Sometimes your tummy feels sick.
You might go to the bathroom a lot.
Your poop might be very watery.
This can make you lose water.
Drinking clean water helps you feel better. 
Sometimes your poop is very watery. 
This can happen many times in one day. It often happens because of tiny germs. These germs can live in bad food or water.
When this happens, your body loses water. This is called dehydration.
To feel better, you must drink special liquids. These have just the right amount of salt and sugar. This helps your body stay strong.
Cleaning your hands with soap helps keep germs away. It is a great way to stay healthy.
Sometimes, your poop becomes very loose or watery. This is called diarrhea. 
This happens in your gut. 
When you have diarrhea, your body loses a lot of fluid. This is called dehydration. It can make you feel very sick. You might see less pee or feel very tired. To help, you can drink an oral rehydration solution. This is clean water with a little salt and sugar. 
Many people get sick each year. You can stay healthy by washing your hands with soap. Using clean water to drink also helps a lot.
Diarrhea is a condition where a person has three or more loose or watery bowel movements in a single day. 
To understand how it works, we must look at the large intestine.
Many different things can cause these changes in the body. Infections are a very common cause and are often called gastroenteritis. 
Diarrhea affects many people around the world every single year.
We can use many tools to stay safe and get better. 
Diarrhea is a medical condition defined by having three or more loose, liquid, or watery bowel movements in a single day. 
To understand how diarrhea works, we must look at the human gastrointestinal tract.
Scientists categorize diarrhea into several distinct types based on the underlying mechanism. Secretory diarrhea occurs when there is an increase in active secretion or a decrease in absorption. For example, the cholera toxin stimulates the secretion of chloride ions, which causes sodium and water to follow. Osmotic diarrhea happens when too much water is drawn into the bowels. This can be caused by consuming excessive sugar or salt, or by conditions like lactose intolerance where undigested nutrients pull water into the lumen. 
Other types include exudative and inflammatory diarrhea. Exudative diarrhea involves the presence of blood and pus in the stool, often seen in severe infections or inflammatory bowel diseases. Inflammatory diarrhea occurs when the mucosal lining or brush border of the intestine is damaged. This damage leads to a passive loss of protein-rich fluids and reduces the body's ability to absorb them. If blood is visible in the stool, the condition is specifically known as dysentery. Dysentery can be caused by various organisms, such as Salmonella or Shigella.
Infections, often called gastroenteritis, are the most common cause of diarrhea. These can be caused by viruses, bacteria, or parasites. In children under five, rotavirus is a major cause, accounting for 40% of cases. For adults, norovirus is the most common viral cause. Bacterial infections like E. coli or Campylobacter are also frequent. In the elderly, the bacterium Clostridioides difficile can cause severe issues, especially after antibiotic use. Parasites like Giardia or Cryptosporidium can also lead to chronic infections. 
Diarrhea has a massive global impact, with an estimated 1.7 to 5 billion cases occurring every year. It is most common in developing countries, where young children may experience it three times per year on average. In 2012, it was the second most common cause of death for children under five. While total deaths were estimated at 1.53 million in 2019, this is a decrease from 2.9 million in 1990. Frequent episodes can lead to malnutrition, stunted growth, and poor intellectual development in children.
Fortunately, many effective treatments and prevention methods exist. The preferred treatment is oral rehydration solution (ORS), which is clean water mixed with modest amounts of salts and sugar. 

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