Traveler's diarrhea history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The illness usually results in increased frequency, volume, and weight of stool with altered stool consistency. Other commonly associated symptoms are nausea, vomiting, diarrhea, abdominal cramping, bloating, low fever, urgency, and malaise, and usually the appetite is low or non-existent.

History and Symptoms

The onset of TD usually occurs within the first week of travel but may occur at any time while traveling, and even after returning home. Most TD cases begin abruptly. The illness usually results in increased frequency, volume, and weight of stool. Altered stool consistency also is common. Typically, a traveler experiences four to five loose or watery bowel movements each day. Other commonly associated symptoms are nausea, vomiting, diarrhea, abdominal cramping, bloating, low fever, urgency, and malaise, and usually the appetite is low or non-existent.

It is much more serious if there is blood or mucus in the diarrhea, belly pain, or high fever. Dehydration is possible. With serious cases of cholera, there is a rapid onset of symptoms, which include weakness, malaise (feeling rotten), and torrents of watery diarrhea with flecks of mucus (called "rice water" stools).

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