The Illness

Most diarrheal illnesses begin within a few days to a week of entering an area of poor sanitation, but may occur at any time. In fact, they may often be seen to develop on the plane while returning home, often following a large farewell party. Most episodes are acute, with watery diarrhea, nausea, occasionally vomiting, weakness, and, rarely, low grade fever. The number of bowel movements per day is usually three to eight, but may be much higher. Without specific treatment, the illness may last for an average of about 3 days, but may persist for up to 10 days. If the illness lasts greater than 14 days, it is characterized as persistent; this usually indicates that another set of enteric pathogens is involved.

In most cases the disease is mild, only causing the travelers to adjust their schedules so that they can be relatively close to a bathroom. It can, however, be severe enough to cause them to cancel plans for excursions in favor of staying in their hotel room. Rarely, is it severe enough to require medical attention and even hospitalization and intravenous (IV) therapy. Yet it is important for the travelers to be able to treat themselves (see later section), and thus prevent the need for hospitalization in a strange and often unsanitary hospital environment.

When the diarrhea obviously contains blood, it suggests an invasive pathogen, such as Shigella or Campylobacter. The patient may have fever, abdominal cramping, and tenesmus. Antimicrobial therapy is clearly indicated in this syndrome.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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