What You Should Know About Diarrhea: Causes, Symptoms, Treatment, and Warning Signs

Written by Dr. Simon Khela MBChB MRCGP, GMC Registered Doctor

Last reviewed: 28-07-2026

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Diarrhea in the UK is common and usually clears within a few days. However, it can sometimes lead to dehydration or indicate an infection, medication side effect, food intolerance, or longer-term digestive condition.

The most important steps are to replace lost fluids, monitor your symptoms, and recognise the warning signs that require medical attention.

Diarrhea at a Glance

  • Diarrhea means passing loose or watery stools more often than usual.
  • Most acute cases improve within a few days.
  • Viral infections and food poisoning are common causes.
  • Dehydration is the main short-term complication.
  • Blood in the stool, severe pain, confusion, or an inability to keep fluids down requires prompt medical assessment.

Concerned about persistent or severe symptoms? A Private GP consultation can help identify the cause and determine whether you need tests, medication, or specialist care.

What Is Diarrhea?

Diarrhea is the frequent passage of loose or watery stools. It may also cause urgency, abdominal cramps, bloating, nausea, or vomiting.

Doctors often describe diarrhea according to how long it lasts:

  • Acute diarrhea: Usually lasts less than two weeks.
  • Persistent diarrhea: Lasts between two and four weeks.
  • Chronic diarrhea: Continues for more than four weeks.

Acute diarrhea is commonly caused by an infection and often settles without specific treatment. Persistent or recurring symptoms require medical assessment because they may be linked to an underlying digestive condition.

What Causes Diarrhea?

Diarrhea can have many causes. Some begin suddenly, while others develop gradually or return repeatedly.

Viral infections

Viruses such as norovirus are a common cause of sudden diarrhea and vomiting. These infections spread easily through contaminated food, surfaces, or close contact.

For more information about symptoms, transmission, and recovery, read our guide to norovirus.

Bacterial food poisoning

Bacteria such as Salmonella, Campylobacter, and certain types of E. coli can cause diarrhea after contaminated food or water is consumed.

Symptoms may include:

  • Abdominal cramps
  • Nausea or vomiting
  • Fever
  • Weakness
  • Blood or mucus in the stool

Traveller’s diarrhea

Traveller’s diarrhea may occur after consuming contaminated food or water abroad. Risk can be reduced by drinking safe water, practising careful food hygiene, and seeking health advice before travel.

Patients planning an overseas trip can review our travel vaccination services and guidance on staying healthy while travelling.

Food intolerances

Some people develop diarrhea because they cannot fully digest certain foods or ingredients. Possible triggers include:

  • Lactose in dairy products
  • Gluten in people with coeliac disease
  • Fructose
  • Sorbitol and other artificial sweeteners
  • Very fatty or spicy foods

Coeliac disease can cause diarrhea, bloating, fatigue, weight loss, and nutritional deficiencies. Learn more in our guide to coeliac disease symptoms and causes.

Medicines

Several medicines can cause diarrhea as a side effect, including:

  • Antibiotics
  • Metformin
  • Magnesium-containing antacids
  • Some laxatives
  • Certain cancer treatments
  • Some weight-management medicines

Do not stop prescribed medication without speaking to a clinician. A GP can review your medicines and advise whether the dose or treatment needs to change. Private prescriptions may also be arranged when clinically appropriate through our private prescription service.

Stress and anxiety

The gut and brain communicate closely, so stress can affect bowel habits. Some people experience diarrhea before an exam, journey, presentation, or stressful event.

When anxiety repeatedly affects digestion, support such as cognitive behavioural therapy or depression and anxiety treatment may help alongside a medical assessment.

Digestive conditions

Recurring or chronic diarrhea may be associated with:

  • Irritable bowel syndrome
  • Inflammatory bowel disease
  • Coeliac disease
  • Microscopic colitis
  • Pancreatic disorders
  • Thyroid problems
  • Bowel cancer

Diarrhea alone does not mean you have a serious condition. However, unexplained changes in bowel habits should be assessed, particularly when they occur with bleeding, weight loss, anaemia, or persistent pain.

