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Published on: 2/24/2026
Persistent diarrhea has common causes and medically approved steps to feel better, most often involving infections, food issues, medications, IBS, or chronic conditions, with first line care focused on hydration with electrolytes, gentle foods, rest, and cautious loperamide only if there is no fever or blood.
Seek urgent care for dehydration signs, blood or black stools, high fever, severe abdominal pain, confusion, or symptoms lasting more than 3 days. There are several factors to consider, including age, recent travel, probiotics, and prevention, so see the complete guidance below to choose the right next steps.
Diarrhea is common. Most people experience it a few times a year. In many cases, it clears up on its own within a few days. But when diarrhea won't stop, it can leave you feeling weak, uncomfortable, and worried.
Understanding why your gut is reacting — and knowing what to do next — can help you recover safely and avoid complications.
Diarrhea means having:
It can be acute (lasting a few days), persistent (lasting 2–4 weeks), or chronic (longer than 4 weeks).
Most short-term diarrhea is not dangerous. But prolonged diarrhea needs attention.
Your digestive system is sensitive. When something irritates it, your body speeds up bowel movements to flush the problem out. That's why diarrhea happens.
Here are the most common causes:
Often called "stomach flu" (though it's not the flu), infections are the leading cause of acute diarrhea.
You may also have:
Most viral diarrhea improves within 1–3 days.
Eating contaminated food can trigger sudden diarrhea. Symptoms often begin within hours.
Common signs:
Many cases resolve without antibiotics, but severe symptoms may require medical care.
Some people develop diarrhea after eating certain foods.
Common triggers:
If diarrhea happens repeatedly after certain foods, intolerance may be the cause.
IBS can cause chronic diarrhea, constipation, or both.
Symptoms may include:
IBS is not life-threatening, but it can affect quality of life.
Certain medications can trigger diarrhea, including:
If diarrhea started after a new medication, talk to your doctor.
If diarrhea lasts more than a few weeks, your doctor may evaluate for:
Chronic diarrhea should never be ignored.
Most diarrhea improves within a few days. However, ongoing diarrhea can lead to dehydration, which can be dangerous — especially in children, older adults, and people with medical conditions.
Seek medical care immediately if you experience:
Do not wait if symptoms are severe.
If your symptoms are mild, here are safe and proven steps to help your body recover:
This is the most important step.
Diarrhea causes fluid and electrolyte loss. Replace both.
Drink:
Avoid:
Small, frequent sips are better than large amounts at once.
When your appetite returns, choose bland foods that are easy to digest.
Good options:
Avoid:
Reintroduce regular foods slowly.
Your body is working hard to recover. Sleep and rest help your immune system fight infection and reduce stress on your gut.
Some adults may benefit from anti-diarrheal medications like loperamide.
However:
When in doubt, ask a healthcare professional.
Some evidence suggests certain probiotics can shorten the duration of infectious diarrhea. While not necessary for everyone, they may help restore gut balance.
Ask your doctor which strain is appropriate.
If diarrhea continues beyond a few days, consider:
Persistent diarrhea is your body's way of signaling that something needs attention.
If you're experiencing ongoing symptoms and want to understand what might be causing them, try using a free AI-powered diarrhea symptom checker to get personalized insights in just a few minutes before your doctor visit.
Children can become dehydrated quickly. Watch for:
Seek medical care early.
Older adults may not feel thirsty even when dehydrated. Diarrhea in this group should be monitored closely.
If diarrhea starts after international travel, especially with fever or blood in stool, medical testing may be needed.
While not all cases are preventable, you can reduce risk by:
Good hygiene remains one of the best defenses.
Diarrhea is common and often temporary. In many cases, it resolves with hydration, rest, and simple dietary adjustments.
However, diarrhea that:
…requires medical evaluation.
Do not ignore persistent symptoms. Speak to a doctor about anything that could be serious or life-threatening. Early evaluation can prevent complications and help you recover faster.
If you're uncertain about your symptoms and need guidance on what to do next, use this free diarrhea symptom checker to help identify possible causes and determine whether you should seek immediate care.
Your gut is reacting for a reason. Listen to it — and take the right next step.
(References)
* Müller, S. A., & Riede, C. (2021). Chronic Diarrhea: A Review for the General Practitioner. Diagnostics (Basel, Switzerland), 11(5), 896. [DOI: 10.3390/diagnostics11050896]
* Schiller, L. R. (2021). Evaluation and Management of Chronic Diarrhea. Clinics in Liver Disease, 25(3), 305–314. [DOI: 10.1016/j.cld.2021.03.003]
* Lacy, B. E., Pimentel, M., Brenner, D. M., Chey, W. D., Keefer, L. A., Long, M. D., & Shah, E. D. (2021). ACG Clinical Guideline: Diagnosis and Management of IBS With Diarrhea and Mixed IBS. The American Journal of Gastroenterology, 116(3), 450–471. [DOI: 10.14309/ajg.0000000000001036]
* Pardi, D. S., & Kelly, C. P. (2021). Diagnosis and Management of Microscopic Colitis. Gastroenterology, 160(4), 1060–1073. [DOI: 10.1053/j.gastro.2020.08.058]
* Schiller, L. R. (2020). Pathophysiology of Chronic Diarrhea. Gastroenterology & Hepatology, 16(11), 606–613. [PubMed ID: 33262615]
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