type of infection.”

Blood pressure medications, cancer drugs, and antacids can also trigger diarrhea. If you take any of these medications and experience frequent or ongoing diarrhea, let your doctor know.

2. Diarrhea caused by food intolerance

Chronic diarrhea may be the result if your body has trouble digesting certain foods. Diarrhea-inducing fare includes dairy products and artificial sweeteners. The undigested food causes nausea, diarrhea, cramping, and gas, normally within 30 minutes to two hours of entering your system.

Lactose intolerance affects 30 million to 50 million Americans, most of whom are black, Hispanic, American Indian, or Asian American. The impact of lactose intolerance varies. Some people can drink small amounts of milk in tea or coffee without stomach upset. Some can eat cheese or yogurt, which have less lactose than milk. Note the type and amount of dairy products you eat and their effect. You can also talk to your doctor about dietary supplements that may improve your digestion of dairy products.

3. Diarrhea caused by chronic conditions

Diarrhea that doesn’t go away might be letting you know you have an untreated medical condition. If diarrhea lasts longer than three days, ask your doctor of you might have any of these diarrhea-causing conditions:

* Irritable bowel syndrome — A common disorder that causes cramping, bloating, diarrhea, and general abdominal discomfort. Often, simple lifestyle and diet changes can bring irritable bowel syndrome under control.

* Inflammatory bowel disease — The digestive tract becomes inflamed and damaged, reducing its ability to absorb and deliver nutrients to the body. Your doctor can help you reduce the symptoms and damage of inflammatory bowel disease.

* Celiac disease — When people with celiac disease eat gluten, their immune systems attack the lining of their intestines. Gluten is a protein found in wheat, rye, and barley. Unless the condition is managed, the intestines can lose their ability to absorb nutrients over time.

* Diabetes

* Hyperthyroidism

* Addison’s Disease

* Chronic pancreatitis

Coping With Diarrhea

1. Rehydrate. Water replaces fluid but not electrolytes lost through diarrhea. Electrolytes are minerals that help your body manage its fluid levels, muscle activity, and other important functions. Go for soup and broth with sodium, fruit drinks or a rehydration fluid such as Ceralyte, Oralyte, or Pedialyte. The Centers for Disease Control and Prevention advise against using sports drinks to rehydrate after a bout of diarrhea.

2. Eat bland, safe foods. When you have diarrhea, stick with soup and broth. When you feel ready, add lean meat, yogurt, fruits, vegetables, and complex carbohydrates such as rice, potatoes, and bread.

3. Avoid food triggers. To put an end to diarrhea, steer clear of foods and drinks containing caffeine and lots of sugar, as well as sugar substitutes and fried or fatty foods. Also take a break from high-fiber foods, spicy foods, dairy products, and foods known to cause gas, such as beans, broccoli, and cabbage.

4. Wash your hands. When you have diarrhea, wash even more often than normal, especially after going to the bathroom and before eating. Don’t bequeath your discomfort to family and friends — have someone else prepare meals, or order out.

Many things can cause diarrhea, from environmental factors to chronic conditions. Pay attention to your symptoms and be sure to keep yourself hydrated and nourished until the diarrhea clears up. If the problem continues longer than three days, seek medical attention.


Diarrhea Symptoms: When Is It Something More Serious?

Diarrhea can be a nasty but temporary irregularity or it can signal something more serious. If you have diarrhea, how can you tell if you should wait it out or seek medical care?

Run-of-the-Mill Diarrhea Symptoms

Diarrhea makes its presence known with the urgency, frequency, and volume of your trips to the bathroom. You know that it’s diarrhea when you pass loose, watery stool two to three times a day or more. These other symptoms can also signal diarrhea:

* Cramping
* Abdominal pain
* Bloating
* Nausea
* Fever
* Vomiting

Diarrhea usually goes away on its own within 48 hours without medication. The most important things you can do are to stay hydrated while the diarrhea runs its course and avoid foods that will make you suffer more.