Read more about bowel cancer in younger adults and the importance of appropriate cancer screening.

What Symptoms Can Occur With Diarrhea?

Diarrhea may occur on its own or alongside:

  • Abdominal cramps
  • Bloating
  • Nausea
  • Vomiting
  • Fever
  • Headache
  • Fatigue
  • Loss of appetite
  • Urgency
  • Mucus in the stool
  • Blood in the stool

The combination of symptoms can help a doctor identify the likely cause.

Why Is Dehydration a Concern?

Frequent watery stools cause the body to lose water and electrolytes. If these losses are not replaced, dehydration can develop.

Signs of dehydration in adults

Watch for:

  • Persistent thirst
  • Dry mouth
  • Dark urine
  • Urinating less often
  • Dizziness
  • Weakness
  • Headache
  • Rapid heartbeat

Signs of dehydration in children

Children can become dehydrated more quickly than adults. Warning signs include:

  • Fewer wet nappies
  • No tears when crying
  • Dry mouth
  • Sunken eyes
  • Unusual sleepiness
  • Irritability
  • Difficulty drinking

Older adults, babies, pregnant women, and people with long-term health conditions may be more vulnerable to complications.

How Can You Treat Diarrhea at Home?

Most mild cases can be managed at home, provided there are no warning signs.

1. Replace lost fluids

Drink small amounts frequently, especially if nausea is present. Suitable options include:

  • Water
  • Oral rehydration solutions
  • Clear soups
  • Diluted squash
  • Electrolyte drinks

Oral rehydration solutions are particularly useful because they replace both water and essential salts.

Avoid drinking large amounts of alcohol, highly caffeinated drinks, or very sugary beverages because they may worsen symptoms or dehydration.

2. Eat when you feel able

You do not usually need to avoid food completely. Begin with small, simple meals and return gradually to your normal diet.

Foods that may be easier to tolerate include:

  • Rice
  • Toast
  • Bananas
  • Oats
  • Plain potatoes
  • Crackers
  • Soup
  • Plain pasta
  • Cooked vegetables

A restrictive diet is not always necessary, and prolonged fasting may slow recovery.

For broader nutrition advice, see our guide to healthy eating.

3. Rest

Your body may need additional rest while recovering from an infection. Avoid strenuous activity until you can eat, drink, and move around without dizziness.

4. Use medicines cautiously

Anti-diarrheal medicines such as loperamide may help some adults manage short-term symptoms. However, they are not suitable for everyone.

Do not use them without professional advice when:

  • There is blood in the stool.
  • You have a high temperature.
  • Severe abdominal pain is present.
  • Diarrhea began after antibiotics.
  • The patient is a young child.
  • An inflammatory bowel condition is suspected.

A pharmacist or GP can advise whether medication is appropriate.

What Should You Avoid Eating or Drinking?

During recovery, some foods and drinks may aggravate symptoms. Consider limiting:

  • Fried or fatty foods
  • Very spicy meals
  • Alcohol
  • Excess caffeine
  • Large amounts of fruit juice
  • Artificial sweeteners
  • Dairy products if they worsen symptoms
  • Raw or undercooked food

Once symptoms improve, reintroduce your usual foods gradually.

How Long Does Diarrhea Usually Last?

The duration depends on the cause.

  • Viral diarrhea often improves within several days.
  • Food poisoning may last from a day to a week.
  • Traveller’s diarrhea often settles within a few days.
  • Medication-related symptoms may continue until the medicine is adjusted.
  • Chronic diarrhea lasts more than four weeks and requires investigation.

Arrange a GP appointment online if symptoms are not improving, keep returning, or are affecting your ability to eat, drink, work, or sleep.

Is Diarrhea Contagious?

Diarrhea caused by a virus or bacterium can be contagious. Infection may spread through contaminated hands, food, water, toilets, towels, and frequently touched surfaces.

To reduce transmission:

  • Wash your hands thoroughly with soap and water.
  • Clean toilets and bathroom surfaces regularly.
  • Avoid preparing food for other people.
  • Do not share towels or utensils.
  • Wash soiled clothing and bedding separately.
  • Stay away from work, school, or nursery until the recommended exclusion period has passed.

