No matter what you want to call it … (if you’re squeamish, just know we’re talking about diarrhea and skip forward to the next paragraph). If toilet humor is your thing, here we go: Number 3, Chocolate Thunder, Poo Stew, Rectum Rapids, Turd Tea, Emergency Evacuation, The Squirts, Brown Bomb, Liquid Lunch, Poop Soup … I’ll stop now. (If you would like a few more unseemly names, see Travelers’ Diarrhea.)
Don’t worry, I won’t continue with the graphic descriptions. What follows is a long list of situations where one might experience diarrhea and the most highly indicated remedies for each.
Once again, if you are experiencing diarrhea beyond an acute bout, please seek professional medical advice.
Before embarking on my long list of unfortunate bottom-related circumstances, let me share one of my first amazing homeopathic "wowee!" moments. We were traveling and my then young teenage son was very sick in the night with suspected food poisoning. I was hemming and hawing, trying to remember what I had learned about remedies. I went with Veratrum album and within minutes everything stopped. I mean, everything completely stopped. He slept the rest of the night and woke up fine and dandy. “Better out than in” is what we say around here! As a result of this experience, I keep a little vial of Veratrum album in my little travel kit that accompanies me every time I leave the house with my suitcase.
Veratrum album is my go-to homeopathic remedy for if things are coming out of both ends. What else may point to the use of this remedy? The diarrhea (or vomiting) may be violent, voluminous and relentless. Collapse following diarrhea (not the only well indicated remedy in this rubric, but a good place to start). The person may be cold: cold limbs, generally chilly, and/or clammy. Diarrhea with perspiration. Diarrhea after eating fruit; diarrhea after eating cucumbers (technically a fruit, after all). Diarrhea during menses. Diarrhea which is made worse by movement/motion (Bryonia is another one to think of for this symptom). And, here’s one more unusual concomitant symptom for Veratrum album: hiccups during diarrhea. Isn’t that just what you need in that situation?!
Children & Diarrhea:
If you have an infant with diarrhea, administer Podophyllum on the way to see the doctor — dehydration can set in quickly.
Diarrhea while cutting teeth: Chamomilla. Chamomilla is such an excellent remedy for children, in general, and it doesn’t let us down in this situation either (but these symptoms are not confined to children. With everything homeopathy, if the symptoms match, the remedy would be effective for man, woman, child or animal.) Diarrhea with abdominal pain. Diarrhea: following anger; after taking a cold; after eating and, specifically after eating rhubarb. Emotional diarrhea or, from excitement. During hot weather. Painless diarrhea. And, here is a rubric unique to Chamomilla (but hopefully you wouldn’t find this in a child!): diarrhea after smoking.
The Elderly & Diarrhea:
Like children, the elderly, too, have some remedies with great affinity to their age. In this particular situation, I would lean toward China officinalis.
China is so good for enfeebled people, as can often be found in the later years. In particular, China is useful for weak digestion; dyspepsia/indigestion; flatulence; chronic belching.
Dysentery, in simple terms, involves frequent bowel movements with blood and mucus in the stool, often accompanied by cramps and pain. Give some China while on the way to see a doctor. Please seek medical assistance if you are experiencing these symptoms.
If diarrhea and constipation alternate in older individuals, consider Antimonium crud.
On to the general list…
If experiencing abdominal pain, and it feels like diarrhea is imminent, Aloe would be my first recommendation. There may be accompanying weakness. Diarrhea after eating and in particular, diarrhea following the slightest dietary indiscretion. Walking makes it worse. Lots of toots during the diarrhea.
There are a few rubrics where Aloe and Sulphur “tie” when it comes to diarrhea: burning pain in the rectum; being driven out of bed in the morning, needing the toilet desperately (Sulphur has the specific times of 5-6 am); painless diarrhea; standing makes it worse.
Where Sulphur “wins out” over Aloe: diarrhea after beer and nighttime diarrhea, especially after midnight.
If the diarrhea alternates with another symptom, such as:
rheumatism: Kali bich
a heat sensation in the head: Belladonna
headaches: Podophyllum
asthma, especially at night: Kali carb
diarrhea every other day: China
Diarrhea and emotions:
after anger: Colocynthis
after anticipation/anxiety: Argentum nitricum or Gelsemium. If nausea is part of this picture, also consider Nux vomica.
feeling cheerful despite chronic diarrhea: Calc carb, which is a little unusual when it comes to elimination — they don’t mind being constipated and apparently chronic diarrhea doesn’t bother them, either!
irritability: Bryonia
with mental restlessness: Arsenicum album
Feeling wiped out after all that wiping? China is a good place to start. If the weakness is particularly pronounced, also consider Phosphoric acid. If the act of wiping actually causes pain: Graphites.
