Call for advice about diarrhea. How to act in case of severe diarrhea (diarrhea) and what remedies will help

Learn more about diarrhea, symptoms and treatment from the video:

In what cases you can not do without consulting a doctor

If there are impurities of blood or mucus in the feces, you should immediately contact a specialist.

Medical attention for severe diarrhea should be provided as soon as possible, especially for children and the elderly, who are very difficult to tolerate the effects of diarrhea. Be sure to consult a doctor with such:

1. In the feces there is an admixture of blood, mucus, pus.
2. There is no positive dynamics for more than 2-3 days.
3. The color of the stool acquires a shade of tar - the danger of various parts of the gastrointestinal tract is great.
4. Diarrhea is accompanied by a strong one - there is a risk of acute surgical pathology.
5. The temperature rises sharply or persists for several days.
6. Growing signs of dehydration.

Most likely, the doctor will prescribe laboratory research feces, blood, possibly an endoscopic examination, or an x-ray of the digestive tract. Adults in the absence of the above symptoms and maintaining good health can try to cope with the problem on their own.

What to do if a child has severe diarrhea

Regidron is an excellent drug for the prevention of dehydration.

The most correct would be an immediate appeal to the pediatrician or to the emergency department. medical care. If for some reason it is not possible to receive medical assistance in the next few hours, you should immediately start replenishing the balance mineral salts for the prevention of dehydration (, Glucosolan, Elotrans, Oralit). A similar homemade solution:

• One tsp soda
• 8 tsp Sahara
• 3/4 tsp salt
• A glass of orange juice

All ingredients must be dissolved in a liter of boiled water and the child should be given 1-2 tsp to drink. every quarter of an hour (10-15 minutes). You can give green tea, herbal teas (chamomile, lemon balm, thyme). it is impossible to give with diarrhea without consulting a doctor, so as not to disturb the intestinal microflora.

It is strictly forbidden to give drugs that eliminate not the cause of diarrhea, but its manifestations (Loperamide, Intestopan,). In this case, the removal of toxins is disrupted, which further aggravates the condition of the child. If the child is breastfed or mixed, you should not interrupt it and arrange “hungry pauses” - there are a lot of substances in women's milk that help to improve the digestion process.

Hygiene measures and diet for diarrhea

A diarrhea diet can improve your general condition.

Severe diarrhea in an adult requires strict adherence to hygiene rules: thorough hand washing after going to the toilet, treatment of the anus in case of irritation. Such a person should not cook food, contact with children.

Compliance, enhanced drinking regimen can improve the general condition. You should not drink alcohol, natural juices, milk, coffee, strong fatty broths, fresh fruits, spicy seasonings.

An irritated intestine needs dietary food, which should be consumed warm - cereals on the water, lean, steamed, dried bread, jelly, dairy products, baked apples, boiled eggs, potatoes. You should not eat in the absence of appetite, especially in the acute period of severe diarrhea.

Medicines for severe diarrhea

If a doctor's consultation is not available for some reason, you can try to stop severe diarrhea yourself as an emergency measure. For the prevention of dehydration, Regidron is effective, or a solution prepared independently: one tsp must be dissolved in a glass of boiled water. sugar, 1/8 tsp. salt.

If diarrhea is caused by low-quality products against intoxication of the body, you can take Polypefan, Smecta, Atoxil. To relieve spasms and reduce intestinal motility, Loperamide, Intestopan, Imodium, Drotaverine hydrochloride are intended. Nifuroxazide, Furodonin, Furozolidone effectively cope with pathogenic microflora. If there are not enough enzymes, Pancreatin, Mezim, Creon are recommended.

Traditional medicine - effective remedies for diarrhea

Traditional medicine is also used effectively in the treatment of diarrhea.

A wealth of experience is effectively used in the treatment of uncomplicated cases of severe diarrhea. You can use the following recipes:

1. Infusion 60 g of pomegranate peels in a glass of boiling water to drink immediately.
2. Three-day infusion of 300 g of walnut partitions in a glass of alcohol, take 6-10 drops several times a day with warm water.
3. Drink half a glass of a pink solution of manganese, carefully dissolving it in warm water.
4. Drink in the morning on an empty stomach and before going to bed infusion of 1 tbsp. tablespoons of mint in a glass of boiling water (40 minutes).
5. Drink rice water, barley and acorn coffee, gooseberry juice (1 tablespoon before meals).

