Chronic Diarrhea Madrid - Dr. Pedro de María Pallarés | INMEQ
Dr. Pedro de María Pallarés

Chronic Diarrhea Madrid Dr. Pedro de María Pallarés

Specialist in chronic diarrhea with more than 10 years of experience. Accurate diagnosis and personalized treatment in private INMEQ consultation.

TopDoctors Award 2024
Advanced Endoscopy
+1,000 Procedures

What is Chronic Diarrhea?

Chronic diarrhea is defined as the presence of liquid or semi-liquid stools lasting longer than 4 weeks. It's a symptom that can significantly affect quality of life and requires specialized evaluation to identify its underlying cause.

As a gastroenterology specialist in Madrid, my approach is based on accurate differential diagnosis that allows establishing specific and effective treatment.

Specialized Evaluation

Complete consultation at INMEQ with symptom analysis, detailed medical history and personalized diagnostic study planning.

Associated Symptoms

Abdominal pain and cramps
Bowel urgency
Fecal incontinence
Abdominal distension
Weight loss
Dehydration

Types of Chronic Diarrhea

Classification according to pathophysiological mechanism for specific treatment

Secretory

Increased secretion of electrolytes and water into the intestinal lumen.

Causes: hormones, toxins, medications

Osmotic

Due to presence of osmotically active substances that are not absorbed.

Causes: intolerances, malabsorption

Inflammatory

Associated with intestinal mucosa inflammation with blood and mucus.

Causes: IBD, infections, ischemia

Motility

Due to altered intestinal motility with accelerated transit.

Causes: IBS, neuropathies, medications

Specialized Diagnosis

Systematic approach to identify the specific cause of your chronic diarrhea

Initial Clinical Evaluation

Detailed Medical History

Analysis of symptoms, duration, triggering factors and medical background

Medication Review

Evaluation of drugs that may cause diarrhea as a side effect

Dietary Assessment

Analysis of eating habits and identification of possible intolerances

Complementary Studies

Stool culture
Fecal calprotectin
Colonoscopy
Malabsorption tests
Hormonal tests

Endoscopy at Hospital Fuensanta and San Rafael
Latest generation equipment for accurate diagnosis

Personalized Treatment

Specific therapeutic approach according to the identified cause of your chronic diarrhea

Rehydration

Correction of fluid and electrolyte losses according to the degree of dehydration

  • • Oral rehydration solutions
  • • Electrolyte supplements
  • • IV fluid therapy if necessary

Nutritional Support

Maintenance of nutritional status and prevention of deficiencies

  • • Vitamin supplements
  • • Elimination diets
  • • Nutritional counseling

Pharmacological Treatment

Specific medication according to the identified underlying cause

  • • Antidiarrheal agents
  • • Specific probiotics
  • • Treatment of underlying cause

Main Causes and Specific Treatments

Irritable Bowel Syndrome

Symptomatic treatment with antispasmodics, specific probiotics and dietary modification.

→ See more about IBS

Food Intolerances

Elimination diets and enzymatic supplements according to the specific intolerance identified.

→ See more about intolerances

Inflammatory Bowel Disease

Specific anti-inflammatory treatment with regular endoscopic follow-up.

Persistent Infections

Targeted antimicrobial treatment according to the identified pathogenic agent.

INMEQ Specialized Consultation

Complete evaluation and personalized treatment plan for your chronic diarrhea

Location

INMEQ - Medical Surgical Institute

Calle Marcenado 49
28002 Madrid

Endoscopic Procedures:

Hospital Fuensanta and Hospital San Rafael
Latest generation equipment

Consultation Fee

€150

Complete in-person consultation

Includes: detailed clinical evaluation + personalized diagnostic plan

Video call also available

Patient Testimonial

"I had chronic diarrhea for more than a year and multiple consultations without answers. Dr. Pedro de María was the first to do a complete study and found the cause: fructose intolerance that had never been diagnosed. The treatment has been a total success. I've finally recovered my quality of life."

Carmen R.

INMEQ Patient - Chronic diarrhea due to intolerance

Frequently Asked Questions about Chronic Diarrhea

When is diarrhea considered chronic?

Chronic diarrhea is defined when symptoms persist for more than 4 weeks. It's important to differentiate it from recurrent acute episodes, as the diagnostic and therapeutic approach is different.

What tests are necessary to diagnose the cause of chronic diarrhea?

The study includes stool analysis (culture, calprotectin), blood tests, and frequently colonoscopy to visualize the intestinal mucosa. Depending on findings, specific malabsorption studies or hormonal tests may be needed.

Does chronic diarrhea always indicate a serious disease?

Not necessarily. Many cases of chronic diarrhea are due to functional disorders like irritable bowel syndrome or food intolerances, which although they affect quality of life, are not serious and have a good prognosis with appropriate treatment.

How long does it take for chronic diarrhea to improve with treatment?

The improvement time depends on the underlying cause. In cases of food intolerances, improvement can be seen in days or weeks. In inflammatory disorders, it may require several weeks or months. Specialized follow-up allows adjusting treatment according to evolution.

What dietary measures help with chronic diarrhea?

Dietary measures depend on the specific cause. They may include elimination diets (FODMAP in IBS), lactose or fructose restriction in intolerances, or anti-inflammatory diets in inflammatory bowel disease. It's important to individualize according to each case.

Solve your Chronic Diarrhea with Specialized Treatment

Don't let chronic diarrhea affect your quality of life. Accurate diagnosis and personalized treatment in private INMEQ consultation.

INMEQ - Calle Marcenado 49, 28002 Madrid | Endoscopy: Hospital Fuensanta and San Rafael