Avoid Dehydration from Diarrhea

Dehydration can follow close on the heels of diarrhea, especially when it lingers or is accompanied by vomiting. As soon as you realize you’re in for a bout of diarrhea, make replacing fluids a top priority.

When you have diarrhea, drink plenty of water as well as fluids with that will boost your sodium and electrolytes. Broth, soup, fruit juices, and soft fruits can replace both fluids and electrolytes lost to diarrhea.

When Diarrhea Symptoms Get Serious

Most cases of diarrhea are nothing more than a brief upset of no great significance. But sometimes diarrhea warns of a serious condition.

Consult your doctor if diarrhea persists in a child for more than 24 hours, or after three days for an adult. Call immediately if you see any of these symptoms:

* Severe abdominal or rectal pain
* Blood in your stool
* Black, tarry stools
* Fever
* Signs of dehydration

These diarrhea symptoms can be warning signs of conditions such as infection, irritable bowel disease, pancreatic, or even colon cancer.

When Diarrhea Persists

If you’re still trotting to the bathroom with diarrhea after two weeks, then you have chronic diarrhea. To determine the cause of your diarrhea, your doctor will want to know your symptoms and medical history. You will get the most out of your appointment if you can accurately provide the following information:

* How long you have had diarrhea
* Whether your diarrhea comes and goes or is continuous
* If certain foods and situations seem to make symptoms worse or better
* If your stool looks to be bloody, oily, fatty, or watery
* Other symptoms and how long you’ve had them
* History of chronic diarrhea for you or your immediate family
* Recent travel destinations and foods you ate
* Current medications, if any


Hadis – 18 – Perbaharui iman

Rasulullah SAW bersabda: “Perbaharui iman kamu”. Para sahabat bertanya, “Bagaimana kami memperbaharui iman kami?”. Beliau menjawab, “Perbanyakkanlah mengucap Laa ilaaha illallaah.”
(Hadis hasan diriwayatkan oleh Imam Ahmad dan At Thabrani).

Makanan menyebab cirit-birit

Dalam keghairahan menjamu selera di rumah rakan raulan, sahabat handai dan saudara mara di musim perayaan ini, kita jangan lupa menjaga kesihatan perut supaya tidak mengalami cirit birit selepas makan di sesuatu rumah/tempat. Hasil daripada beberapa kajian menunjukkan memang terdapat kaitan antara jenis makanan tertentu dengan cirit birit, terutamanya bagi yang mempunyai perut jenis sensitif.

Jenis makanan yang biasa menyebabkan cirit birit, kalau diambil dalam kuantiti yang banyak atau akan menambahkan cirit birit sekiranya telah sedia ada tanda-tanda akan cirit birit, dipanjangkan di bawah ini untuk makluman dan perhatian kita.

Berjaga-jaga sebelum terkena, mencegah lebih baik daripada mengubati….

Fried Foods: Diarrhea Trigger

High in fat, eating fried foods can result in diarrhea or the need for a bowel movement immediately following a meal. Rich sauces, fatty cuts of meat, and buttery or creamy desserts can cause distress, too. Choose roasted or baked foods and light sauces that feature vegetables instead of butter or cream.

Citrus Fruit: Intestinal Distress

Because citrus fruit is acidic and high in fiber, it can cause intestinal distress for some people. Go easy on oranges, grapefruit, and other citrus fruits if your digestion is feeling queasy.

Artificial Sugar: Diarrhea, Cramping

Chewing too much sugar-free gum made with sorbitol has been found to cause diarrhea and cramping. Eating excessive amounts of any food made with this artificial sweetener can spell trouble. The reason: our bodies can’t digest sorbitol.

Too Much Fiber: Gas and Bloating

Foods high in fiber like whole grains and vegetables are good for digestion. But if you start eating lots of them, your digestive system may have trouble adjusting resulting in gas and bloating. Increase the amount of high-fiber foods gradually.