Prevention of severe diarrhea

In order not to be subjected to such pathological condition, like severe diarrhea, you need to keep household items and kitchen utensils clean, carefully process and properly store food, do not drink uncleaned, especially from sources of unknown origin. When traveling to exotic regions, you should not radically change your diet, eat spicy, poorly processed food.

At the first signs of severe diarrhea, you need to seek qualified advice, especially if diarrhea occurs in children and the elderly, try to prevent dehydration, maintain hygiene, and have an optimal diet for this condition.

Diarrhea (it is called the usual word "diarrhea") is an unpleasant symptom of many pathologies that have a completely different genesis and causative factor. Diarrhea is considered to be a condition characterized by frequent defecation with a change in stool parameters. With diarrhea in parallel, patients often complain of concomitant unpleasant symptoms: colic, abdominal pain, vomiting,. The greatest danger is diarrhea for children, since with diarrhea they quickly become dehydrated, which carries a very serious complications up to and including death.

There are a number of factors that can cause diarrhea in both adults and children. These include:

• Problems with intestinal motility.
• Infectious diseases of the gastrointestinal tract, which become a source of toxins in the intestines. Such diseases include: enteroviruses, cholera, food poisoning,.
• Violations in the intestinal microflora against the background of taking anticancer drugs, with HIV disease.
• Irritable bowel syndrome, which is formed with disorders of a neuropsychic nature.
• Enzyme deficiency and fermentopathy.
• Pathologies of an autoimmune nature: nonspecific ulcerative colitis, Crohn's disease.
• Hereditary pathologies, which are based on intolerance to certain products or substances. Such congenital conditions include: celiac disease, pancreatitis (chronic and acute), lactose deficiency, cirrhosis of the liver.

Causes of diarrhea with blood in an adult

Diarrhea with blood can occur as a result of various factors. The admixture of blood in the feces in itself already causes anxiety in a person. The reasons for its appearance in the stool can be the following:

• diverticulitis – inflammatory process in the lower intestine. This cause is most common in people after 45-50 years.
• Hypodynamia- an inert lifestyle, constantly sedentary work, when a person moves little and there is a lack of movement, sedentary work.
• Ulcerative-erosive processes in the gastrointestinal tract in the upper sections, they can also provoke the appearance of blood impurities in the feces (ulcerative and in the stage of exacerbation or chronicity).
• Haemorrhoids,. In this case, the blood in the feces will be in the form of clots or streaks, and always scarlet in color, since the source of bleeding is close (the blood simply does not have time to clot). In parallel with this symptom, the patient feels discomfort, pain in anus, itching, burning, etc., but diarrhea will be a sign of concomitant pathology, but the appearance of blood is evidence of hemorrhoids.
• . It can provoke both the appearance of diarrhea in the patient, and the presence of blood in the stool.
• Bleeding. Diarrhea with blood in an adult may indicate internal bleeding in the stomach, esophagus, duodenum. In this case, the chair will be dark in color, "tarry". The cause of bleeding can be: cirrhosis of the liver, peptic ulcer, stomach cancer, esophageal varicose veins.
• Chronic pathologies such as Crohn's disease and ulcerative colitis often provoke the appearance of blood streaks (bright) and clots in the stool.
• Infectious diseases. If diarrhea with blood is accompanied by fever, colic, abdominal pain, then you should definitely seek medical help. This clinic can be seen with dangerous diseases that require immediate treatment: salmonellosis, dysentery, etc.

Types of diarrhea

Regarding the course of diarrhea, it happens:

• chronic, when diarrhea persists for a three-week period;
• acute, in which diarrhea disappears up to 3 weeks.