Alcohol hand gel may not be sufficient against some stomach viruses, so proper handwashing remains essential.

When Should You Contact a Doctor?

Seek medical advice when diarrhea:

  • Lasts more than several days without improvement.
  • Continues for more than four weeks.
  • Keeps returning.
  • Begins after a recent course of antibiotics.
  • Occurs after foreign travel.
  • Causes significant weakness or dehydration.
  • Is accompanied by unexplained weight loss.
  • Occurs with persistent abdominal pain.
  • Contains blood or mucus.
  • Affects a baby, frail older adult, or immunocompromised person.

A clinician may recommend a physical assessment, medication review, stool sample, or blood tests. Our private blood testing service can support investigations when clinically appropriate.

Where a specialist opinion is needed, a GP can arrange specialist consultation and referral.

When Is Diarrhea an Emergency?

Seek urgent medical help if diarrhea is accompanied by:

  • Severe or worsening abdominal pain
  • A swollen or rigid abdomen
  • Large amounts of blood in the stool
  • Black, tar-like stools
  • Confusion
  • Fainting
  • Severe weakness
  • Persistent vomiting
  • Inability to keep fluids down
  • Very little or no urine
  • Signs of sepsis
  • A sudden deterioration in a baby or older adult

Call emergency services when symptoms are severe or life-threatening.

How Is Persistent Diarrhea Diagnosed?

A doctor will usually ask about:

  • When the symptoms began
  • Stool frequency and appearance
  • Recent travel
  • Food intake
  • Medication use
  • Antibiotic treatment
  • Other symptoms
  • Family history
  • Weight loss
  • Previous digestive conditions

Depending on the findings, investigations may include:

  • Stool testing
  • Blood tests
  • Coeliac screening
  • Inflammation markers
  • Thyroid tests
  • Imaging
  • Referral for endoscopy or colonoscopy

Blood tests can provide useful information about infection, inflammation, anaemia, thyroid function, and nutritional deficiencies. Read our guide to understanding blood test results.

Can Diarrhea Be Prevented?

Not every episode is preventable, but good hygiene and food safety can reduce the risk.

Helpful steps include:

  • Wash your hands before eating and after using the toilet.
  • Cook meat thoroughly.
  • Keep raw and cooked foods separate.
  • Refrigerate food promptly.
  • Wash fruit and vegetables.
  • Avoid unsafe water while travelling.
  • Do not eat food that appears spoiled.
  • Follow medicine instructions carefully.
  • Check vaccination and travel-health requirements before going abroad.

Some travellers may benefit from specific vaccinations depending on their destination. For example, cholera vaccination may be recommended in selected circumstances. Learn more about the cholera vaccine and typhoid vaccination.

Can Diarrhea Be Related to Diabetes?

Diabetes can sometimes affect digestion, particularly when blood glucose levels are poorly controlled or when certain medicines cause gastrointestinal side effects. Recurrent symptoms require a medical review rather than self-diagnosis.

People concerned about their blood sugar can learn more about diabetes testing and the different types, symptoms, and treatment of diabetes.

Can Weight-Loss Injections Cause Diarrhea?

Some weight-management medicines can cause gastrointestinal side effects, including diarrhea, nausea, vomiting, or abdominal discomfort. Symptoms are often more noticeable when treatment begins or the dose increases.

Contact your prescriber if symptoms are severe, persistent, or causing dehydration. Do not change your dose without medical guidance.

For further information, read our comparison of Wegovy, Mounjaro, and Ozempic.

Final Thoughts

Diarrhea is usually short-lived, but it should not always be dismissed. Focus on hydration, eat small meals as tolerated, practise careful hygiene, and monitor for warning signs.

Persistent, recurring, bloody, or severe diarrhea requires medical assessment. Identifying the cause early can help prevent dehydration, treat infection when necessary, and uncover digestive conditions that need longer-term care.

For personalised advice, book an online GP consultation, arrange a GP video consultation, or Private Medical Clinic.

Frequently Asked Questions About Diarrhea

What is the most common cause of diarrhea?