Beans: Gas and Cramping

A common source of trouble, beans contain indigestible sugars that can cause gas and cramping. The human body lacks enzymes to break down these sugars. Bacteria in our guts do the work, giving off gas. Soak dried beans for at least four hours and pour off the water to eliminate some of the indigestible sugars.

Cabbage and Its Cousins: Gas and Digestive Distress

Cabbage, broccoli, and other cruciferous vegetables contain the same indigestible sugars that make beans gassy. Their high fiber content can also make them hard to digest if eaten in excess. Cooking can help reduce the problem.

Fructose: Diarrhea, Bloating, Cramping

Foods sweetened with fructose — including sodas, candy, fruit juice, and pastries — are difficult for some people to digest, leading to diarrhea, bloating, cramping, and other distress. A 2008 study found that patients with irritable bowel syndrome who cut back on fructose-containing foods had fewer digestive problems.

Spicy Foods: Heartburn and Indigestion

Some people experience indigestion or heartburn after eating spicy foods, especially after a large meal. Some research suggests that the hot ingredient in chili peppers, called capsaicin, may trigger heartburn.

Dairy Products: Digestive Trouble for the Lactose Intolerant

If you’re lactose intolerant, dairy products can trigger diarrhea, bloating, gas, and other intestinal distress. The condition stems from the lack of an enzyme required to digest lactose, a sugar found in milk and dairy products. Avoid or limit dairy products. Or try an over-the-counter drop or pill containing the enzyme that breaks down lactose.

Peppermint: Acid Reflux and Heartburn

Peppermint may sound cooling. Yet it can relax the muscle at the top of the stomach, allowing food to reflux up into the esophagus and cause heartburn. Other culprits may include chocolate or coffee. Experts recommend being alert to problem foods and avoiding them.

Dealing With Diarrhea

Diarrhea can cause dehydration, so be sure to drink plenty of fluids. To settle digestion, try foods from the BRAT diet. The acronym stands for bananas, rice, applesauce, toast — a quartet of easy-to-digest foods sometimes recommended for relieving diarrhea. These foods may help, but because they are nutritionally incomplete, return to a normal diet as soon as symptoms ease.

Oats: A Grain to Prevent Diarrhea and Stay Regular

Although all high-fiber foods are helpful in keeping digestion regular, cereal fibers from oats, wheat, and other grains appear to be especially effective at preventing diarrhea.


Today’s Quote – 37

Fear less, hope more;
Whine less, breathe more;
Talk less, say more;
Hate less, love more;
And all good things are yours

~ Swedish Proverb

Sembelit: sebab dan diagnosis

Sistem penghadaman kita memang dicipta oleh Yang Maha Pencipta sebagai sangat efisien, alhamdulillah. Selepas beberapa jam sahaja makanan dan minuman yang diambil, sistem penghadaman akan menghasilkan nutrien yang diperlukan oleh badan dan diserap ke dalam sistem peredaran darah untuk sedia digunakan, di samping itu ia juga menyediakan bahan buangan daripada proses penghadaman tersebut untuk dibuang atau dikeluarkan dari badan, supaya badan sentiasa sihat.

Bahan buangan melalui 6-7 meter usus sebelum disimpan sementara di dalam usus besar/kolon di mana air di serap. Bahan buangan ini dikeluarkan dari badan, kebiasaannya, dalam tempoh satu atau dua hari. Jika melebihi tempoh tersebut, seseorang itu dianggap mengalami sembelit atau ada masalah sistem penghadaman yang lain.

Pada musim perayaan seperti sekarang ini, kita biasanya makan makanan yang banyak mengandungi karbohidrat (terutama dalam bentuk gula dan kueh mueh yang manis-manis) dan protein. Kebanyakan, amat kurang mengambil fiber/serat dan air mineral/air sejuk yang boleh membantu sistem penghadaman berjalan dengan baik. Ini menyebabkan banyak yang mengalami sembelit.

Untuk mengetahui lebih lanjut tentang sembelit dan kaedah untuk mengatasinya, dipanjangkan di sini artikel berkaitan untuk dikongsi bersama….