Based on the mechanism of development, diarrhea is classified as follows:

• hypokinetic- with her stool mushy or liquid, there are few of them, there is a fetid odor - all this is the result of a reduced speed of food moving through the intestines;

• hypersecretory - diarrhea is watery and profuse, which is the result of increased excretion of salts and water into the intestines;
• hyperkinetic - loose stools or loose stools mushy, formed with an increase in the speed of movement of digested food through the intestines;

• hyperexudative- it is formed when fluid seeps into the intestinal lumen, which in most cases is already inflamed, such diarrhea is characterized by watery, but not abundant stools, in which blood and mucus may be present.
• osmolar - this is diarrhea as a result of a decrease in the absorption of salts and water by the intestinal walls, in which there can be a lot of bowel movements, they are fatty and contain the remains of undigested food.

diarrhea symptoms

Diarrhea can be accompanied by a number of other signs, which ultimately allows the doctor to differentiate the patient's illness from a number of others based on the current clinical picture. In particular, diarrhea can be:

• quickened stool;
• fecal incontinence;
• foul-smelling stools;
• color change;
• liquid watery or mushy consistency of stools;
• the presence in the stool of the remnants of semi-digested food;
• admixture of blood;
• the presence of mucus.

In parallel, the patient may experience additional symptoms of diarrhea:

• rise in body temperature (from 37 to 40C);
• (may have a spasmodic, dull, pulling, cutting character).

With profuse diarrhea, dehydration often occurs, the symptoms of which will be:

• weakness in the body;
• thirst;
• dry mucous membranes;
• decrease in blood pressure numbers;
• dizziness;
• tachycardia;
• fainting state;
• "flies" before the eyes;
• cachexia is an extreme degree of dehydration.

AT childhood causes of diarrhea are slightly different than in adults. They are often associated with malnutrition and intestinal infections. Diarrhea in children can occur as a result of such reasons:

Important: often in children, diarrhea is the result of indigestion of certain types of foods or their quantities. The inability of the child's gastrointestinal tract to digest and assimilate this or that food is manifested by diarrhea after taking it. In this case, the rejection of this food is the treatment of the disease.

Diarrhea in infants may have several other causes due to the nature of its nutrition (breast or artificial feeding). These include:

• untimely introduction of complementary foods (very early);
• artificial feeding;
• the introduction of the wrong products in the form of complementary foods;
• non-compliance with the required interval between the introduction of a new product;
• infection with intestinal infections;
• large portions of complementary foods;
• intolerance to the introduced products;
• the use of some food by the nursing mother;
• lactase deficiency, in which diarrhea in those who are charmed is observed from the first days of life;
• cystic fibrosis - characterized by profuse diarrhea (liquid) with an unpleasant odor and greasy sheen;
• ARI, in addition to catarrhal phenomena in the nasopharynx, also often provokes diarrhea in infants.

Causal factors diarrhea during pregnancy is the same as in adults. The only difference is the expression clinical picture, since during this period of a woman's life, any illnesses, infections, poisonings are much more difficult.

note: diarrhea during pregnancy can be Negative consequences Therefore, it is very important to seek medical help as soon as the first symptoms appear.

In this case, the duration of pregnancy and the cause of diarrhea are of paramount importance. Diarrhea during pregnancy early dates may be the result of toxicosis, which is quite common. It does not pose a danger to the fetus, because the bacteria that provoke it do not leave the intestines. Severe poisoning can become a threat to the fetus if there is severe intoxication of the mother's body and toxins penetrate the placenta into the fetus.

Especially dangerous is poisoning by the poisons of fungi, which bypass the placental barrier and cause various kinds of defects in the development of the embryo. Diarrhea during early pregnancy is dangerous if the frequency of defecation becomes more than 5 times in 24 hours. If there is diarrhea and vomiting, then this further complicates the situation and requires immediate medical attention. The consequences of severe diarrhea in a pregnant woman can be:

• spontaneous miscarriage;
• decrease in blood pressure in the mother;
• accession kidney failure in a pregnant woman;
• the formation of congenital anomalies in the fetus.

note: after the 30th week, diarrhea most often causes a virus or late toxicosis. Complications of this situation can be premature birth and thrombosis, so if you have symptoms of diarrhea, you should see a doctor. Sometimes diarrhea from 38 to 40 weeks of gestation is a sign of a natural cleansing of the body and an early birth.

