Mayo Clinic. Keep in mind, that a customer is much more likely to go to BBB.org to leave a review if they had a poor experience. In most cases, it is more reasonable to categorize by type of diarrhea before testing and treating to narrow the list of diagnostic possibilities and reduce unnecessary testing.10 First, physicians should determine if the diarrhea can be categorized as watery, fatty, or inflammatory, and then pick specific tests to sort out the much smaller differential diagnosis within each category (Figure 11,11 ). Stick to a diet of clear liquids for a day or two until the diarrhea stops. Whats Causing This Abdominal Pain and Diarrhea? The underlying cause of diarrhea varies greatly. However, knowing which diet is right for you is no simple task. Washing your hands regularly throughout the day can reduce the spread of viruses that cause diarrhea. Icahn School of Medicine at Mount Sinai. As mentioned in the title above, these are "side effects" that people reported onlineThis doesn't mean any of side effects we list below are actually caused by following the diet. While some of it may be due to eating fewer calories, it could also be a result of certain ingredients in the meals. Diarrheal diseases: Acute and chronic. Another example of watery diarrhea is microscopic colitis, which is a secretory diarrhea affecting older persons. It is thought to be fairly common, comprising 10 percent of chronic diarrhea cases.20 The cause is unknown, but there is some evidence that more than six months of nonsteroidal anti-inflammatory drug use increases the risk.21 Despite microscopic inflammation, there are no systemic symptoms, and blood and white blood cells are absent from the stool. The World Health Organization (WHO) defines diarrhea as three or more loose or liquid daily stools. Rice water provides your body with fluid to prevent dehydration and the starchiness helps bind stools and lessens the duration of diarrhea. Eating, diet & nutrition for diarrhea. The meal plans were designed by dietitians, physicians, and scientists to ensure they are optimized to maximize weight loss potential. However, not all chronic diarrhea is strictly watery, malabsorptive, or inflammatory, because some categories overlap. Electrolytes are the minerals in your body fluid that conduct the electricity your body needs to function. Boil 1 cup of rice and 2 cups of water for about 10 minutes, or until the water becomes cloudy. When you have diarrhea. Accessed May 11, 2021. When you make the appointment, ask if there's anything you need to do in advance, such as fast before certain tests. Some of the users that started the Optavia diet program ended up reporting that they developed a lot of different kinds of digestive issues during their time with it. Eat bananas and potatoes without the skin. Always call a doctor if you have an infant with diarrhea. Read our, How Homeopathic Remedies Can Treat Your Diarrhea Symptoms. He said this can help the body create healthy bacteria that can help with digestion and reduce the risk of diarrhea. information and will only use or disclose that information as set forth in our notice of Avoid eating spoiled food, keep food at recommended temperatures, and cook food to recommended temperatures. The good news is, that if you experience constipation after changing diets, you can make an effort to get more fiber into your diet to try to remedy it. After doing some research, I found out that indeed, diarrhea is one of the potential side effects, yet not so common. Do you see blood, or are your bowel movements black in color? I recommend taking some time for yourself to relax and unwind for at least 30 minutes a day. American Academy of Pediatrics. If you are a Mayo Clinic patient, this could Diarrhea is common. Parasites like Giardia lamblia and cryptosporidium can cause severe diarrhea, particularly in people with weakened immune systems. Try reducing your consumption of caffeine-containing beverages to help reduce diarrhea symptoms. You'll need to set the slow cooker on low for 6-8 hours, but all you do is combine all the ingredients. Two or more of the following must apply: Onset of pain is related to a change in frequency of stool, Onset of pain is related to a change in appearance of stool, Magnesium-containing antacids and laxatives, Antibiotics (e.g., amoxicillin/clavulanate [Augmentin]), Nonsteroidal anti-inflammatory drugs (may contribute to microscopic colitis), Prostaglandins (e.g., misoprostol [Cytotec]), Stimulant laxatives (e.g., bisacodyl [Dulcolax], senna), Acarbose (Precose; carbohydrate malabsorption), Antibiotics (e.g., amoxicillin, cephalosporins, clindamycin, fluoroquinolones), Chronic malabsorptive diarrhea, fatigue, iron deficiency anemia, weight loss, dermatitis herpetiformis, family history, Often florid inflammatory diarrhea with weight loss, Recent history of antibiotic