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Remedy for oral transmission of sewer stuff - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
User :   My husband had to repair a sewer lift station. Something went wrong and sewer got in his mouth. Should we take him to the emergency room to get his shots updated? Is there anything else we should do or watch for?
Doctor :   Hi
User :   Hello
Doctor :   May I know his age?
User :   39
Doctor :   Does he have any other medical illness?
User :   Low Tesosterone & High Blood Pressure
Doctor :   May I know when did this happen?
User :   About 30 minutes ago
Doctor :   Ok.
Doctor :   The most common organisms present in the sewer are the enterococcus.
Doctor :   Most of them would get destroyed by the contents of the gut.
Doctor :   However a few of the bacteria such as Ecoli, shigella or vibrio may induce recurrent diarrhea and vomiting.
Doctor :   You would need medical help if any such symptoms develop.
Doctor :   There is no requirement for vaccination however, if his general immunity is good.
Doctor :   Have you followed?
User :   I forgot to mention that he does have problems with acid in his stomach anyway and if he is not consistently taking Aciphex he will vomit like he has the flu.
User :   So he shouldn't go and get updated on his shots? He probably hasn't had them since high school?
Doctor :   These are not regular vaccines and their use is only in certain emergencies such as an epidemic.
Doctor :   Hence it is your choice if you are going to get him vaccinated.
Doctor :   He may not need them.
Doctor :   You would have to watch out for these symptoms however.
User :   Ok, I reald elswhere that it would be a good idea to get a tetanus and Hepatits shot
Doctor :   Symptoms such as vomiting, pain abdomen, loose stools or fever develop.
Doctor :   Tetanus and hepatitis does not spread through feco oral route.
User :   Ok. If symptoms develop then go to the emergency room?
Doctor :   Tetanus spreads through injuries.
Doctor :   You may consider hepatitis A vaccination if hepatitis is predominant in your locality.
User :   This sewer did get on his body as well and he had a sore on his arm but I don't know if it came in contact or not. I haven't heard of Hepatitis being predominant in our locality.
Doctor :   I would suggest you to see the doctor at the ER or your local general practitioner if he develops any of those symptoms.
Doctor :   Persistent diarrhea may need ER treatment in particular.
User :   ok thank you.
Doctor :   Do you have any further queries that i can assist you with?
User :   Not at this time.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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