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Nutritionist
Take a specific probiotic- Saccharomyces Boulardii - with you on your travels. It does not need refrigeration. The dosage for adults : 4-6 capsules (1000-1500mg) daily for 2-3 days for travellers or acute diarrhoea.Maintain with 250-500mg/day.
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Acupuncturist, GP (General Practitioner)
Most episodoes of diarrhoea do not require treatment as they are short lived. Replacing fluid loss secondary to diarrhoea is more important than medications.
This is especially in children. The younger they are, the more rapid dehydration can develop. For a child, it is best to replace fluid loss with oral rehydration solution. Small frequent sips should be given if a child is vomiting. Medical advice is needed if a child shows signs of severe dehydration eg. reduced urine output, very dry mouth and tiredness.
Antimotility drugs can help reduce symptoms but should not be used more than 48 hours and those with fever or blood in the stool. It should also not be used children less than 6 years old or pregnant women.
Antibiotics are recommended in moderate to severe diarrhoea, diarrhoea associated with high fever or fail to improve after 1-2 days.
It is advisable to seek medical advice prior travelling regarding above medications. It is also advisable to seek medical advice for further investigations and management if diarrheoa does not resolve because prolonged diarrhoea could be caused by other organisms such as parasites or other pathology.
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