use, evidence of colitis, fever, May not resolve with discontinuation of antibiotics, Osmotic (e.g., magnesium, phosphates, sulfates, sorbitol), hypermotility (stimulant laxatives), or malabsorption (e.g., acarbose [Precose], orlistat [Xenical]), Secretory diarrhea or increased motility (hyperthyroidism), Infectious enteritis or colitis (diarrhea not associated with, Inflammatory diarrhea, nausea, vomiting, fever, abdominal pain, History of travel, camping, infectious contacts, or day care attendance, Inflammatory bowel disease: Crohn disease, ulcerative colitis, Bloody inflammatory diarrhea, abdominal pain, nausea, vomiting, loss of appetite, family history, eye findings (e.g., episcleritis), perianal fistulae, fever, tenesmus, rectal bleeding, weight loss, Stool mucus, crampy abdominal pain, altered bowel habits, watery functional diarrhea after meals, exacerbated by emotional stress or eating, History of vascular disease; pain associated with eating, Watery, secretory diarrhea affecting older persons, Nonsteroidal anti-inflammatory drug association possible, No response to fasting; nocturnal symptoms. In addition to getting antibiotics, close contacts of someone with diphtheria should be. This could be due to not eating enough fiber that comes with the meals. 5. Manvitha K, Bidya B. This can be a problem for those who have an intolerance to this particular type of protein. Are you doing something to reduce your stress? Celiac disease or sprue is small intestine malabsorption provoked by gluten (wheat) ingestion in genetically susceptible patients, often of European descent. All rights reserved. 2023 Eat Proteins. Optavia Weight Loss is a set of 3 possible weight loss programs which are very low calorie and high protein. Also dont mix water with sugary enhancers or sugar substitutes. Bananas are particularly helpful because they can also restore the potassium lost through all of those bowel movements. Explosive or severe diarrhea is diarrhea in overdrive. https://gi.org/topics/diarrhea-acute-and-chronic/. Merck Manual Professional Version. By learning about some of the bad reviews and potential side effects of the program, you can tell whether or not it's worth considering. If your child begins vomiting and their diarrhea becomes more severe, it's best to reach out to their healthcare provider. You can make a homemade rehydration drink (for adult use only) with only salt, sugar, and water. A patient may not actually have diarrhea, but incontinence occasioned by fecal impaction.4 Stool volume, frequency, and consistency can help categorize the diarrhea, as previously mentioned. After all, your diet plays an integral role in your weight loss journey. Bacteria that cause diarrhea-producing infections include salmonella and E. coli. It is not good for your metabolism, you will likely gain the weight back, it can cause various health issues, your hunger levels will be elevated like crazy when you are off of such a plan, etc. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Here are three common, Read More Optavia Constipation Issues, explainedContinue, Your email address will not be published. You can also try probiotics, glutamine supplements, or home remedies like herbal teas and rice water. Copyright 2023 American Academy of Family Physicians. No problems arose with up to 15 grams of erythritol, but higher amounts led to diarrhea and other stomach issues. First, low-calorie diets could be a major gut-buster according to recent research, increasing the risk of GI issues such as nasty diarrhea. Green tea and green tea extract in oncological treatment: A systematic review. If you do get explosive diarrhea, there are some steps you can take to make yourself more comfortable and improve your outlook for a speedy recovery: In most people, diarrhea will clear up without requiring treatment or a trip to the doctor. IBS is a symptom complex of crampy abdominal pain accompanied by altered bowel habits, either with diarrhea or constipation. Laboratory testing should include a complete blood count, fecal leukocyte level, erythrocyte sedimentation rate, and fecal calprotectin level.17 An elevated fecal calprotectin level is emerging as a reliable way to establish the diagnosis of IBD as distinguished from IBS, and to monitor its activity once diagnosed.17 Fecal calprotectin level is a newer stool screen that reflects fecal leukocyte activity; the stool sample can be collected by the patient at home because calprotectin is stable in stool samples for up to seven days at room temperature. Fever over 102 degrees F, or over 100.4 for babies 3 months or younger. The National Institute of Diabetes and Digestive and Kidney Diseases doesn't recommend following a restrictive diet to treat diarrhea. Your doctor might recommend oral rehydration therapy to . Additional Charges. Make a list of: For diarrhea, some basic questions to