Thursday, February 28, 2013

Travelers' Diarrhea

KP Wellness

 15:24  -  Public
Travelers' Diarrhea in INFANTS & CHILDREN -http://www.wellontheroad.com/illnesses/diarrhea2.html

The World Health Organization specifically states that anti-diarrheal medications, including the anti-motility agents (Imodium® AD and Lomotil®), should never be taken by children.

Severe travelers' diarrhea is defined as three or more loose stools in an 8-hour period and is associated with some combination of cramping, nausea and vomiting, bloody stools, or fever. ORT, used alone, is not sufficient therapy for bloody diarrhea and children with bloody diarrhea need medial care immediately. Antibiotics must be considered if there are bloody stools or high fever.
Travelers' Diarrhea »
Infants and children are at high risk of getting travelers' diarrhea, and the subsequent dehydration is the greatest risk to infants. Immediate medical attention and hospitalization should be sought i... 

KP Wellness

 15:17  -  Public
Travelers' Diarrhea -
http://www.wellontheroad.com/illnesses/diarrhea.html

Noroxin® (norfloxacin) 400 mg tablet or Cipro® (ciprofloxacin) 500 mg tablet - take one tablet twice a day for 3 days. specifically used for severe travelers' diarrhea accompanied by abdominal pain, fever, or bloody stools. As a single-dose alternative, some authorities suggest two tablets of either Noroxin® or Cipro® accompanied by Imodium® AD or Lomotil®, but these anti-motility drugs should not be used if your temperature is over 100 degrees or you have bloody stools.

Keep a 24-hour supply of ORT packets and/or supplemental liquids in your possession in case traveler's diarrhea becomes severe.
Travelers' Diarrhea »
ADULT. Prevention of this common disease is the key to better enjoyment of your travels. Prevention involves careful attention to the food you eat and the beverages you drink. Understandably, most tra... 

KP Wellness

 15:07 (edited)  -  Public
Prevention and Treatment of Traveler's Diarrhea - July 1, 1999 - American Family Physician -
http://www.aafp.org/afp/1999/0701/p119.html

Drug Therapies Used to Treat Moderate to Severe Traveler's Diarrhea in Adults
Ciprofloxacin (Cipro), 500 mg twice daily for one to three days, or one 750-mg dose (if diarrhea resolves)
Norfloxacin (Noroxin), 400 mg twice daily for one to three days
Ofloxacin (Floxin), 300 mg twice daily for one to three days

Trimethoprim-sulfamethoxazole (Bactrim DS), 160 mg/800 mg twice daily for three days
Doxycycline (Vibramycin), 100 mg twice a day for three days

 Azithromycin (Zithromax), in a dosage of 500 mg daily for three days, has been found to be very effective in treating resistant Campylobacter enteritis contracted in Thailand, and its usefulness in other situations of fluoroquinolone resistance merits investigation. 
Prevention and Treatment of Traveler's Diarrhea - July 1, 1999 - American Family Physician »
Common pathogens in traveler's diarrhea include enterotoxigenic Escherichia coli, Campylobacter, Shigella, Salmonella, Yersinia and many other species. Viruses and protozoa are the cause in many cases... 

KP Wellness

 22 Dec 2012  -  Public
Traveler's Diarrhea Symptoms, Causes, Treatments, Prevention -http://www.webmd.com/digestive-disorders/travelers-diarrhea?page=2

Seek medical help for traveler's diarrhea if:

Diarrhea is severe, bloody, or does not resolve within a few days.
Diarrhea is accompanied by fever and chills.
You are unable to keep fluids down to prevent dehydration.
Traveler's Diarrhea Symptoms, Causes, Treatments, Prevention »
WebMD explains traveler's diarrhea and how you can avoid it. 

KP Wellness

 22 Dec 2012  -  Public
How to Treat Diarrhea (BRAT Diet Method) -
http://www.wikihow.com/Treat-Diarrhea-%28BRAT-Diet-Method%29

Drink clear fluids - broth, water and juices - for the first twelve hours of your diarrhea.
After 12 hours of liquids only, follow the BRAT diet - bananas, rice, applesauce, and toast.
Limit insoluble fibers such as pectin (found in applesauce)
Eliminate foods that might be contributing to your diarrhea, such as high-fructose foods, sugar-free foods sweetened with sugar alcohols, and dairy products.
After recovery, try some yogurt.

