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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persisting Stomach Cramps With Loose Stools After Travelling. What Is Causing This?

I have recently been to the cAPe verde Islands on Holiday. While there I developed a crampy stomach and had loose bowele movemnet about 2 -3 housr after each meal but no further motions until the next meal. This is not a usual scenario for me who ususally has a movement about onece a day and can ususally eat anything. thi shas now been going on for two weeks but with no other symptoms. Any thoughts?
Sat, 15 Dec 2012
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General & Family Physician,  's  Response
Dear Concerned.,
thanks for writing to us.,
the symptoms described by you point towards 'traveller's diarhoea".It is usually food and water borne.we call it faeco-oral transmission.
The causative microbe could be a protozoa/bacteria/virus. Bacteria such as E.Coli,Salmonella,Shigella,campylobacter,entamoeba,giardia lamblia.The incubation period of 03 to 06 days.It is life threatening to diabetics/elderly and immunocompromised.Otherwise domiciliary treatment can cure the illness.
The treatment:- includes Rehydration with oral fluids/Antibiotics/Probiotics like lacobacillus/H2 receptor antagonists like ranitidine/Spasmolytics such as hyoscine butyl bromide.In severe dehydration IV fluids are required.Electrolytes and Acid base balance has to be maintained.
Prevention;-(1)Personal Hygeine ,hand washing and proper tooth brushing.(2)Using water and food from a safe place only(3)Eat fruits and cooled drinks by Self peeling or unsealing in your presence only.(4)Avoid uncooked and unboiled vegitables and meat.Do not add ice to drinks as ice could have been made by using unboiled water.(5)Use only boiled milk or properly pasteurised milk only.
Wishing you a speedy recovery.,
Best regards.,
Dr Lt Cdr ASN Bhushan,
Ex-Navy
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Persisting Stomach Cramps With Loose Stools After Travelling. What Is Causing This?

Dear Concerned., thanks for writing to us., the symptoms described by you point towards traveller s diarhoea .It is usually food and water borne.we call it faeco-oral transmission. The causative microbe could be a protozoa/bacteria/virus. Bacteria such as E.Coli,Salmonella,Shigella,campylobacter,entamoeba,giardia lamblia.The incubation period of 03 to 06 days.It is life threatening to diabetics/elderly and immunocompromised.Otherwise domiciliary treatment can cure the illness. The treatment:- includes Rehydration with oral fluids/Antibiotics/Probiotics like lacobacillus/H2 receptor antagonists like ranitidine/Spasmolytics such as hyoscine butyl bromide.In severe dehydration IV fluids are required.Electrolytes and Acid base balance has to be maintained. Prevention;-(1)Personal Hygeine ,hand washing and proper tooth brushing.(2)Using water and food from a safe place only(3)Eat fruits and cooled drinks by Self peeling or unsealing in your presence only.(4)Avoid uncooked and unboiled vegitables and meat.Do not add ice to drinks as ice could have been made by using unboiled water.(5)Use only boiled milk or properly pasteurised milk only. Wishing you a speedy recovery., Best regards., Dr Lt Cdr ASN Bhushan, Ex-Navy