# Diarrhea
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**Diarrhea** is an increased, unhealthy amount of watery stool.
This can be life-threatening because of the water loss, and also because of the [[bicarbonate|HCO3-]] loss. This bicarbonate loss triggers the epithelial cells lining the intestines to replace it, which simultaneously secretes [[hydrogen ion|H+]] into the bloodstream. This can lead to [[acidosis|acidosis]].
>[!science] Acids and Bases are Zero Sum
>When the body makes an acid, it also makes a base, and vice versa. It's a system.
## Diarrhea due to Pathogens
The main way you get these is through ingesting them, usually in food. This is why food saftey is so important.
**Bacteria** such as:
- campylobacter
- [[salmonella]]
- [[shigella]]
- [[Escherichia coli|E. coli]]
**Viruses** such as:
- [[rotavirus]]
- [[norovirus]] / calicivirus
- associated with outbreaks in LTC facilities and cruise ships
**Paracites** such as:
- [[giardia]]
- cryptosporidium
- entamoeba histolytica
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