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Can stress or infection cause chronic diarrhea?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

It has been about two to three weeks since I started having diarrhea. My defecation frequency has not changed and is most of the time at a specific time in the day (usually morning), and it is usually just once a day (at most twice), but it is generally watery diarrhea (sometimes the stool is firmer).

I have sometimes noticed an urgency to defecate while having stress. Actually, I get nervous sometimes going to my study.

Also, I have noticed having palpitations recently, but I did not have them before. When I measured my heart rate, it was about 94, which I think is a bit high. I get really tired some days because I am still not that used to going out for long hours, and also because my body is a bit frail, and I am considered a bit thin. I also have minor thalassemia.

There is also another possibility that I may have gotten an infectious disease in the hospital during the previous weeks. I recently also experienced a few small muscle twitches sometimes. I would really appreciate it if you would inform me of what the diagnosis is.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern.

I have gone through your medical history carefully, and based on your description, it is essential to consider several factors. Those include:

  1. Stress and anxiety, common during medical training, can contribute to gastrointestinal issues like diarrhea and palpitations.

  2. However, given your symptoms and exposure to patients, infectious causes should also be considered.

  3. Your increased heart rate could be related to anxiety, but it is crucial to monitor and consult a healthcare professional to rule out any cardiac concerns.

  4. Next, muscle twitching is related to calcium and magnesium deficiency. I would advise taking magnesium 300 milligrams once daily for 10 days and observing the changes. Medications need to be taken after consulting the specialist.

I need to investigate the levels of calcium, vitamin D and anemia in order to treat their deficiency adequately.

I hope this has helped you.

Please feel free to reach me again in case of further queries.

Thank you.

Answered byDr. Albana Greca

Medically reviewed byiCliniq medical review team

Published At March 1, 2025
Reviewed AtOctober 17, 2025

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