An HIV-positive patient may have chronic diarrhea. This may interfere with the patient’s quality of life (QOL). A patient’s QOL should be monitored if certain factors are present.

Risk factors for an impaired quality of life in an HIV-positive patient with diarrhea may  include:

(1) interference with ability to work

(2) interference with social activities

(3) interference with activities of daily living (ADL)

(4) embarrassment or shame

(5) anxiety and/or depression

(6) frustration

(7) anorexia or intentional decrease in food intake

(8) malnutrition and wasting

(9) cramping, pain or other symptoms

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