ask your doctor include: Your doctor is likely to ask you questions, including: While you wait for your appointment, you may ease your symptoms if you: Mayo Clinic does not endorse companies or products. Experts say that when you, Read More Optavia Hair Loss problems, explainedContinue, Are you curious about the side effects of Optavia? There is a lot of complaining about the price. Like many weight loss programs, you want to familiarize yourself with the negatives that come with it. These include rice water and certain herbal teas. Is it better to stop diarrhea or let it go? Now that you know what Optavia is and some of its unique selling points of it, you will likely want to learn about some of the potential drawbacks. Approximately 75 percent of your stool is made of water. It also discusses what medications and home remedies may help stop diarrhea. What You Need to Know About Food Poisoning, Its Causes, and Treatments, 7 Natural Remedies for Your Upset Stomach, The Meal Plan to Relieve Toddler Diarrhea, severe diarrhea, and stools that may be bloody, children and adults who are exposed to feces, especially those who are involved in changing diapers, people who travel to developing countries, particularly in tropical regions, people taking certain medications, including antibiotics and medications used to treat heartburn, diarrhea lasting longer than two days or 24 hours in a child, signs of dehydration, including excessive thirst, dry mouth, reduced urination, or dizziness, blood or pus in your stool, or stool thats black in color, a fever of 101.5 F (38.6 C) or greater in an adult, or 100.4 F (38 C) or higher in a child, if your stools are black and tarry, or contain blood or pus. With explosive diarrhea, the contractions of your bowels that help you pass feces become stronger and more forceful. Its a pretty common thing that can happen when you lose weight too quickly (aka rapid weight loss). Treatment to replace fluids. Fecal electrolyte levels can be used to distinguish secretory from osmotic diarrhea. Antibiotics, certain medications used to treat heartburn and acid reflux, and chemotherapy drugs are frequent culprits. Save my name, email, and website in this browser for the next time I comment. This articlereviews what to eat and drink (as well as avoid)to help get rid of diarrhea. One of the major selling points of Optavia is the flexibility in the meal plans and the fact that they are clinically proven. Treatment for diarrhea. It did . One of the complaints mentioned is that they developed a hernia which they didn't have before. Keep sipping water and other fluids. bananas. You can also try applying a warm compress to your stomach, such as a heating pad or warm water bottle wrapped in a . Nutrisystem Quick 9 Plan: How Much Weight Can You Lose? Although Ive done the 5 and 1 plan myself (and lost over 40 pounds), Ive also experienced some side effects. & Surawic, C. M. (2012, December). If you buy through links on this page, we may earn a small commission Heres our process. She didnt have any underlying digestive conditions, so the diarrhea was likely caused by the ingredients in her Optavia diet plan. Dont use caffeine-containing drinks like coffee, energy drinks, and tea. Chronic diarrhea is defined as a decrease in stool consistency continuing for more than four weeks. This is another side effect that a couple of people noted when they started following the program. Your privacy is important to us. Diarrhea. Immunoglobulin A antiendomysium and antitissue transglutaminase antibodies most accurate; duodenal biopsy is definitive, Fecal leukocyte level; enzyme immunoassay that detects toxins A and B; positive fecal toxin assay; sigmoidoscopy demonstrating pseudomembranes, Elimination of offending agent; always consider laxative abuse, Thyroid-stimulating hormone level, serum peptide concentrations, urinary histamine level, Fecal leukocyte level, elevated erythrocyte sedimentation rate, Cultures or stained fecal smears for specific organisms are more definitive, Complete blood count, fecal leukocyte level, erythrocyte sedimentation rate, fecal calprotectin level, Characteristic intestinal ulcerations on colonoscopy, Increased fiber intake, exercise, dietary modification should be recommended. we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. See details. However, I think the primary miss on the program is the final stage - how to live life after weight loss. Treatments to cope with mild antibiotic-associated diarrhea. This content does not have an English version. Optavia diet may be associated with diarrhea due to calorie restriction, potentially affecting the abundance of bacteria and shaping of gut microbiome. Michal is passionate about writing, nutrition, and meal replacement. BistroMD Review: Do People Really Lose Weight? If you have persistent diarrhea, you may be referred to a doctor who