Dysenterie

HERE'S WHAT YOU KNOW ABOUT DYSENTERY

  • On 28/09/2020
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HERE'S WHAT YOU KNOW ABOUT DYSENTERY

Dysentery refers to very severe diarrhea included by a bacterial infection, a parasite or irritating toxic products.

Definition: what is dysentery?
"Dysentery includes severe diarrhea produced by inflammation of the intestine, which can be due to several causes: bacteria, protozoa or irritating chemicals" This diarrhea can be accompanied by traces of blood and sometimes mucus, and is potentially fatal. This symptom is more frequent in regions where sanitary conditions leave something to be desired: "When sanitary conditions are not good, for example the water is not clean, contaminated by bacteria, parasites, even materials. faeces or toxic products, this will cause dysentery ".

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Types of dysentery
-Amebic dysentery
Amebiasis infections originate from a photosphere parasite called Entamoeba Histolytica, which colonizes the intestinal lining. It is transmitted through contaminated water or standing water. "This infection causes painful bloody diarrhea, and can damage the intestinal wall," explains the doctor. "It can lead to very annoying complications, for example ulcers, liver or lung abscesses…". The doctor specifies that we do not see it in France, but it is not impossible to catch this parasite.

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-Bacillary dysentery
It is a bacterial infection, which can be caused by many bacteria: the most common are salmonellosis, shigellosis and yersiniosis. There may also be infections with Campylobacter jejuni (you can see them more easily when you come back from your trip) or Escherichia coli. "In much rarer cases it can be chlamydia which gives rise to a syndrome called Fiessinger-Leroy-Reiter. It causes damage to the eye, urethra, joints and sometimes dysentery." About 40,000 to 100,000 people die of this disease each year, according to the Pasteur Institute.


Causes
Dysentery is usually caught while traveling abroad, in a country where sanitary hygiene is poor. "In some countries, people drink water that has not passed through purification plants, and can therefore be contaminated by stool, or even by toxic products discharged by factories," explains the doctor. Indeed, a third cause of dysentery, rarer, but which exists, can be 'chemical' attacks of irritating toxic products.

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Transmission
The mode of transmission of dysentery is said to be fecal-oral. The disease can be transmitted directly from person to person through contact with hands ("dirty hand disease"), or after ingesting water or food contaminated with feces.

Symptoms
In addition to diarrhea which may be bloody, but also with or without mucus, or even, sometimes, with pus. "There may be fever, false needs (feelings of wanting without it being the case), or conversely, an inability to hold back. This can be accompanied by loss of appetite, weight loss, headaches, and severe fatigue. Obviously the biggest problem with diarrhea is dehydration, "the doctor recalls. We must therefore remember to drink water regularly.


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Diagnostic
The first thing to do if you suspect dysentery is to find the cause. "We are going to do a stool analysis in the laboratory, called a stool culture. This is used to look for bacteria and parasites that may be present in the stool," explains Dr Romain Troalen. So, once the cause is found, the right treatment can be given.

Treatments: how to treat dysentery?

GUIERA SENEGALENSIS

Traditional preparation method:

Make a Decoction of 2 bunches of G. Senegalensis leaves + 1 bunch of Euphorbia Hirta leaves + a small bucket of water (about 3-4 liters), wash and drink the decocté.

- Dose: 2 glasses (approximately 140 ml) twice a day

- Duration of treatment: 3-4 days

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