Diarrhea – always sad, sometimes dangerous – abdominal pain

Even during the most promising adventure by the water, it can meet us unpleasant, tormenting, and sometimes a dangerous surprise in the form of… diarrhea. Especially now – in summer and autumn.
What is this – we all know, and why it comes and what causes it – probably not all of them! So some basic explanations. Practically speaking, in our country the most common cause of the "intestinal revolution" are pathogenic bacteria (about different, specific virulence), which get into the digestive tract with consumed food (and are not lost in the gastric acid), more often the so-called. stale, but also fresh! Here are some examples:
– fruit juice, opened many times, carried by us in a bag for a day or two. My advice is to take small packages and drink them straight away.
– canned meat or pate, the same remarks as for juice.
– sandwich with sausage or cheese, eaten the day after taking it.
– reheated, "Yesterday's" broth or minced cutlet, eaten before going out.
– ice cream or a cookie with cream, actually fresh, eaten on the way.
– fruit or vegetable salad, bought in a delicatessen, e.g.. railway station.

There are naturally many examples, but I guess, that these are enough! Besides, it is not always possible to identify the culprit of the digestive system, which doesn't really matter… for the sick.

And where do germs come from in foods? – with the so-called. hands dirt, tools used to prepare uncooked meals (sandwiches, Salads, fruit, ice cream, creams etc., especially "tartare"), as well as "from the ground", for vegetables and vegetables. In longer standing, open foods - also cooked – germs can appear thanks to flies or "next door", also via the droplet route. They can also survive improper cooking. I will skip the non-bacterial causes of intestinal irritation, caused by accidental ingestion of toxic substances (e.g.. "Sprinkled" fruit, inadvertent contamination of food, e.g.. cleaning agents, e.t.c.) or an obvious mistake (e.g.. drinking liquid against aphids, instead… beer – real life). In such cases, we are dealing with defense-allergic reactions of a relatively short duration, albeit quite turbulent course, with a predominance of vomiting.

These are the types of bacteria that most commonly cause "acute enteritis", i.e. diarrhea:

• Certain strains of Escherichia coli – mainly inflammation of the small intestine, relatively mild.

• Other strains of Escherichia coli – colitis with massive watery-mucous diarrhea, sometimes bloody.

• Compylobacter jejuni and coli – whole bowel involvement in children and adults, quite often with a turbulent course.

• Salmonella typhi, paratyphi et enteritidis – that is, the stick of typhoid fever (more widely known socially), sometimes a serious illness, also systemic with a serious prognosis.

• Shigella desynteriae – i.e. the so-called stick. dysentery (bloody diarrhea).

• Staphyllococcus aureus – that is golden staphylococcus (more widely known to the public), lurks in the ice cream, cookies, salads; causes violent symptoms in 1-3 hours after eating – also systemic.

Of course, this list does not exhaust a much wider range of hostile microbes. I omitted e.g.. infection with anti-cholera or the protozoan amoeba as practically unheard of in our country. I also share my colleagues with complex medical arguments explaining the mechanism of diarrhea as a result of infection (rapid multiplication of bacteria in intestinal epithelial cells and a very strong action of bacterial toxins).

The main symptom is a significant loss of fluids and electrolytes through the gastrointestinal tract (sometimes including vomiting), which causes various degrees of dehydration of the body that can lead to death (e.g.. cholera, dur i inne… thousands of children in Africa and Asia). Adults usually easily feel the first teasers and symptoms of the so-called. indigestion („oj, i feel, that something hurt me…”):

– nausea (nausea)

– "Restlessness" in the belly (purring, transferring)

– aching and wave-like cramp-like abdominal pain

– pressure on the stools, the first diarrhea

– weakness, general "breakdown", sometimes with chills (fever).

The presented ailments and symptoms are a signal to take the drug immediately, whether, where we are, especially while on the water, away from home and… doctor. You need one or two with you! It is about limiting the "fire" in the belly as soon as possible and preventing the risk of dehydration and toxemia of the body.

We must remember to drink fluids (still mineral water, thermos tea, coca is allowed- or pepsi-cola). On the other hand, drugs such as "coal", idalbina, sulfoguanidine has lost its importance almost completely due to much lower efficacy than recommended. There are also 'symptomatic' medications to reduce diarrhea and unpleasant symptoms. The circumstances of being in the field justify the use of a drug called IMODIUM (f-ma Janssen) – once 2 tablets together with one of the "causal" drugs. Going home should be less complicated. Further treatment, especially when symptoms persist or even intensify, must be carried out under the supervision of a doctor. Sometimes hospitalization becomes necessary.

In closing, I advise you to avoid the obvious "food mistakes" and… take with you a few tablets that do not take up any space in your inventory!

Currently, the most effective drugs to treat the cause of diarrhea ("Causal"):

□ NIFUROKSAZYD (Polfa) – 2 tb. immediately, start or consider going home. Po 3-4 the following hours 2 pills, further treatment as recommended on the leaflet or by the doctor

□ BISEPTOL (tb. 0,48 – Polfa) – the method of taking is identical to that of nifuroxazide. If we have pills after 0,96, this should be taken after 1 tablet.

□ CIPROPOL (Polfa), CIPRINOL (Slovenia), CIPROBAY (Bayer) (table. 0,25 or 0,5) – systemic antibiotic; apply 0,5 co 12 hours and no more.

□ IMODIUM (Janssen)


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