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What are the Most Common Causes of Diarrhea in the Elderly?

Laura M. Sands
Laura M. Sands

Some of the most common causes of diarrhea in the elderly include gastrointestinal disease, certain medications, food borne diseases, bacterial infections, food intolerance and immune deficiencies. Not all elderly people experience bouts of diarrhea, but many are frustrated by its onset, which can lead to more dangerous health risks if it persists. Many causes are avoidable, and understanding what diarrhea is as well as what causes it might help lower the number of cases.

Diarrhea is an abnormal bowel movement — specifically, a bowel movement that is watery and occurs at frequent intervals, usually more than three times per day. It is often accompanied by stomach pain and discomfort. Other symptoms, such as nausea, fever and even vomiting are often experienced as well. When these symptoms occur at the same time, it is usually caused by an infection and only lasts a few days with proper treatment.

Diarrhea can be fatal for elderly individuals.
Diarrhea can be fatal for elderly individuals.

Acute diarrhea, on the other hand, is described as abnormal bowel movements that can last up to two weeks. This might be symptomatic of a more severe illness or allergic response. Diarrhea in the elderly that lasts longer than two weeks is known as persistent diarrhea or even chronic diarrhea, if it lasts for more than a month.

Most people think of abnormal bowel movements as frustrating, even though they are non-threatening, but diarrhea actually can be fatal for elderly sufferers. Not only might the underlying illness cause death, but the important fluids and nutrients lost by frequent and long-lasting bowel movements can be dangerous as well. One of the world's leading causes of death is attributed to infectious diarrheal diseases, and the majority of these cases are among senior citizens.

An elderly person with a strong immune system may be able to avoid some gastrointestinal problems.
An elderly person with a strong immune system may be able to avoid some gastrointestinal problems.

The most common causes of diarrhea in the elderly also are some of the most avoidable. By maintaining good hygiene, keeping the immune system strong through a healthy diet and avoiding unsafe food practices, many infections can be avoided. In cases where diarrhea is caused by medications or another underlying illness, immediate medical attention should be sought.

Some medications may cause diarrhea in seniors.
Some medications may cause diarrhea in seniors.

Preventing the conditions that cause diarrhea is the best way to avoid it. Safe food handling practices, including keeping raw meat away from vegetables and other foods, washing the hands regularly, and disinfecting kitchen utensils and surfaces that have come in contact with raw meat and dairy products, should always be employed when preparing meals. Frequent hand washing, particularly after using the bathroom, also is recommended in order to reduce the incidents of infectious disease.

Discussion Comments

donasmrs

My father developed gluten intolerance oddly past his sixties. He had abdominal pain and diarrhea for months until he was diagnosed. It was shocking because he didn't have a problem with gluten before.

ddljohn

@feruze-- Yes, diarrhea is a symptom of renal failure. It's a sign that wastes are starting to accumulate in the body.

Your grandfather needs to see his doctor and have his diarrhea treated because if the diarrhea becomes severe and persistent, it can make his condition worse. It can cause damage to his functioning liver as well.

It's also possible that the diarrhea is unrelated to his liver condition. It could be a side effect of his medications or another medical condition. Like I said, he needs to see his doctor.

bear78

My grandfather has been suffering from diarrhea for the past several months. The only health condition he has is kidney failure. He has only one functioning kidney.

Can this be a cause of chronic diarrhea?

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    • Diarrhea can be fatal for elderly individuals.
      By: Africa Studio
      Diarrhea can be fatal for elderly individuals.
    • An elderly person with a strong immune system may be able to avoid some gastrointestinal problems.
      By: Grafvision
      An elderly person with a strong immune system may be able to avoid some gastrointestinal problems.
    • Some medications may cause diarrhea in seniors.
      By: gwimages
      Some medications may cause diarrhea in seniors.
    • The decrease in blood volume caused by the loss of bodily fluids through diarrhea may lead to a weak carotid pulse.
      By: joshya
      The decrease in blood volume caused by the loss of bodily fluids through diarrhea may lead to a weak carotid pulse.
    • Seniors with gastrointestinal disease may need to take a variety of medications to prevent diarrhea.
      By: krutoeva
      Seniors with gastrointestinal disease may need to take a variety of medications to prevent diarrhea.
    • It's important to keep raw meat away from other foods or utensils that will be consumed or touched.
      By: carla9
      It's important to keep raw meat away from other foods or utensils that will be consumed or touched.
    • Elderly individuals suffering from diarrhea may require intravenous fluids to prevent dehydration.
      By: Kadmy
      Elderly individuals suffering from diarrhea may require intravenous fluids to prevent dehydration.
    • Diarrhea may be a symptom of appendicitis.
      By: joshya
      Diarrhea may be a symptom of appendicitis.
    • Acute diarrhea can last up to two weeks for the elderly.
      By: vbaleha
      Acute diarrhea can last up to two weeks for the elderly.