It is important to recognize that, for practical purposes, all watery
diarrhoeas can result in dehydration and can be treated in the same way
regardless of their cause. Some cases of diarrhoea, however, have special
therapeutic needs and thus a number of diagnostic procedures are required,
which are listed here. If blood, or excessive mucus, is present in the stool,
a stool culture should when possible be done to rule out shigellosis, and the
stool examined microscopically to exclude amoebiasis. A stool culture is also
indicated if there is a possibility that the case may be cholera. When any of
these three conditions is suspected, antimicrobial drugs should be given. One
must also consider whether the diarrhoea is caused by malaria or associated
with measles, pneumonia, or otitis media, as some of these require specific
therapy. Finally, one needs to be alert to the surgical conditions that may be
associated with diarrhoea.