Chronic Diarrhoea
Persistent loose stools commonly reflecting dysbiosis with impaired barrier function and bile-acid/microbial metabolite imbalances that draw water into the bowel.
Overview
Chronic diarrhoea is when loose or watery bowel movements persist for more than four weeks. It can range from mild persistent to severe and debilitating, and may be continuous or intermittent. Globally, it affects millions of people each year, with various causes — from infections and inflammatory conditions to dietary intolerances and gut microbiome imbalances. If untreated, chronic diarrhoea can lead to dehydration, nutrient deficiencies, unintended weight loss, and fatigue.
Common Misunderstandings
Some believe diarrhoea always means “something you ate” or a stomach bug, but persistent symptoms often signal a more complex underlying cause. Patients often feel anxious about leaving home due to the urgency and unpredictability, and may avoid social situations or travel. Many also report feeling dismissed if colonoscopy and basic stool tests come back clear.
How is Chronic Diarrhoea Linked to Your Microbiome?
The gut microbiome helps regulate fluid absorption, digestion, and immune responses in the intestines. Research shows chronic diarrhoea is often linked to reduced diversity of gut bacteria and a rise in inflammatory species (nature.com).
Symptoms
Frequent loose or watery stools
Urgency and difficulty controlling bowel movements
Abdominal cramps or discomfort
Bloating
Excess wind
Fatigue
Dizziness
Weakness from fluid or nutrient loss
The Microbiome Clinic™
Our treatment approach for chronic diarrhoea includes:
Gut Microbiome Test
Profile the gut to identify dysbiosis that may be affecting symptoms or treatment using the Gut Microbiome Test.
Targeted Antimicrobial Strategies
Antibiotics and plant-based or pharmaceutical antimicrobials (where appropriate) to reduce the overgrown population of unwanted bacteria in the gut.
Probiotics and Prebiotics
Targeted probiotics and prebiotics are introduced slowly to restore balance and biodiversity of microbes in the gut without fuelling overgrowth.
Individualised Nutrition Plans
Nutrition strategies to support recovery and enhance your overall health.