specializes in the digestive system (gastroenterologist). After all, these programs aren't cheap. The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality. Find a great selection here. Make sure you're getting enough nutrients and vitamins. Chronic diarrhea, defined as a decrease in stool consistency for more than four weeks, is a common but challenging clinical scenario. Early ulcerative colitis, distal colitis, and proctitis result in episodes of rectal bleeding, diarrhea, pain, and tenesmus. I also like to do yoga or take a hot bath. A stool laxative screen (e.g., sodium, potassium, magnesium, phosphate, sulfate, phenolphthalein, bisacodyl [Dulcolax]) should be ordered if abuse is suspected.7 More specialized stool tests, including fecal fat analysis or a Sudan stain for fat, can be used to evaluate malabsorptive disorders. Clostridium difficile stool toxin should be obtained for diarrhea after hospitalization or antibiotic use. You can help maintain your electrolyte levels by drinking fruit juices for potassium or eating soups for sodium. A history of travel and antibiotic use is important. Pediatric Patient Education (2021). If you experience the side effects mentioned in this article, you may not necessarily be able to maintain that consistency because you'll stop following it because of them. Soy can cause digestive issues and has been known to trigger diarrhea in some people. Often, large amounts of gas accompany severe diarrhea. Because of this, it's worth adding some bananas to the mix if you intend on following a diet and experience leg cramps. banana. There weren't too many people complaining about this reaction, but we did see one BBB complaint mentioning it. Other foods that are usually well-tolerated when experiencing diarrhea include: oatmeal. May I take medication such as loperamide to slow the diarrhea down? *If you take anything from this post, I hope the main thing that sticks out is that any diet that consists of a plan of 900-1000 calories is always going to result in consequences later. Advertising revenue supports our not-for-profit mission. Whether your diarrhea is caused by allergies, food poisoning, or a chronic condition, your diet is critical to your recovery. Children, toddlers, and babies with mild diarrhea who aren't vomiting can continue drinking what they normally do, whether that is breast milk, cow's milk, or formula. If a virus is causing your diarrhea, antibiotics won't help. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Diarrhea usually clears up quickly without treatment. Required fields are marked *. Giardia, the most common of these, is best diagnosed with fecal antigen testing.1 Brainerd diarrhea is an epidemic form of long-lasting secretory diarrhea associated with consumption of unpasteurized milk or contaminated water. Over-the-counter anti-diarrheal medications, such as loperamide and bismuth subsalicylate, might help reduce the number of watery bowel movements and control severe symptoms. In addition, they are not safe for everyone. Diarrhea is defined as bowel movements of a more liquid consistency or increasing the number or volume of bowel movements. See a doctor if it becomes severe. Its important to rehydrate. Mayo Clinic; 2021. The program matters, but it's even more important to maintain consistency with it. Yes, explosive diarrhea is one of the potential Optavia side effects. The article in the Nutrients Journal noted that sugar alcohols such as sorbitol, which are not easily absorbed, may cause diarrhea in some people when consumed as a sweetener. Bowel obstruction. Then strain the rice and keep the water for consumption. Probiotics for prevention and treatment of diarrhea, Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome. Serum peptide concentrations (e.g., gastrin, calcitonin, vasoactive intestinal peptide) and urinary histamine level should be obtained only when these conditions are suspected.1 Neoplastic diarrhea is associated with colon carcinoma, villous adenocarcinoma, and lymphoma. EatProteins does not provide medical advice, diagnosis, or treatment. Diarrhea. Fatigue from being overly hungry. Not all chronic diarrhea is strictly watery, malabsorptive, or inflammatory, because some categories overlap. Headaches are a common side effect of suddenly changing one's diet and may come when you initially start Optavia. IBS is exacerbated by emotional stress or eating, but it may also be a response to recent infection. Last medically reviewed on November 15, 2016. Watery diarrhea includes irritable bowel syndrome, which is the most common cause of functional diarrhea. If diarrhea persists, it is best to talk to your doctor for further advice. If you have symptoms like severe abdominal pain, blood in your stool, or signs of dehydration, seek emergency care at once. Avoid ice made with tap water. Int J Epidemiol. If you have mild diarrhea, your symptoms likely will clear up within a few days after your antibiotic treatment ends. Do Vegetarians Lose Weight Faster than Meat Eaters? We'll tell you what, Discover 20 causes of abdominal pain and diarrhea including stomach flu, food poisoning, allergies, and more, as well as diagnosis, treatment, and. