Most cases of acute diarrhea go away without treatment. However, severe diarrhea (greater than 10 bowel movements a day or diarrhea where fluid losses are significantly greater than oral intake) can cause dehydration, which can be life-threatening if untreated. Dehydration is particularly dangerous in children, older adults and those with weakened immune systems.
Seek medical attention for a child with these symptoms:
- Diarrhea that doesn't improve after 24 hours.
- No wet diaper in three or more hours.
- A fever of more than 102 F (39 C).
- Bloody or black stools.
- A dry mouth or tongue or cries without tears.
- Unusually sleepy, drowsy, unresponsive or irritable.
- A sunken appearance to the abdomen, eyes or cheeks.
- Skin that doesn't flatten if pinched and released.
Schedule a doctor's visit for an adult with these symptoms:
- Diarrhea lasts more than two days without improvement.
- Excessive thirst, dry mouth or skin, little or no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine, which could indicate dehydration.
- Severe abdominal or rectal pain.
- Bloody or black stools.
- A fever of more than 102 F (39 C).