I have diarrhea. What should I do?

Key Points:

• Over 17,000 cases of cyclosporiasis, a parasitic infection linked to contaminated produce, have been reported in the US as of late August, contributing to increased public discussion about diarrhea, though millions of diarrhea cases occur annually from various causes.
• Most diarrhea episodes resolve within three to four days without treatment beyond hydration, but medical attention is advised if symptoms persist over a week, include fever, blood or mucus in stool, severe pain, prolonged vomiting, or signs of dehydration such as reduced urine output.
• Staying hydrated is crucial; oral rehydration solutions like Pedialyte are preferred over regular sports drinks, and patients should avoid fatty, spicy, high-fiber foods, alcohol, caffeine, and dairy (except yogurt) during recovery.
• Symptom relief can be achieved with bismuth subsalicylate (e.g., Pepto-Bismol) and, under specific conditions, loperamide (Imodium), while probiotics are not recommended; skin irritation can be managed with gentle cleaning and barrier ointments.
• To prevent spreading contagious diarrhea, thorough handwashing is essential, especially after bathroom use and before food handling, and individuals should avoid preparing food for others and stay home from work until symptoms resolve.