Travellers’ Diarrhoea

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The passage of at least 3 unformed stools in a 24-hour period with nausea and vomiting, abdominal pain or cramps, faecal urgency, tenesmus, passage of bloody or mucoid stools, in a person who normally resides in an industrialised region and who travels to a developing or semitropical country
Diarrhoea > 1 wk in 10% of patients, and > 1 month in 2%; ±20% of patients are confined to bed for 1–2 days; most diarrhoea in travellers is acquired orally and caused by the heat-stable and heat-labile toxins of E coli and Shigella spp; the intensity of infection depends on water supply quality, and previous host exposure and susceptibility
Management Rehydration, bismuth subsalicylate, narcotic analogs to slow the motility and T-S if antibiotics are required
Prevention Boiling, cooking, peeling
References in periodicals archive ?
The music director of popular Bollywood movie Dehli Belly, Ram Sampath, has composed the theme songs for 'Satyameva Jayate', whereas Prasoon Joshi has written the lyrics.
Symptoms ranging from Dehli Belly to heartburn caused employees to miss almost 150,000 working days last year.