What Is Constipation?

Constipation occurs when bowel movements become difficult or less frequent. The normal length of time between bowel movements ranges widely from person to person. Some people have bowel movements three times a day; others, only one or two times a week. Going longer than three days without a bowel movement is too long. After three days, the stool or feces become harder and more difficult to pass.

You are considered constipated if you have two or more of the following for at least 3 months:

* Straining during a bowel movement more than 25% of the time.
* Hard stools more than 25% of the time.
* Incomplete evacuation more than 25% of the time.
* Two or fewer bowel movements in a week.

What Causes Constipation?

Constipation is usually caused by a disorder of bowel function rather than a structural problem.

Common causes of constipation include:

* Inadequate water intake.
* Inadequate fiber in the diet.
* A disruption of regular diet or routine; traveling.
* Inadequate activity or exercise or immobility.
* Eating large amounts of dairy products.
* Stress.
* Resisting the urge to have a bowel movement, which is sometimes the result of pain from hemorrhoids.
* Overuse of laxatives (stool softeners) which, over time, weaken the bowel muscles.
* Hypothyroidism.
* Neurological conditions such as Parkinson’s disease or multiple sclerosis.
* Antacid medicines containing calcium or aluminum.
* Medicines (especially strong pain medicines, such as narcotics, antidepressants, or iron pills).
* Depression.
* Eating disorders.
* Irritable bowel syndrome.
* Pregnancy.
* Colon cancer.

In some cases, lack of good nerve and muscle function in the bowel may also be a cause of constipation.

What Are the Symptoms of Constipation?

Symptoms of constipation can include:

* Infrequent bowel movements and/or difficulty having bowel movements.
* Swollen abdomen or abdominal pain.
* Pain.
* Vomiting.

How Is Constipation Diagnosed?

Most people do not need extensive testing to diagnose constipation. Only a small number of patients with constipation have a more serious medical problem. If you have constipation for more than two weeks, you should see a doctor so he or she can determine the source of your problem and treat it. If constipation is caused by colon cancer, early detection and treatment is very important.

Tests your doctor may perform to diagnose the cause of your constipation include:

* Blood tests if a hormonal imbalance is suspected.
* Barium studies to look for obstruction of the colon.
* Colonoscopy to look for obstruction of the colon.

The vast majority of patients with constipation do not have any obvious illness to explain their symptoms and suffer from one of two problems:

* Colonic inertia. A condition in which the colon contracts poorly and retains stool.
* Obstructed defecation. A condition in which the person excessively strains to expel stool from the rectum.

How Can I Prevent Constipation?

There are several things you can do to prevent constipation. Among them:

* Eat a well-balanced diet with plenty of fiber. Good sources of fiber are fruits, vegetables, legumes, and whole-grain bread and cereal (especially bran). Fiber and water help the colon pass stool.

* Drink 1 1/2 to 2 quarts of water and other fluids a day (unless fluid restricted for another medical condition). Liquids that contain caffeine, such as coffee and soft drinks, seem to have a dehydrating effect and may need to be avoided until your bowel habits return to normal. Some people may need to avoid milk, as dairy products may be constipating for them.

* Exercise regularly.

* Move your bowels when you feel the urge.

What Should I Do If I Am Constipated?

If you are constipated, try the following:

* Drink two to four extra glasses of water a day (unless fluid restricted).
* Try warm liquids, especially in the morning.
* Add fruits and vegetables to your diet.
* Eat prunes and/or bran cereal.
* If needed, use a very mild stool softener or laxative (such as Peri-Colace or Milk of Magnesia). Do not use laxatives for more than two weeks without calling your doctor, as laxative overuse can aggravate your symptoms.

Warning About Constipation

See your doctor if:

* Constipation is a new problem for you.
* You have blood in your stool.
* You are losing weight even though you are not dieting.
* You have severe pain with bowel movements.
* Your constipation has lasted more than two weeks.


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