Non-BRAT Diet Method
Drink only water for the first 12 hours of your symptoms.
After your symptoms have cleared up, begin to drink broth, make sure not to have any fat or other substances inside the broth
Limit yourself to healthy foods such as vegetables, bananas, bland chicken, etc. Avoid dairy products till your symptoms are clear. 
How to Treat Diarrhea (BRAT Diet Method) »
There are certain times when it is not recommended that you treat diarrhea with OTC medicines (ex. when you're taking antibiotics). Here are a few tips that may help! 
Disease Listing, Travelers' Diarrhea, General Information | CDC Bacterial, Mycotic Diseases -http://www.cdc.gov/ncidod/dbmd/diseaseinfo/travelersdiarrhea_g.htm

Oral rehydration is often beneficial to replace lost fluids and electrolytes. Clear liquids are routinely recommended for adults.

Travelers who develop three or more loose stools in an 8-hour period---especially if associated with nausea, vomiting, abdominal cramps, fever, or blood in stools---may benefit from antimicrobial therapy.

Antibiotics usually are given for 3-5 days. Currently, fluoroquinolones are the drugs of choice. Commonly prescribed regimens are 500 mg of ciprofloxacin twice a day or 400 mg of norfloxacin twice a day for 3-5 days.

Bismuth subsalicylate also may be used as treatment: 1 fluid ounce or 2 262 mg tablets every 30 minutes for up to eight doses in a 24-hour period,

Antimotility drugs such as loperamide and diphenoxylate reduce the symptoms of diarrhea by slowing transit time in the gut. They should be taken as necessary to slow the frequency of stools, but not enough to stop bowel movements completely, which delays expulsion of the causative organisms from the intestines. 
Disease Listing, Travelers' Diarrhea, General Information | CDC Bacterial, Mycotic Diseases »
Who gets travelers' diarrhea? Travelers' diarrhea (TD) is the most common illness affecting travelers. Each year between 20%-50% of international travelers, an estimated 10 million persons, develop di... 

KP Wellness

 22 Dec 2012  -  Public
Traveler's diarrhea: Preparing for your appointment - MayoClinic.com -http://www.mayoclinic.com/health/travelers-diarrhea/DS00318/DSECTION=preparing-for-your-appointment

The list below suggests questions to ask your doctor.

What is causing my symptoms?
Are there any other possible causes for my symptoms?
What kinds of tests do I need?
What treatment approach do you recommend?
Are there any possible side effects from the medications I'll be taking?
What is the safest way for me to rehydrate?
What dietary restrictions should I follow and for how long?
How soon after I begin treatment will I begin to feel better?
How long do you expect a full recovery to take?
Am I contagious? How can I reduce my risk of passing my illness to others?
What can I do to reduce my risk of this condition in the future?

Your doctor may ask:

What are your symptoms?
When did you first begin experiencing symptoms?
Have you traveled recently?
Where did you travel?
Have your symptoms been getting better or worse?
Have you noticed any blood in your stools?
Have you experienced symptoms of dehydration, such as muscle cramps or fatigue?
What treatments have you tried so far, if any?
Have you been able to keep down any food or liquid?
Are you pregnant?
Are you being treated for any other medical conditions? 
Traveler's diarrhea: Preparing for your appointment - MayoClinic.com »
Traveler's diarrhea — Comprehensive overview covers treatment, causes, prevention of this digestive distress. 

KP Wellness

 26 Jun 2012  -  Public
Health Tip: Prevent Traveler's Diarrhea - Drugs.com MedNews »
If you re visiting a country where the water may not be germ-free, you can take steps to preserve your vacation or business trip by preventing traveler s diarrh 

Smart Gut Savings

 27 Nov 2012  -  Public
When should you call the doctor for diarrhea?
#diarrhea  
Diarrhea Causes, Symptoms, Diagnosis, Treatment - MedicineNet »
Read the causes of diarrhea including infections, parasites, food poisoning, medications, IBS, IBD, cancer, endocrine disease, fat malabsorption, laxative abuse and more. 

MedicineNet.com

 26 Feb 2013  -  Public
Do you suffer from diarrhea, heartburn, gas and bloating?
Diarrhea and Digestive Distress Pictures Slideshow: Problem Foods to Avoid on MedicineNet »
Watch this slideshow on Diarrhea and Digestive Problem Foods to Avoid. Find out which foods can trigger diarrhea and other digestive problems such as gas, bloating, indigestion, heartburn and more. 

MedicineNet.com

 21 May 2012  -  Public
When should you call the doctor for diarrhea?
Diarrhea Causes, Symptoms, Diagnosis, Treatment - MedicineNet »
Read the causes of diarrhea including infections, parasites, food poisoning, medications, IBS, IBD, cancer, endocrine disease, fat malabsorption, laxative abuse and more. 