The disease may be very different reasons and be a manifestation of many pathologies. To make an accurate diagnosis, it is necessary to scheduled examination and be sure to tell your doctor about the accompanying symptoms. Diagnosis of diarrhea includes:

If necessary or if indicated, the doctor may prescribe the following tests:

The most informative may be such instrumental studies as:

• colonoscopy - optical examination of the mucous membrane of the large intestine;
• EGDS - endoscopic examination of the esophagus, stomach and duodenum;
• taking material from the stomach for the presence of bacteria Helicobacter pylori;
• - examination of the colon by X-ray method;
• ultrasound abdominal cavity- allows you to evaluate the work of the digestive tract;
• Sigmoidoscopy is an endoscopic examination of the rectum and sigmoid colon.

Diarrhea: treatment and prevention of dehydration

Water diarrhea in an adult involves treatment, which consists of an integrated approach. It is important not only to eliminate the symptoms, but also the cause that caused diarrhea. Diarrhea treatment includes:

MEANS FOR ELIMINATION OF INFECTION

The treatment of diarrhea should be comprehensive: first of all, it is necessary to get rid of the cause of the ailment and, in parallel, start the process of restoring the disturbed intestinal microflora. The drug "Ekofuril" will help to cope with both tasks. Active substance"Ekofurila" - nifuroxazide. Ecofuril is not absorbed and acts on the cause of diarrhea - microbes, only in the intestines, reduces the amount of toxins produced by pathogenic microorganisms, this provides an improvement general condition person with diarrhea. The prebiotic lactulose, an excipient of the drug, creates a breeding ground for the growth of its own beneficial bacteria in the intestine. Capsules or suspension "Ecofuril" are recommended to be taken for 5-7 days, but even after the end of the intake medicinal product the action of the prebiotic continues and therefore does not require additional courses of pro- and prebiotics in recovery period. Ecofuril® for children over 3 years old and adults is available in capsules, and for children aged 1 month to 3 years - in the form of a suspension with a banana flavor. This medicine is not recommended during pregnancy and you should consult your doctor.

To avoid dehydration, it is important to follow these rules:

1. Drinking plenty of water is the basis of the treatment of diarrhea, because without it, all other drugs will be ineffective.
2. Drink more fluids immediately after the onset of diarrhea.
3. It is allowed to drink such drinks with diarrhea: ready-made saline pharmaceutical solutions (Rehydron), rosehip broth, raisin compote, chamomile decoction.
4. It is forbidden to drink juice, milk, soda, sweet tea with diarrhea.
5. It is necessary to drink after each act of defecation.
6. The amount of liquid you drink should be approximately 150 to 300 ml at a time.
7. If there is vomiting and diarrhea, then you should drink in small sips, otherwise heavy drinking in one gulp can provoke a vomiting attack.
8. It is not necessary to eat during diarrhea, it is important to drink a lot, but if the patient wants to eat, then you should not refuse him.
9. BRYAS - the optimal diet on the first day of diarrhea - banana - rice - apple (baked) - crackers.

note: when there is relief in the patient's condition, then from the 2nd or 3rd day it is already possible to introduce meat and yogurt into the diet, but low-fat, as well as cereals and pasta.

What to do at home with diarrhea

If diarrhea occurs, general medical prescriptions should be followed, which will alleviate the patient's condition, improve the functioning of the gastrointestinal tract. They include:

1. Refusal to eat certain foods (fatty meat, eggs in any form, milk, hot spices, soda, cabbage, cucumbers, radishes).

Diarrhea is not a disease, but a symptom that can be caused various reasons. Usually the causes of diarrhea are quickly found out. Diarrhea is often accompanied by abdominal cramps or high fever.

In adults, diarrhea is rarely dangerous. In children different ages and in the elderly, diarrhea can cause, which can lead to serious consequences.

The reasons

Causes of chronic diarrhea can be:

Symptoms

Adults can try to cope with the problem on their own if too frequent stools are noted, without an increase in body temperature and with good general health. Be sure to consult a doctor if diarrhea occurs after a trip to Africa, Asia and other remote regions, or if the cause of diarrhea is exotic food, water from unknown sources, incl. ponds and wells.

