Talk:Diarrhea/Archive 2

Link to add
The second word of the article ("or") could be an internal link to American and British English spelling differences. Speco Lagram (talk) 08:40, 1 June 2015 (UTC).
 * We have both spellings. IMO that discussion can go in the body of the article rather than the lead. Doc James  (talk · contribs · email) 11:02, 1 June 2015 (UTC)
 * I agree that the first sentence should clarify which spelling is American and which is British English (unless this is actually not clearly separated?), but this part is not really needed in the first sentence of the lead, I think: (from the Ancient Greek διάρροια from διά dia "through" and ῥέω rheo "flow")EvM-Susana (talk) 11:52, 1 June 2015 (UTC)
 * Moved the Greek out of the lead Doc James  (talk · contribs · email) 12:27, 1 June 2015 (UTC)

The image "Bristol stool chart" was taken out and put back in?
I am confused about that Bristal stool chart image. Another editor had removed it for copyright reasons, I believe, but User:Doc_James put it back in. So was it a false alarm, and the image is actually OK to use?EvM-Susana (talk) 13:00, 28 July 2015 (UTC)
 * The other one was a copyright infringement. The new one is not. Doc James  (talk · contribs · email) 13:02, 28 July 2015 (UTC)

Make link to environmental enteropathy article ?
This was recently moved to the archive but I don't know why, as it hasn't been addressed yet? EvM-Susana (talk) 06:18, 2 June 2015 (UTC) ''I think we need to make a link to the (new) environmental enteropathy article as it can also cause diarrhoea as far as I understand it. Can someone who knows more about this than I do add such a sentence? EvM-Susana (talk) 22:51, 10 January 2015 (UTC)''
 * I have now added a link to environmental enteropathy under "other diseases and conditions". Check if you agree and perhaps add a sentence at that point? EvM-Susana (talk) 13:05, 28 July 2015 (UTC)

The figure of 1.5 million deaths among children under the age of five needs to be reduced down?
In the epidemiology section, the first sentence start with "Worldwide in 2004, approximately 2.5 billion cases of diarrhea occurred, which resulted in 1.5 million deaths among children under the age of five." This is the figure I also used to quote (equating to 4100 children per day), but apparently UNICEF is now using a much lower figure of only 1000 children per day. See here on the talk page of the article on World Toilet Day: []. RobynWaite13 said there: "UNICEF and others are using the "1000" per day figure now (based on 2013 under 5 child deaths see this report for a briefing : http://www.unicef.org/media/files/Levels_and_Trends_in_Child_Mortality_2014.pdf  and using 58% to be related to WASH). The sector used to use (and some orgs still do) 88% of all cases of diarrhoea to be related to WASH. This figure is from Safer Water Better Health: http://apps.who.int/iris/bitstream/10665/43840/1/9789241596435_eng.pdf but is now seen to be dated. 58% of cases of diarrhoea related to WASH comes from Prüss-Ustün et al (2014) Burden of disease from inadequate water, sanitation and hygiene in low- and middle-income settings: a retrospective analysis of data from 145 countries. Tropical Medicine and International Health. People are starting to use 58 % instead of 88% so that will make a difference as well." - Actually on the page of open defecation, see [|here] we say 2000 per day. And [|here] on the sanitation page another figure is used again. EvM-Susana (talk) 11:38, 9 October 2015 (UTC)


 * This comment of mine has received no response so far. I think it's fairly important. What's your opinion User:Doc_James or others who have this page on their watchlist? EvMsmile (talk) 11:06, 25 October 2015 (UTC)
 * We have the updated numbers in the lead. These updates just need to be moved to the epidemiology section. Doc James  (talk · contribs · email) 12:47, 25 October 2015 (UTC)
 * yes, that should be done urgently. It is confusing if the numbers are different in the lead than in the epidemiology section. Also I think we should give a basic explanation why the numbers are down (despite population growth!): "Total deaths from diarrhea are estimated at 1.26 million in 2013 – down from 2.58 million in 1990". Also, the figures need to be updated on the other pages where diarrhea deaths are mentioned, i.e. on the page of open defecation, see [|here] we say 2000 per day. And [|here] on the sanitation page another figure is used again. - I will do it when I get around to it but if someone with special interest in diarrhea deaths beats me to it, I would be very happy. EvMsmile (talk) 03:21, 26 October 2015 (UTC)

