Review

Chronic, Noninfectious Diarrhea

JAMA 10.1001/jama.2026.0872

March 02, 2026 at 11:00 AM EST

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The most common causes of chronic, noninfectious diarrhea include IBS-D and functional diarrhea. Diagnostic testing should include consideration of celiac disease, inflammatory bowel disease, and microscopic colitis. Empiric therapies for chronic diarrhea include lifestyle and dietary modifications and medications, including opiate agonists, anticholinergics, and 5-HT antagonists.

Corresponding Author: William D. Chey, MD, Division of Gastroenterology wchey@med.umich.edu).

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