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Hi all, If you look through the posts here you'll see that I've gone on the 5&1 a couple of times and lost quite a few pounds. These include: Loss of fluids from diarrhea can cause dehydration. Early cases are often confused with IBS, but symptoms inevitably progress. https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea. The 5 and 1 plan is based on the concept of eating five Fuelings per day, which are ready-to-eat meal replacement shakes, bars, cereals, desserts, and hearty soups. Anyone can get these viruses. Some of the users that started the Optavia diet program ended up reporting that they developed a lot of different kinds of digestive issues during their time with it. Bacterial causes include Aeromonas, Campylobacter, C. difficile, Plesiomonas, and Yersinia. In other words, eating very little food and not eating many calories can change the tiny bacteria that live in our tummies, making our poop more watery than usual. Constipation and impaction. For children, ask your doctor about using an oral rehydration solution, such as Pedialyte, to prevent dehydration or replace lost fluids. Use of probiotics in gastrointestinal disorders: what to recommend? According to the BBB, they have received 1.59 out of 5 stars based on an average of 104 customer reviews. According to an article published in the Nature Journal, using a very-low-calorie diet and calorie restriction led to a decrease in bacterial abundance and restructuring of the gut microbiome, resulting in watery bowel movements.. Drink more fluids, like water, and juice, or broths. This gram-positive anaerobic bacillus is easily spread through ingestion of spores, rapidly colonizing the colon following antibiotic therapy. Recent weight loss or lymphadenopathy could result from chronic infection or malignancy. Diarrhea may be osmotic (from magnesium, phosphates, sulfates, or sorbitol) or secretory following use of stimulant laxatives. Diarrhea in children: what parents need to know. In some cases, your doctor may advise you to stop your antibiotic therapy until your diarrhea subsides. (2014, January), Deshpande A., Lever D. S., Soffer E. (2013, August). However, I know from experience this change in diet can lead to unexpected consequences like constipation, bloating, and gas. National Institute of Diabetes and Digestive and Kidney Diseases. Learn what the sight, smell, size, color, and shape of your poop can tell you. The characterization of feces and urine: A review of the literature to inform advanced treatment technology. Try using almond or cashew milk as they are both low-calorie and approved by Optavia. Malabsorptive and maldigestive diarrhea result from impaired nutrient absorption and impaired digestive function, respectively. Accessed May 10, 2021. This narrows the list of diagnostic possibilities and reduces unnecessary testing. And most people who follow their plan seem to have a great experience. See a table listing 24 causes, get prevention tips, and, Stomachaches are a common occurrence that can be treated at home. On the other hand, you should seek emergency care right away if you or your child have persistent or severe diarrhea, or show signs of dehydration such as those listed below. They complained that the price of the meals was too high and that they could afford to remain as consistent as they needed to be to have success with the diet. "If you're hungry, slowly reintroduce simple foods that are easy to digest - not a big bacon cheeseburger or something rich or fatty," Bushyhead . These programs are designed to end at some point. If you have a dairy or lactose intolerance, this could lead to diarrhea. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Medications. Robert Burakoff, MD, MPH, is board-certified in gastroentrology. Usually watery diarrhea occurs while awake, often following meals. Although C. difficile infection is induced by antibiotics, drugs can directly cause diarrhea. information is beneficial, we may combine your email and website usage information with 2023;93(1):72-84. doi:10.1024/0300-9831/a000698. Theres one exception to avoiding dairy products: Yogurt with live, active cultures may help curb diarrhea. However, there are steps you can take to help reduce or eliminate the side effects. Daz A, Vargas-Perez I, Aguilar-Cruz L, et al. In her spare time she enjoys spending time with her husband and four children. This isn't necessarily a side effect of the weight loss program itself, but more so a complaint about the Optavia Diet. Endocrine