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Diarrheal disease is one of the top ten leading causes of death worldwide. Diarrhea is defined as the passage of loose or watery stools, typically at least three times in a 24 – hour period. It reflects increased water content of the stool, whether due to impaired water absorption and / or active water secretion by the bowel. Dysentery is defined as diarrhea with visible blood or mucus.

It is commonly associated with fever and abdominal pain. The major causes of acute infectious diarrhea include viruses, bacteria and protozoa. The initial evaluation of a patient with acute diarrhea should include a careful history to determine the duration of symptoms, the frequency and characteristics of the stool, and associated symptoms.