DIARRHOEA IN ADULTS-OFFICE GOERS.

Alternate tittle -- Irritants that increase gastro intestinal motility

Introduction
Adults defecate once or twice a day.Many prefer to have psychological satisfaction only if they visit toilet twice a day at least.When they visit toilet frequently they often put the blame on INFECTION,though it may also be a contributing factor. Listed below are some of the usual causes that go unnoticed for frequent bowel emptying.Any one single cause though is good enough often combination of causes on the same day may result in this disorder. Though all are important sugar intolerance in adults &milk intolerance,may be a common cause next only to hot green chillies which is an important ingredient in all the homes &hotels (specially in non-vegetarian & road side restaurants)

1. Gastro intestinal irritants:1)chillies green/other varieties.
2. black pepper ,cloves.
3. cow's, bufullows milk/coffee/tea+or - smoke cigarettes.
4. hot food.
5. full stomach.
6. junk food fast food ,food taken in a hurry.
7. sweets.
8. fruits specially mangoes.
9. milk&sweets may have a cumulative effect even when taken on alternate day for two weeks in a susceptible individual.
10. frequent hot coffee,tea,with quick puffs of cigarettes smoking
11. wheat/rye/corn protein
    
12. any pickles.
13. office stress.
14. multiple combinations of above on a single day.

SOLUTION

Peptic ulcer syndrome(stomach ulcer)is said to be due to Hurry-burry, curry, worry.Alcohol aggravates ulcer disease.These people will also have small multiple ulcers in the in the stomach &bowel motility.The treatment has to be individualized &need based.Office goers should take a light break fast & should not resort to full meal.All the above listed causes will have to be controlled.Non spicy diet 1/2 of limited meal of hotel food without milk may offer a comfortable feeling.

A sample diet that can cause DEFINITE PROBLEM.

• 6 am:hot coffee with 250 ml of milk
• 8 am: 4-6 iddlies, with chlly chutney/chilly sambar/chilly powder.
• 1 pm full lunch, sambar, rasam, vegetables fish/mutton/chicken,curd rice +pickles,banana-1
• 5 pm :coffee, 250 ml milk, dosai. mango-1
• 9 pm rice, sambar, rasam vegetables curd rice + pickles + rasa gulla(sweets)

This kind of food if taken even twice a week is to cause problems specially in the retiring age group of people.