Acute and Chronic Diarrhoea
Also known as: diarrhoea, gastroenteritis, loose stools, traveller's diarrhoea
Acute diarrhoea is usually viral gastroenteritis and settles in a few days; fluids are the key treatment. Chronic diarrhoea (over 4 weeks) needs medical investigation. Chinese medicine treats acute cases as Damp-Heat or Cold-Damp invasion, and chronic cases as Spleen or Kidney Yang deficiency.
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Lifestyle & Diet
- •Fluids are the main treatment for gastro — oral rehydration solution from the pharmacy works best.
- •Wash hands thoroughly; gastro spreads easily in households.
- •Stay home from work, school and food handling until 48 hours after symptoms stop.
- •Chronic diarrhoea always warrants a GP work-up rather than self-treatment.
Cautions & Contraindications
- •Bloody stools, high fever or dehydration need medical care first.[,]
- •Anti-diarrhoeal medicines are avoided in bloody diarrhoea or high fever.[]
When to reassess or seek care again
Acute: review if not settling in 48–72 hours. Chronic: confirm GP work-up (coeliac, IBD, thyroid, infection) before ongoing treatment; track stool pattern and weight.
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Sources & Further Reading
Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.
- Healthdirect Australia · 2024
- NICE · 2023
- Better Health Channel (Victoria) · 2024
- AHPRA / Chinese Medicine Board of Australia · 2024
Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.
