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Saturday, January 23, 2010

Travelers Diarrhea

Almost 80% of tourist that came to my hotel clinic got diarrhea or symptom of stomach cram. Usually person with lowering condition of body fit. Rumor said it's because of the different climate, different food, etc. Yes maybe because Balinese food are spicy. But for sure there are infection from microbiology, bacteria, virus, protozoa, etc. But Please don't blame your Hotel management or restaurant, you can have this when you touch infectious substance or stuff or something,and your hand goes to your mouth. So keep your hand Hygiene. Wash not only water, but with antiseptic soap. Buy those antiseptic, many in the stores here in Bali, use like Antis, or many again hands antiseptic you can carry everywhere at your pocket. Yeah the native are stronger then you from any infection, because they dealing with it every day, and you traveling anywhere in Bali, so your fitness lowering.
If you got Diarrhea, please don't use Loperamide, such as Imodium, etc, it will be stop the diarrhea but you got fullness in stomach and stomach cram. Find doctors, many doctors and clinic here, suggestion go to clinic nearest you, good if there is clinic in your hotel.

Travellers' diarrhea is the most common illness experienced by travellers from industrialized countries journeying to Third World countries. While it is usually a self-limiting illness, it can nevertheless ruin three to four days of a holiday or require alteration of holiday plans. The primary cause of travellers' diarrhea is infectious. The etiology is both geographically and seasonally dependent, but the principle agents include enterotoxigenic Escherichia coli, Shigella and Salmonella species, Campylobacter jejuni, non-cholera Vibrio species, Plesiomonas shigelloides, Aeromonas species, Giardia lamblia, Entamoeba histolytica, Cryptosporidium parvum, rotavirus, and Norwalk virus. Travellers' diarrhea is strikingly common, with an incidence estimated from 20% to over 80%.

It is common for travellers to have profound changes in their bowel habits due to many factors, not least among them dietary changes. We do not consider loose movements to be diarrhea, but rather limit the definition to:
Travellers' diarrhea
The occurrence of three or more unformed stools within a 24 hour period or any number of such unformed stools when accompanied by either nausea, vomiting, abdominal cramps, tenesmus (involuntary straining with little or no passage of fecal matter), or fever.

We recommend avoiding the following foods that are generally considered high-risk:

  • - Drinking untreated water (this includes brushing your teeth with it!)
    - Ice cubes in a drink (alcohol does NOT provide protection)
    - Chang (rice beer, usually made with untreated water)
    - Raw vegetables
    - Salad
  • - Uncooked fish
  • - Uncooked or rare-cooked meat
  • - Unpeeled fruit
  • - Fresh fruit juice
    - Cheese
    - Ice cream
    - Any kind of street vendor food

The more important of Diarrhea is rehidration, if you keep your body rehidration you don't need to go to Hospital. Buy rehidration powder at Pharmacy we call it "oralit", takes enough for it you can borrowed every where.

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