At high temperature body, nausea, vomiting, with blood in the stool, as well as with the appearance of a severe constant (more than 2 hours), you should immediately seek medical help.

Complications

• dehydration (dry lips and tongue, feeling thirsty, rapid breathing, infrequent urination).

What can you do

Drink plenty of fluids, preferably warm or room temperature (water, broth). Avoid alcohol, coffee, milk and fruit juices. If diarrhea is baby continue to breastfeed him. Replace cow's milk with clean water when formula-fed. You need to drink in small portions, in small sips.

Do not eat if you have no appetite, indigestion or abdominal cramps.
When the appetite returns, it is recommended to eat bananas, rice, dried white bread, processed cereals (oatmeal, for example), potatoes, boiled or baked vegetables, lean meat in small quantities.

Until the intestinal condition is completely normal, avoid fresh fruits, green vegetables, alcohol, fatty, spicy and fried foods.

With prolonged diarrhea, especially accompanied by weight loss, you should immediately consult a doctor.

If needed, over-the-counter antidiarrheal medications can be used for temporary relief. However, these funds are not recommended for use for a long time, because. they can increase the duration diarrhea or cause more serious damage. (Warning: Products containing salicylate may temporarily darken the tongue or stool.)

Talk to your doctor if you think diarrhea may be related to a drug you are taking. Diarrhea is a common side effect of nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, and antidepressants.

Seek immediate medical attention if diarrhea persists for more than 2 days in children and more than 5 days in adults, or if there are signs of dehydration, severe abdominal cramps or pain, or dark, bloody, or mucous stools. Infants and the elderly with any of the above symptoms should be taken to the hospital.

What can a doctor do

In most cases, diarrhea resolves on its own within 2 days. If a liquid diet doesn't help, your doctor may prescribe drugs to slow down your bowel movements. However, these drugs are not recommended for children.

The doctor must determine and eliminate the cause of the diarrhea. If necessary, refer you to a hospital for tests and treatment.

Preventive measures

Wash your hands after going to the toilet, changing your baby, and before eating. Hands should be washed with warm water and soap. After cooking, especially if you have handled raw meat, be sure to wash your hands thoroughly.

Be careful with food. Unpasteurized dairy products, eggs, poultry, and meats can contain bacteria that cause diarrhea and other gastrointestinal problems. The meat must undergo a complete heat treatment. Wash cutting boards and knives thoroughly.

Do not eat unpasteurized dairy products, especially those of unknown origin. Do not leave cooked food in the heat for a long time, because. this can lead to the growth of dangerous bacteria.

If you have diarrhea, you should not work as a cook, waiter, etc. until the diarrhea is completely gone.

If you are traveling, do not drink raw water or any unpurified water, especially of unknown origin. It is better to drink water from well-known manufacturers, packaged in bottles or jars. To purify local water, it must be boiled for 15 minutes, you can also add tablets or drops and chlorine or use a special filter. When using chlorine and iodine tablets, read the instructions carefully and follow them.

Also, in no case should you eat unwashed fruits and vegetables (it is advisable to wash them only in clean water and very carefully, or even better, peel them). Avoid fruits such as melons, which are often pumped with water from the inside to increase their weight.

Do not take loperamide for invasive diarrhea (i.e. diarrhea with blood or pus).

Despite various prohibitions and restrictions, loperamide is useful in the treatment of a number of diarrheas:

• hyperkinetic diarrhea: irritable bowel syndrome, "bear disease" (nervous diarrhea due to stress - for example, at a wedding, etc.), but doses should be minimal,
• secretory diarrhea,
• Crohn's disease,
• in complex treatment diarrhea during chemotherapy malignant tumors etc.

In other cases, it is better to avoid loperamide or at least consult a specialist.

Loperamide is available in capsules 2 mg. The instructions recommend taking 2 capsules first, and then 1 capsule after each. liquid stool. However, practice shows that in mild cases, more than 1 capsule is not required, otherwise constipation will occur for 1-3 days. The maximum permitted dose is 8 capsules per day.