Semi-protected edit request on 10 January 2016
एंटीबायोटिक दवाओं तीव्र दस्त के कुछ प्रकार में फायदेमंद होते हैं, वे आम तौर पर विशिष्ट स्थितियों में छोड़कर इस्तेमाल नहीं कर रहे हैं [70] [71] एंटीबायोटिक दवाओं कोलाई O157 से संक्रमित लोगों में रक्तलायी uremic सिंड्रोम का खतरा बढ़ सकता है कि चिंता कर रहे हैं:। H7। [72] संसाधन गरीब देशों में, एंटीबायोटिक दवाओं के साथ इलाज के लिए फायदेमंद हो सकता है। [71] हालांकि, कुछ बैक्टीरिया विशेष रूप से शिगेला। [73] एंटीबायोटिक्स भी दस्त का कारण बन सकता है, और एंटीबायोटिक जुड़े दस्त प्रतिकूल सबसे आम है, एंटीबायोटिक प्रतिरोध विकसित कर रहे हैं सामान्य एंटीबायोटिक दवाओं के साथ इलाज का असर।

विस्मुट यौगिकों (Pepto-Bismol) 'यात्रियों दस्त के साथ उन लोगों में मल त्याग की संख्या में कमी आई है, वे दस्त की संख्या को कम करने पर loperamide की तरह [74] विरोधी गतिशीलता एजेंट भी प्रभावी रहे हैं। बीमारी की लंबाई कम नहीं है लेकिन नहीं है रोग की अवधि। खूनी दस्त मौजूद नहीं है, यदि [4] इन एजेंटों ही इस्तेमाल किया जाना चाहिए। [75]

ऐसे cholestyramine के रूप में पित्त अम्ल sequestrants कारण पित्त अम्ल कुअवशोषण को क्रोनिक दस्त में कारगर हो सकता है। पित्त अम्ल कुअवशोषण ऐसे SeHCAT प्रतिधारण के रूप में, एक विशेष परीक्षा के साथ का निदान नहीं किया जा सकता है, तो इन दवाओं के चिकित्सीय परीक्षणों पुराना दस्त में संकेत कर रहे हैं।

58.146.98.162 (talk) 12:29, 10 January 2016 (UTC)
 * Red question icon with gradient background.svg Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format. That seems to be a translation of the Medications section and there is nothing new there. Also, this is the English Wikipedia. Please be specific with your changes and preferably in English. Thank you. --Majora (talk) 12:41, 10 January 2016 (UTC)

This article refers the reader to another article which redirects back to here.
I noticed that this article, in two sections, says "See also: Diarrhea in developing regions" but that page in question simply redirects back to Diarrhea. What is going on? 3 days ago it appears that the other page was blanked and then set to redirect to here, did any information get lost in the process? Can someone fix up all of this? I'd take a closer look myself if I had more time but I don't, sorry. D e v r i t 02:52, 16 January 2016 (UTC)
 * Was a year and three days ago. Removed link. Doc James  (talk · contribs · email) 07:33, 16 January 2016 (UTC)

Diarrhea, sometimes spelled diarrhoea
I am not sure if I agree with the "sometimes" in the first sentence (before it was "also", changed by User:JosephSpiral). I haven't researched this in detail, but isn't diarrhea the U.S. spelling and diarrhoea the British spelling? Google gives 40 Mio hits for the first spelling and 11 Mio hits of the second spelling. So I think the word "sometimes" is misleading here? Perhaps "less frequently" would be better? EvMsmile (talk) 03:26, 6 November 2015 (UTC)
 * I have replaced "sometimes" with "also". EvMsmile (talk) 04:00, 23 November 2015 (UTC)
 * You have moved the explanation to the main body, User:Doc_James but I wonder if it isn't better to also have it mentioned in the first sentence? Compare how we've done it here: Feces. I think it's useful to have it in the lead which one is US and which one is UK English, isn't it? Or perhaps there is a guideline about it somewhere? EvMsmile (talk) 02:28, 26 February 2016 (UTC)
 * There are different spellings yes. We in Canada use a mix of the two. Who uses what spelling does not belong in the first sentence IMO. Doc James  (talk · contribs · email) 04:16, 26 February 2016 (UTC)
 * there must be lots of other example articles where the same problem arose, perhaps we can compare. The ones I saw so far do seem to mention who uses which spelling (like the one on feces. For non-English speakers this is not obvious. E.g. In German there is usually only one spelling possible. So if it just says "also spelled as" then it leaves me wondering "when is it spelled in which way?", or "would the same publication use both spellings side by side?", "is one used more by doctors and one more by lay persons"? EvMsmile (talk) 10:16, 26 February 2016 (UTC)
 * IMO those details belong in the body of the article. People often want to put a lot of etymology, pronunciation, and spelling stuff in the first sentence. This makes it harder and harder to read. Doc James  (talk · contribs · email) 00:46, 27 February 2016 (UTC)

