Tag: bowels

  • Acute Diarrhoea in the Elderly – The Risk Factors

    Acute Diarrhoea in the Elderly – The Risk Factors

    Sign, symptom, or conditionSign of, and TreatmentReference
    Sunken eyesDehydration; Patient may need referral to Doctor or urgent rehydration, depending on severity. Patient may benefit from blood testsJohnson and Smith, 2012: 94.
    High NEWS2 ScoreSepsis; patient may need antibiotics and emergency treatmentRoyal College of Physicians, 2017  
    Covid-19The diarrhoea could be a sign of deterioration, but the evidence for this is weakAmico et al, 2020  
    Female and increased ageIncreased risk of dehydrationRowat et al, cited in Sweetser, 2012
    Heart or kidney failure; take steroidsIncreased risk of overhydration; patient may require emergency treatmentSweetser, 2012; WHO, 2021.
    DizzinessDehydration; patient may require urgent rehydrationSweetser, 2012; WHO, 2021
    Confusion; seizuresDehydration or overhydration; electrolyte imbalances; patient may require emergency treatment and urgent rehydrationSweetser, 2012; WHO, 2021
    Type 2 Diabetes; metforminMetformin can cause the symptoms; diabetes is a risk factor due to potential difficulties managing the conditionJohnson and Smith, 2012: 96
    ImmunosuppressedRisk of deteriorationJohnson and Smith, 2012: 96
    Bowel disease such as ulcerative colitis or diverticulitisMay indicate more severe illnessJohnson and Smith, 2012: 96
    Blood in stoolsMay be an indication of abdominal bleedingJohnson and Smith, 2012: 96