Persistent diarrhea guide

Persistent diarrhea testing and treatment online in Virginia and West Virginia

This guide is for diarrhea lasting 14 days or more, not for dehydration, bloody stools, fever, or diarrhea that just started.

Start online

Start a $59 online review for Persistent diarrhea.

Review for adults whose diarrhea has lasted 14 days or more without dehydration, bleeding, or fever: a history and exposure review, stool testing ordered by the physician through the lab pathway, and treatment composed by hand once a result explains it. Diarrhea that started in the last 2 weeks belongs in the separate sudden and traveler's diarrhea option.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Loose stools three or more times a day for 2 weeks or longer
Often after travel, camping, well water, or daycare contact
Sometimes after a recent antibiotic course
Drinking fluids normally, without dehydration

May fit online care

Adults 18 and older
Diarrhea lasting 14 days or more
No blood, black stools, or fever above 101°F
No signs of dehydration
No unexplained weight loss or night-time diarrhea

Look for another care setting

Very little urine, dizziness on standing, confusion, fainting, or inability to keep fluids down
Bloody or black stools, a fever above 101°F (38.3°C), or severe belly pain
Diarrhea that worsens sharply, six or more watery stools a day, or new fever after an antibiotic
Weight loss, night-time diarrhea, or a swollen belly

What to have ready

How many days the diarrhea has lasted
Recent travel, camping, well-water, or daycare exposure
Any antibiotic use in the past 2 months
Whether you have a weakened immune system or inflammatory bowel disease

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

What testing might be ordered?

Depending on your exposure history, the physician may order stool tests for parasites, giardia antigen, C. difficile (after antibiotics), celiac serology, or calprotectin through the lab pathway.

My diarrhea just started — is this the right option?

No, this lane is specifically for diarrhea of 2 weeks or more. Diarrhea that started recently fits our sudden and traveler's diarrhea guide better.

What if all the tests come back negative?

A negative work-up with diarrhea that continues is evaluated in person rather than repeating online testing indefinitely.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Diarrhea (sudden & traveler's)Anal fissure Anal itching Bloating & gas Constipation (functional)Heartburn & acid reflux (GERD)