Changes in personality??
The intro says ''It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin with loss of the normal stretchiness of the skin and changes in personality''. That's the first and last mention of anything psychological. It should either be removed or expanded upon. 92.13.50.149 (talk) 23:34, 4 March 2016 (UTC)


 * I agree with you and have deleted it now. The hidden reference said WHO (2013). If anyone thinks it's important or knows more about the psychological effects, please expand upon it in the article itself (in which case it can then also be mentioned in the lead).EvMsmile (talk) 11:24, 21 March 2016 (UTC)

Habba syndrome
...redirects here but without explanation. A brief mention would be nice, if someone knows what it is. Equinox (talk) 12:33, 30 April 2016 (UTC)

Watery
Chronic - review 10.1053/j.gastro.2016.10.014 JFW &#124; T@lk  21:10, 31 January 2017 (UTC)

Image
There are two images of people on this article, one an illustration the other a photo. Both men are black. The first picture is particularly vulgar, unnecessary and offensive and could be interpreted as racist. Could this please be removed?
 * Indians are not technically Africans. Doc James  (talk · contribs · email) 16:59, 26 October 2017 (UTC)
 * Frankly it's not the skin colour that I have a problem with but rather the first image that you have also mentioned. What's with the cartoony bloody diarrohea?!?Rbaleksandar (talk) 11:49, 13 November 2017 (UTC)


 * I have replaced the cartoon image with something more medical.Jrfw51 (talk) 13:04, 13 November 2017 (UTC)
 * That cartoon image was really bad, I am shocked we allowed it to be on for several weeks. It was added by User:Naard in October. This user has now been blocked!. So Rbaleksandar thanks for bringing this to our attention! - I am not sure though if the medical image of a microorganism causing diarrhea is a suitable one though - it doesn't really grab the lay person. Perhaps rather the image of an infant looking very weak which has diarrhea? Diarrhea is a massive problem in developing countries so the picture should reflect that (e.g. I recently read this from a colleague:"'Every child with acute diarrhoea should receive increased fluids to prevent death from dehydration. However, many parents continue to believe children should receive less to drink than normal. In India, for example, almost 4 in 10 children with acute diarrhoea receive less to drink than normal, thereby tragically increasing their risk of death." This is probably already covered in the article (I hope). Will take a closer look when I have time. Here's a link about awareness raising on this topic.EMsmile (talk) 10:15, 23 November 2017 (UTC)

Problem with overuse of antibiotics needs to come out better
The section on "medication" needs improvement to put the spotlight on misuse of antibiotics for attempting to treat "diarrhea" - particularly in developing countries where antibiotics are often available over the counter and people self-medicate. This increases the risk of antimicrobial resistance. This is quite well explained in the article on AMR but is not well explained in this article here. On the AMR page we wrote "While 70 to 80 percent of diarrhea is caused by viral pathogens, for which antibiotics are not effective, around 40 percent of these cases are nevertheless attempted to be treated with antibiotics. In some areas even over 80 percent of cases are attempted to be treated with antibiotics." - perhaps the same information should be placed here? EMsmile (talk) 10:28, 23 November 2017 (UTC)

Problems with wrong management of diarrhea in developing countries needs to be mentioned
That section on "management" describes the correct management. I think we should also mention somewhere (perhaps in "society and culture"?) the actual situation in developing countries where the management is often done wrong. How do you deal with this kind of thing for other diesease articles, i.e. where to explain what healthcare providers and parents to wrong? I am thinking about this because a colleague sent me this "The statement that 'inadequate sanitation causes about 280,000 diarrhea-related deaths each year' should say 'inadequate sanitation contributes to about 280,000 diarrhea-related deaths each year'. Poor sanitation is a major contributor to the 1.7 billion cases of child diarrhoea every year, the vast majority of whom survive. Nearly all of the '280,000 deaths' are avoidable and are due largely (at the end of the child's road to death) to lack of basic healthcare knowledge and failure to provide simple rehydration. 'Every child with acute diarrhoea should receive increased fluids to prevent death from dehydration. However, many parents continue to believe children should receive less to drink than normal. In India, for example, almost 4 in 10 children with acute diarrhoea receive less to drink than normal, thereby tragically increasing their risk of death. Furthermore, more than 1 in 3 children with diarrhoea seen by a health worker are inappropriately given antibiotics, which are not recommended for childhood diarrhoea (except in special circumstances). Basic errors in care contribute to a thousand child deaths from diarrhoea every day in India alone.' " - this I think should be included here (I can ask him for the best references to use for this). EMsmile (talk) 10:28, 23 November 2017 (UTC)

