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Writer's pictureMark Nguyen, PharmD, BCEMP

Traveler's Diarrhea - #PHARMFAX

Up to 40% of traveler’s experience traveler’s diarrhea.

 

Up to 40% of traveler’s experience traveler’s diarrhea. Proper hygeine goes a long way in enjoying a vacation. Traveler’s diarrhea is spread via fecal-oral transmission from exposures to contaminated foods, water, and objects. E coli, including Enterotoxigenic, are the primary causative organism, but Shigella, Salmonella, and Campylobacter, and Viruses also culprits.


Its not your typical runs; these organisms increase gastrointestinal secretion and worsens hypovolemia. Be suspicious with more than 3 liquidy bowel movements with abdominal pain, but definitely get medical help with fevers, N/V, and other systemic signs of infection. Replace fluids to avoid dehydration, and yes, that means water or sport drinks. OTC Imodium and PeptoBismol can provide relief from diarrhea discomfort, but read the warnings on the packaging.


Plan ahead and see if the area is high risk. Mild cases are self-limiting, but antibiotics are indicated in moderate-to-severe cases and locations. Antibotics reduce duration and severity of Traveler’s diarrhea. Patients can get a prescription for azithromycin, fluoroquinlones, or rifaxamin and taken on the onset of diarrhea. Hungry for the PHARMFAX? Wash your hands and share this video with a friend.


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