causes of chronic secretory diarrhea include Addison disease, carcinoid tumors, vipoma, gastrinoma (Zollinger-Ellison syndrome), and mastocytosis. Some people are at greater risk and include: Diarrhea normally clears up within a few days without treatment. It occurs most often in children, though adults, particularly older adults, can get it, too. Make sure to get adequate vegetables for your lean and green meals. If you don't follow through with the program or if the program is unsustainable, you won't maintain the consistency that's required. He was the founding editor and co-editor in chief of Inflammatory Bowel Diseases. With so many companies out there competing for your business, it can be very difficult to cut through the weeds to tell which program is worth considering. Here are seven home remedies for you to use to ease your stomach. Optavia diet may be associated with diarrhea due to calorie restriction, potentially affecting the abundance of bacteria and shaping of gut microbiome. 10 Diverticulitis Self-Care Tips and Home Remedies, Diarrhea After Eating: Causes and What to Do, What to Eat and Drink When You Have Diarrhea, Diarrhea in children: what parents need to know, The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality, Polymerbased oral rehydration solution for treating acute watery diarrhoea, A mixture of chamomile and star anise has anti-motility and antidiarrheal activities in mice, Green tea and green tea extract in oncological treatment: A systematic review, Review on pharmacological activity of Cymbopogon citratus. The differential diagnosis of chronic diarrhea is described in Table 1.1,2, Watery diarrhea may be subdivided into osmotic (water retention due to poorly absorbed substances), secretory (reduced water absorption), and functional (hypermotility) types.1 Osmotic laxatives, such as sorbitol, induce osmotic diarrhea. Dermatitis herpetiformis, an itchy blistering rash, is found in 15 to 25 percent of patients with celiac disease.5 An abdominal examination for scars (surgical causes of diarrhea), bowel sounds (hypermotility), tenderness (infection and inflammation), and masses (neoplasia) should be followed by rectal examination, including fecal occult blood testing. Travel to the tropics vastly expands the list of diagnostic possibilities, but in no way rules out common causes. There are a lot of complaints on BBB.org that note they experienced constipation as one of the side effects of following the provided meal plan by Optavia. She doesnt take any medications and doesnt have a history of irritable bowel syndrome (IBS). Take your vitamins. If you start a new diet and you are dealing with debilitating cramping and other issues, you'll want to stop immediately or consult with your doctor. This is something that typically happens to a lot of people that follow a weight loss program. The others mentioned they experienced it throughout. Finally, sigmoidoscopy or colonoscopy is often required to establish a specific diagnosis. You should also make sure to stay well hydrated until this side effect resolves. A mixture of chamomile and star anise has anti-motility and antidiarrheal activities in mice. Adults should consume 20% to 35% of total calories from fat, according to federal dietary guidelines. If drinking liquids upsets your stomach or causes vomiting, your doctor might recommend getting IV fluids. American College of Gastroenterology. Its estimated that adults in the United States experience 99 million episodes of diarrhea each year. One user pointed out that they "got severely constipated, bloated, and sick" after following the diet [2]. Avoid eating food from street vendors. Jeanette Bradley is a noted food allergy advocate and author of the cookbook, "Food Allergy Kitchen Wizardry: 125 Recipes for People with Allergies". There are also over-the-counter(OTC)and prescription medications that can help stop diarrheaquickly. Be sure that all foods you eat are thoroughly cooked and . A new hypervirulent C. difficile strain (NAP1/BI/027) produces a binary toxin in addition to the usual A and B toxins.27 Outbreaks are characterized by severe watery diarrhea, often complicated by toxic megacolon. Optavia Side Effects: Can the Diet Make You Sick? 365(21): p. 1959-68; Harrigan, M., et al., Randomized Trial Comparing Telephone Versus In- Person Weight Loss Counseling on Body Composition and Circulating Biomarkers in Women Treated for Chronic diarrhea should be categorized as watery (secretory vs. osmotic vs. functional), fatty, or inflammatory before full diagnostic evaluation. We avoid using tertiary references. A lot of customers have noted it takes "several weeks" to get their products at times. Patient information: See related handout on chronic diarrhea, written by the authors of this article. jelly comb mouse troubleshooting, prince charles hospital orthopaedic consultants,