Semi-protected edit request on 15 August 2018
In the "Definition" section under "Osmotic" in the third sentence, please link the word "lumen" to the proper wiki article "Lumen (anatomy)". Seanahdi (talk) 21:40, 15 August 2018 (UTC) Seanahdi (talk) 21:40, 15 August 2018 (UTC)
 * Yes check.svg Done Danski454 (talk) 21:47, 15 August 2018 (UTC)

Clostridium difficile
please change ((Clostridium difficile)) to ((Clostridium difficile (bacteria)|Clostridium difficile))
 * Yes check.svg Done Gulumeemee (talk) 04:35, 14 February 2019 (UTC)
 * I think it is now time to change this to Clostridioides difficile as this has been its name since 2016. Jrfw51 (talk) 16:10, 22 March 2019 (UTC)

Updating data on global and local burden of diarrhea
Hi - I work with the Institute for Health Metrics and Evaluation which produces the Global Burden of Disease report cited on this page. We have updated the study and the citations here are several years old. What is the best way to add the most recent citations?

Also, would love the community's input on whether the visualizations linked here: http://www.healthdata.org/data-visualization/local-burden-disease-education would be useful to include and if so, whether more appropriate in the external links section or in the body of the article with language on the study's findings.

Thank you!

ARSeattle (talk) 22:27, 16 April 2019 (UTC)

Minor alternate spellings
The alternate spelling "Diarrhoea" is in the infobox. Minor alternate spellings fit perfectly well there and do not need to be in the first sentence. We are not a dictionary. Doc James (talk · contribs · email) 15:49, 17 April 2019 (UTC)
 * The guideline says "can be followed in the first line by one or two alternative names"
 * It does not say it "must be followed". Doc James  (talk · contribs · email) 16:00, 17 April 2019 (UTC)


 * I don't see the issue with having an alternate spelling in the Lead, as is done on most articles with alternate spellings. Also, it's apparently not a "minor" alternate spelling, but a valid and common spelling in British and Commonwealth English, as previously discussed on the talk page. I did look in the archives for a discussion regarding removing "diarrhoea" from the Lead, but the only discussions supported using it. Btw, I came to the article to find information on the alternate spelling, and couldn't find it. I didn't even consider that it might be in the infobox instead, because in most articles it's in the Lead. - BilCat (talk) 16:38, 17 April 2019 (UTC)


 * The "Terminology" section, the only place where the alternate names are mentioned in the article outside of the Lead and infobox, is all the way at the bottom of the page. As to its "minor" status, see, , , for some official Commonwealth government and UN sites that use the alternate spelling. - BilCat (talk) 01:02, 18 April 2019 (UTC)
 * Yah it is minor. Only an "o" different. We are not a dictionary. Doc James  (talk · contribs · email) 04:14, 18 April 2019 (UTC)


 * Not sure why you're chosing this article to dispute a standard Wikipedia practice when dealing with spelling variants. If it's good enough for Metre/Meter and Aluminium/Aluminum, et al, why are you objecting here? - BilCat (talk) 04:19, 18 April 2019 (UTC)
 * Adjusted to what is done at aluminium "Aluminium or aluminum". Doc James  (talk · contribs · email) 18:31, 18 April 2019 (UTC)

Possible external link
I don't want to add directly since I work with IHME, but do other eds think the following external link adds value? It's a visualization of diarrhea burden in Africa, and will be updated later this year to include all low- and middle-income countries. Diarrhea Visualization

ARSeattle (talk) 21:30, 6 May 2019 (UTC)

"Bum gravy" listed at Redirects for discussion
A discussion is taking place to address the redirect Bum gravy. The discussion will occur at Redirects for discussion/Log/2020 May 29 until a consensus is reached, and readers of this page are welcome to contribute to the discussion. Hog Farm (talk) 18:18, 29 May 2020 (UTC)