Smart Gut Savings

 13 Feb 2012  -  Public
Smart GI Savings originally shared this post:
Some causes of #diarrhea :
4 Common Diarrhea Causes—and What to Do if You Get Sick - US News and World Report »
Diarrhea and accompanying woes are among the most common illnesses in the U.S. 
New Study links Nexium to Clostridium Difficile-Associated Diarrheahttp://www.prweb.com/releases/2012/7/prweb9696785.htm
New Study links Nexium to Clostridium Difficile-Associated Diarrhea (CDAD) »
The findings of the study published in July 2012 on The American Journal of Gastroenterology, revealed a 65% increase in the incidence of clostridium difficile-associated diarrhea (CDAD) among users o... 

KP Wellness

 22 Dec 2012  -  Public
BRAT Diet - http://www.cpnonline.org/CRS/CRS/pa_bratdiet_pep.htm

Call your child's healthcare provider right away if:

Your child has not urinated in 8 hours (12 hours for older children) or has a very dry mouth or no tears.
There is any blood or mucous in the diarrhea.
Diarrhea is severe or lasts longer than 3 days.
Your child throws up repeatedly, has a fever that lasts more than 3 days, or starts acting very sick.
Contact your child's provider if diarrhea starts within 1 week of a trip 
Pediatric Advisor: BRAT Diet »
What is the BRAT diet? In the past, the BRAT diet was used to treat diarrhea in children. BRAT stands for: Bananas; Rice (or other starchy food); Applesauce; Toast. Foods in the BRAT diet were thought... 
CDC - Campylobacter, General Information - NCZVED -http://www.cdc.gov/nczved/divisions/dfbmd/diseases/campylobacter/
http://emedicine.medscape.com/article/213720-treatment

Campylobacteriosis is an infectious disease caused by bacteria of the genus Campylobacter. Most people who become ill with campylobacteriosis get diarrhea, cramping, abdominal pain, and fever within two to five days after exposure to the organism. The diarrhea may be bloody and can be accompanied by nausea and vomiting. The illness typically lasts one week.

Campylobacter is one of the most common causes of diarrheal illness in the United States. Most cases of campylobacteriosis are associated with eating raw or undercooked poultry meat or from cross-contamination of other foods by these items. Infants may get the infection by contact with poultry packages in shopping carts.  
 
Managing Traveler's Diarrhea | MedIndia »
Traveler’s diarrhea is commonly caused by bacterial contamination of food and water. Adequate hydration and sometimes antibiotics are used to treat traveler’s diarrhea. 

KP Magazine

 23 May 2012  -  Public
Pamela VanHine originally shared this post:
JAMA
Probiotics for the Prevention and Treatment of Antibiotic-Associated Diarrhea: A Systematic Review and Meta-analysis [Clinical Review] »
Context Probiotics are live microorganisms intended to confer a health benefit when consumed. One condition for which probiotics have been advocated is the diarrhea that is a common adverse effect of antibiotic use. Objective To evaluate the evidence for probiotic use in the prevention and treatment of antibiotic-associated diarrhea (AAD). Data Sources Twelve electronic databases were searched (DARE, Cochrane Library of Systematic Reviews, CENTRA... 

KP Wellness

 22 Dec 2012  -  Public
Probiotics and Digestive Problems -
http://www.webmd.com/digestive-disorders/features/probiotics-benefits

Benefits of Probiotics for Infectious Diarrhea
Probiotics to Prevent Antibiotic-Associated Diarrhea
Fighting the Risk of Pouchitis
Preventing Eczema

Probiotics to Ease Symptoms of Irritable Bowel Syndrome
Probiotics for Ulcerative Colitis
Probiotics Help Fight Common Childhood Infections
Probiotics and Digestive Problems »
A look at how probiotics may benefit diarrhea, pouchitis, irritable bowel syndrome (IBS), and ulcerative colitis. 
Zinc for diarrhea - Pediatric diarrhea | Nutrition, deficiency & diseases | health »
The World Health Organization (WHO) and UNICEF recommend zinc supplements for acute pediatric diarrhea and pneumonia notably for its ability to increase immunity in children. 
Role of Probiotics in Treating Antibiotic-Associated Diarrhea | MedIndia »
Human digestive tract consists of millions of both harmful and beneficial microbes. A recent study analyzed the efficiency of probiotics in treating Antibiotic-Associated Diarrhea. 

MedicineNet.com

 23 Oct 2012  -  Public
How safe is hospital food?
Hospital Food Contaminated With Dangerous Diarrhea Bug C. diff - MedicineNet »
A new report suggests that hospital food is frequently contaminated with the dangerous diarrhea bug Clostridium difficile (C. diff). 

MedPage Today

 16 Nov 2012  -  Public
Patients at risk of Clostridium difficile-associated diarrhea had a 66% lower infection rate when they received prophylactic probiotics, results of a meta-analysis showed. http://bit.ly/WebP5w


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