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What is cholera?

Cholera is a bacterial infection which mainly occurs by ingestion of contaminated food or water. It is a major health concern and indicates a lack of social development. Cholera outbreaks are linked to areas that have poor access to clean water and sanitation facilities.It can affect people of all age groups. Studies show that 1.3 million to 4.0 million cases of cholera occur every year.

What are its main signs and symptoms?

Cholerasymptoms manifest about 12 hours to 15 days after ingestion of the contaminated food or drink. The infected person can shed the bacteria in the stools for 1-10 days, potentially infecting other people. Major symptoms include:

If untreated, it can cause severe dehydration and prove fatal.

In children, the following symptoms may be seen:

What are its main causes?

Cholerais an infection of the digestive tract caused by the bacteria Vibrio cholerae. It results in severe bouts of loose stools and dehydration. The harmful effect is due to the toxins produced by the bacterium in the small intestine. This toxin causes impairment of the normal sodium and chloride flow, leading to heavy secretion of water and rapid loss of essential salts and fluid.

Risk factors include:

  • Poor sanitary conditions
  • Decreased or complete loss of stomach acid
  • Living with infected individuals
  • Blood type O
  • Raw or uncooked foods

How is it diagnosed and treated?

Your physician may advise you to undergo the following tests depending on the severity of symptoms:

  • Blood tests: To check for elevated white blood cells, and electrolyte levels.
  • Blood glucose: Glucose levels may drastically reduce, thus prolonging illness.
  • Stool specimen: To isolate and identify Vibrio cholerae in the stool specimen.
  • Kidney function tests: To check for any problems with kidney function.

Treatment includes:

  • Oral rehydration solution: Replenishes lost nutrients and water and restores the fluid-electrolyte balance in the body.
  • Intravenous fluids: For correction of fluid and electrolyte loss.
  • Antibiotics: For severe cases, to shorten the duration of illness and reduce stool volume.
  • Zinc supplements: Shown to improve symptoms.
  • Vaccination: Mostly given to travellers, healthcare and humanitarian workers, immunocompromised individuals and persons who have low stomach acid secretion.

Self-care tips include:

  • Wash your hands before eating.
  • Whenever you are out, use a sanitiser to keep your hands clean.
  • It is advised to drink only boiled water and eat hot, well-cooked foods.
  • Avoid raw foods, especially uncooked meat or fish.
  • Keep a check on dairy products, which may be contaminated.

With prompt and proper management, the mortality is markedly reduced.

  1. Medicines for Cholera
  2. Doctors for Cholera
Dr. Neha Gupta

Dr. Neha Gupta

संक्रामक रोग

Dr. Jogya Bori

Dr. Jogya Bori

संक्रामक रोग

Dr. Lalit Shishara

Dr. Lalit Shishara

संक्रामक रोग

Medicines for Cholera

Medicines listed below are available for Cholera. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
SeptranSEPTRAN 400/80MG SYRUP 60ML0
Microdox LbxMicrodox Lbx Capsule55
Doxt SlDoxt Sl Capsule66
ShancholShanchol Oral Vaccine259
Doxy 1Doxy 10
Ec DoxEc Dox 30 Mg/100 Mg Tablet44
SBL Euphorbia lathyris DilutionSBL Euphorbia lathyris Dilution 1000 CH86
Schwabe Ocimum gratissimum MTSchwabe Ocimum gratissimum MT 88
Bjain Epilobium palustre DilutionBjain Epilobium palustre Dilution 1000 CH63
Schwabe Epilobium palustre CHSchwabe Epilobium palustre 1000 CH96
Adoxy Lb CapsuleAdoxy Lb Capsule47
Doxol LbDoxol Lb Tablet0
Doxy 1 Ld R ForteDoxy 1 Ld R Forte Capsule56
CodoCodo Capsule Xl44
Doxy Plus LbDoxy Plus Lb Tablet41
DoxytasDoxytas Tablet8
Zedox LbZedox Lb Capsule25
Rez Q DRez Q D 600 Mg/100 Mg Tablet178
Bjain Euphorbia lathyris DilutionBjain Euphorbia lathyris Dilution 1000 CH63

Do you or anyone in your family have this disease? Please do a survey and help others

References

  1. World Health Organization [Internet]. Geneva (SUI): World Health Organization; Cholera
  2. B.L. Sarkar et al. How endemic is cholera in India?. Indian J Med Res. 2012 Feb; 135(2): 246–248. PMID: 22446869
  3. MedlinePlus Medical Encyclopedia: US National Library of Medicine; Cholera
  4. U.S. Department of Health & Human Services. Sources of Infection & Risk Factors. Centre for Disease Control and Prevention
  5. U.S. Department of Health & Human Services. Cholera - Vibrio cholerae infection. Centre for Disease and Prevention
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