Diarrhea during pregnancy: Phosphorus
Diarrhea during menopause: Lachesis
Diarrhea following an injury: Arnica
If it’s coming out as from a hydrant: Podophyllum
If it has a really noxious smell: Baptisia
Diarrhea following the consumption of:
after a debauch: Nux vomica
ice cream: Arsenicum album or Pulsatilla
if ice cream after diarrhea makes you feel better: Phosphorus
chocolate, sugar or sweets: Argentum nitricum
pastries: Pulsatilla
If you find your appetite increases with diarrhea: Petroleum.
Cold hands with diarrhea: Phosphorus
Cold feet: Lycopodium
Cold limbs: Arsenicum album, Camphora and Veratrum album
Positionally speaking:
If lying down make it worse: Dioscorea
If lying down makes it better: Bryonia (though it may be worse lying on your side)
Sitting upright makes it worse: Bryonia
Time of day:
If it starts after you have risen from bed and moving around: Bryonia or Nat sulph
After midnight: Arsenicum album or Sulphur
If the diarrhea causes sleeplessness: Phosphorus
I changed my mind. I will use one more dysphemism: the sharts, also commonly referred to as “gambled and lost” (Flanagan 2010). If you are having diarrhea during rectal flatus, there are a number of well indicated remedies, but I would start with Aloe — the remedy for an insecure rectum (click that link to read the previous article with the same name.)
What would cause an “insecure rectum?” Let’s go back to Giulia Enders’ Gut for this explanation. Apparently we have a pair of “sophisticated” sphincters which Enders takes a few pages to explain and I am going to try and shrink it down to the bare essentials using her words, (but her full explanation is certainly worth a read). “The outer muscle is a faithful servant of our consciousness. When our brain deems it an unsuitable time to go to the toilet, the external sphincter obeys and stays closed with all its might. … Our internal sphincter is a no-nonsense little guy. His motto is, ‘If it’s gotta come out, it’s gotta come out!’ … The external sphincter, on the other hand, has to deal with the vagaries of the outside world and its many options.” Suffice it to say, we need these two sphincters to communicate well.
A few more remedies for involuntary stool (not necessarily diarrhea):
on bending over/stooping: Ruta
during coughing or sneezing: Phosphorus or Sulphur
on laughing: Sulphur
on moving: Phosphorus or Phosphoric acid
on beginning to move: Rhus tox
during sleep: Podophyllum
on walking: Aloe
As you can see, homeopathy can be invaluable when it comes to diarrhea — there is a homeopathic remedy for almost any situation!
Julia Coyte, CHom
Classically Practical homeopath
#wellnessawaits
References:
Enders, G., 2015. Gut : the Inside Story of Our Body’s Most Underrated Organ. Greystone Books.
Flanagan, D., 2010. Everybody poops 410 pounds a year : an illustrated bathroom companion for grown-ups. Berkeley, Ca: Ulysses Press.
Murphy, R., n.d. Homeopathic Remedy Guide. accessed through Radar Opus software.
I know. I get it. It makes me think of the movie "Moscow on the Hudson" with Robin Williams' character being overwhelmed by the sheer number of choices of coffee in an American grocery store.
I do these big lists of remedies for specific symptoms for a couple of reasons. #1. I absolutely love that this healing modality is able to get so very specific. It really hammers home the point that homeopathy is individualized medicine. #2. I hope that some of these specific symptoms and their suggested remedies will take somebody's fancy and they will then go and learn more about the remedies. #3. I just find it interesting and for me, it's a great way to learn. (I call it "playing in the repertory.") #4. After a while, patterns emerge. For instance, Pulsatilla. I mentioned the specific rubrics of "worse after ice cream" and "worse after pastries" -- this is because people needing Pulsatilla often have a problem digesting fats. Another one is Bryonia. Bryonia is pretty much always worse by movement and we see that in the specific rubrics mentioned. Lachesis is an excellent remedy for menopause, in general. Arnica is the go-to injury remedy.
Now, back to your comment … I certainly understand the confusion and hesitation -- that was the "hemming and hawing" that I experienced with my son all those years ago. It is without a doubt frustrating, that's for sure. A good rule of thumb is, in an acute situation, try a few doses (repeat every 10-15 minutes for a few doses) and if there is NO change, then move on to another remedy.
In trying to simplify things, here are the 4 remedies I would have front in center in my mind for diarrhea: as I mentioned in the article, Veratrum is my go-to remedy for bad diarrhea. Boiron recommends Arsenicum album (there is a lot of crossover between these Verat & Ars in regard diarrhea). If nausea is involved, consider Ipecac or Nux vomica.
To me, the sheer number of choices epitomizes the difficulty of selecting the appropriate one. It's easier when only oneself is involved but identifying the variations in symptoms with someone else causes confusion and hesitation. I've sometimes found the most obvious remedy does absolutely nothing for the individual concerned and then precious times is wasted waiting for a result that doesn't happen.....