Diarrhetic shellfish poisoning (DSP) is a type of foodborne illness caused by the consumption of shellfish, such as mussels, clams, and oysters, that have accumulated toxins produced by certain types of marine algae. These toxins disrupt the digestive system, leading to severe diarrhea, nausea, vomiting, and abdominal pain. The term 'diarrhetic' refers to the primary symptom of this poisoning, which is profuse, watery diarrhea. The toxins responsible for DSP are lipophilic (fat-soluble) and are typically produced by dinoflagellate algae, such as Dinophysis and Prorocentrum species, that can proliferate in coastal waters and contaminate the shellfish that feed on them.