The most common cause of acute diarrhea is a viral infection, although food poisoning, medicines, food intolerances, and stress can also trigger it. Persistent diarrhea may be linked to a digestive or medical condition.

What is the quickest way to stop diarrhea?

There is no single instant cure. The safest first step is to replace lost fluids and electrolytes, rest, and eat small meals as tolerated. Anti-diarrheal medication may help some adults but should not be used when blood, high fever, severe pain, or certain infections are present.

What should I drink when I have diarrhea?

Water and oral rehydration solutions are usually the best options. Clear soup and electrolyte drinks may also help. Take frequent small sips if nausea makes drinking difficult.

What foods help diarrhea?

Simple foods such as rice, toast, bananas, oats, potatoes, soup, and plain pasta may be easier to tolerate. Resume a varied diet gradually as your appetite returns.

Should I avoid dairy products?

Some people temporarily find dairy harder to digest after a stomach infection. Avoid it only when it clearly worsens symptoms, then reintroduce it gradually after recovery.

Can stress cause diarrhea?

Yes. Stress can speed up bowel activity through the gut-brain connection. Recurrent stress-related diarrhea should still be assessed to exclude other causes.

Can antibiotics cause diarrhea?

Yes. Antibiotics can disrupt normal gut bacteria and cause mild diarrhea. Severe, persistent, or bloody diarrhea during or after antibiotics requires prompt medical advice.

Is diarrhea a symptom of food poisoning?

Yes. Food poisoning commonly causes diarrhea, abdominal cramps, nausea, vomiting, and sometimes fever. Symptoms may begin within hours or several days after eating contaminated food.

How do I know whether I am dehydrated?

Possible signs include thirst, dry mouth, dark urine, reduced urination, dizziness, fatigue, and weakness. Confusion, fainting, or almost no urine may indicate severe dehydration and require urgent care.

How long is too long to have diarrhea?

Diarrhea that persists for more than a few days without improvement should be discussed with a healthcare professional. Symptoms lasting more than four weeks are considered chronic and need investigation.

When should I worry about diarrhea?

Seek medical advice for blood in the stool, black stools, severe abdominal pain, persistent vomiting, high fever, dehydration, unexplained weight loss, or recurring symptoms.

Can a GP test the cause of diarrhea?

Yes. A GP may review your symptoms and medicines, examine you, and arrange stool tests, blood tests, or specialist investigations when necessary.

Should I see a doctor after getting diarrhea abroad?

Seek advice if symptoms are severe, bloody, persistent, or accompanied by fever or dehydration. Tell the clinician where you travelled, what you ate or drank, and whether you took antibiotics.

Can diarrhea be a sign of bowel cancer?

A persistent change in bowel habit can be associated with bowel cancer, especially when accompanied by blood in the stool, unexplained weight loss, abdominal pain, or anaemia. These symptoms have many possible causes, but they should be assessed promptly.

Is diarrhea contagious?

It can be. Viral and bacterial diarrhea may spread through contaminated hands, food, water, surfaces, and close contact. Careful handwashing and bathroom hygiene can reduce transmission.

Can I attend work with diarrhea?

You should generally avoid work, school, nursery, or food preparation while you have infectious diarrhea and for the recommended period after symptoms stop. Follow advice from your employer, school, healthcare provider, or local public-health authority.

Can children take anti-diarrheal medicine?

Do not give a child anti-diarrheal medicine unless a healthcare professional specifically recommends it. Preventing dehydration is the priority, and children with warning signs should receive prompt medical advice.

Can probiotics help with diarrhea?

Some probiotics may shorten certain types of infectious or antibiotic-associated diarrhea, but their effectiveness varies by strain and situation. Ask a healthcare professional whether a probiotic is appropriate for you.

Does diarrhea cleanse the body?

No. Diarrhea is a symptom, not a healthy detoxification process. It can cause dehydration and electrolyte loss, particularly when severe or prolonged.

Can I book an online appointment for diarrhea?

Yes. An online GP service may be suitable for discussing symptoms, medications, travel history, and next steps. An in-person examination may still be advised when symptoms are severe or tests are needed.

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