Assessing diarrhoea
If you have diarrhoea your doctor or nurse will ask you some questions and they might do some tests. This is to assess:
- how severe your diarrhoea is
- the cause of your diarrhoea
- whether you need treatment
Effects of diarrhoea on the body
Diarrhoea can affect your body in different ways:
Dehydration
Diarrhoea can cause 
. When you have diarrhoea, food passes quickly through the bowel before your body absorbs the vitamins, minerals and water. And fluid is also drawn out of the cells in your body into the bowel. The fluid is released in your poo.
Losing large amounts of fluid can be dangerous for your body. And you can feel very weak and tired.
Loss of sodium, potassium, and calcium (electrolytes)
Along with fluid, you also lose important chemicals from the cells of your body. These chemicals are called electrolytes. They include sodium, potassium, calcium magnesium, and phosphate,
The electrolytes must be in a certain balance for the body to work normally. When the electrolytes get out of balance it can be harmful to your kidneys and other in your body.
Sore skin around the back passage (anus)
The salts in the diarrhoea can also make the skin around your anus very sore after a while.
Grading the diarrhoea
Health professionals use a grading system for diarrhoea from 1 to 4. Grade 1 is mild diarrhoea and grade 4 is the most severe. Your doctor or nurse will want to know how severe it is and what is causing it. They can then plan the best treatment for you.
Seeing your doctor or nurse
Your doctor or nurse needs to build up a picture of what's going on to figure out the cause.
Questions your doctor or nurse might ask
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When did your diarrhoea start?
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How long have you had diarrhoea?
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How many times a day and night are you opening your bowels?
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Are you taking any medicines?
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What does your poo look like?
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Does it happen at particular times such as after you have eaten or after your cancer treatment?
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Have you had cancer treatment recently? If so when and what did you have?
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Are you taking any medicines to help?
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How much is your diarrhoea stopping you from doing day to day things?
Your doctor or nurse usually examines you. They may arrange some tests and investigations. Some of these may include:
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blood tests
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sending a sample of poo to the laboratory to find out if you have an infection
You might have a scan such as a or if your specialist needs more information. They will tell you more about these tests and explain why you need them.
Your doctor or nurse will give you advice about ways to help yourself. They might prescribe medicines to control the diarrhoea.
Talking about your diarrhoea
You might find it hard to talk about having diarrhoea. You may feel embarrassed, upset, or worried about what the diarrhoea means. These feelings are very natural.
Remember that your doctors and nurses will be aware of your worries and are used to talking about them. They can reassure you and suggest ways of managing your diarrhoea.
Some people say that diarrhoea is one of the hardest aspects of cancer treatment to cope with. So it is very important that you get some help.
If you find it difficult to talk to your doctors or nurses, it might help to write down the problems you have. You can give the list to your doctor or nurse to read. It can also help to have a friend or relative go with you and do the talking.
If you have treatment in an open day unit, you can ask to go into a private room to discuss your diarrhoea. Your doctors and nurses are aware that you might want to talk in private sometimes, so don’t be afraid to ask.
The sooner they can treat the diarrhoea the more comfortable you will feel.