Galavit for the treatment of intestinal infections

In the late 1990s, a safe and effective universal anti-inflammatory immunomodulator was created in Russia. Galavit. Among the many indications for use - treatment of any infectious diarrhea accompanied by elevated temperature and symptoms of toxicity weakness, headache, dizziness, nausea, vomiting, palpitations). Galavit normalizes the activity of hyperactive macrophages, reduces excessive inflammatory response and accelerates recovery.

Galavit well compatible with others medicines(including with traditional treatment intestinal infections), is well tolerated and has a minimum side effects(rarely allergic). It is safe and allowed healthy people except for pregnancy and breastfeeding. Galavit is not recommended for children under 6 years of age, because. they did not check.

Clinical studies of Galavita with diarrhea were carried out in adults and children over 12 years of age with intramuscular injection according to the scheme: 200 mg once, then 100 mg twice a day until the relief (disappearance) of the symptoms of intoxication. However, oral administration is more convenient and in a safe way treatment.

Galavit

Dosage forms for treatment with Galavit:

• adults and children over 12 years old: 25 mg tablets, 100 mg ampoules, 100 mg rectal suppositories;
• children 6-12 years old: ampoules of 50 mg, rectal suppositories of 50 mg, there are no tablets with a "child" dose;
• children under 6 years of age: not indicated.

In acute intestinal infections, the initial dose of Galavit for adults and children over 12 years of age is 2 tab. 25 mg once, then 1 tab. 3-4 times a day until symptoms disappear intoxication within 3-5 days (but usually one day of admission is enough). Please note that Galavit tablets should be placed under the tongue (!) and kept there until completely dissolved (10-15 minutes). In children 6-12 years old, intramuscular injections or rectal suppositories are used at a dose of 50 mg.

So, with acute diarrhea no temperature and symptoms of intoxication (weakness, nausea, vomiting, headache, palpitations, etc.) RECOMMENDED (adult dosages):

1. 1 sachet per 0.5 glass of water 3 times a day in breaks (!) between meals and other medicines for 2-4 days,
2. enterol 1-2 capsules morning and evening 1 hour before meals with a small amount of liquid for 7-10 days.

For diarrhea with elevated temperature and symptoms of intoxication to the above treatment need add:

• necessarily - galavit under the tongue, 2 tablets. once, then 1 tab. 3-4 times a day until the symptoms of intoxication disappear for 3-5 days,
• optional - inside 200 mg every 6 hours for 3 days.

With large losses of fluid, it is necessary rehydration:

• or dissolve in clean water according to the instructions and drink often, but little by little. However, if the patient has repeated vomiting that does not allow the ingestion of fluids, you should call ambulance and go to the hospital.

If you are clearly something got poisoned, you feel sick, before taking medication it is desirable gastric lavage(drink 1 liter of warm water, then bend over and press your fingers on the root of the tongue; then the whole procedure can be repeated). If the cause of nausea is food poisoning, after gastric lavage, you will immediately feel relief. After that, you can take the enterosorbent inside ( smecta, polyphepan, enterosgel, atoxil, polysorb).

If a after 3 days your diarrhea persists, you should consult your doctor to determine its cause. Remember that diarrhea can be a sign of quite serious and even fatal diseases (even with some forms of cancer). If a chronic diarrhea(lasts more than 3 weeks), you should immediately go to the doctor, be examined and find out the cause. It is highly desirable to remember after which it arose, this will help to choose the right treatment. For example, if after taking antibiotics, then it should be treated as dysbacteriosis.

AVOID the following medications unless absolutely necessary:

• Activated carbon- it is ineffective and outdated drug;
• - relieves symptoms of diarrhea, but does not cure. When intestinal infection loperamide enhances self-poisoning of the body. It is forbidden to small children and is dangerous for infectious diarrhea. Reception of loperamide is possible only with chronic diarrhea after consultation with a doctor (for example, after removal of the gallbladder, irritable bowel syndrome, etc.). Take it for severe diarrhea only in emergency situations or if you are well aware of what you are doing;
• antibiotics and antibacterial drugs - they should be taken as prescribed by a doctor, since they themselves can cause diarrhea due to dysbacteriosis. Allowed Exception - .

Diarrhea is usually treated at home. Need to see a doctor in the following cases:

• no effect of treatment for more than 3 days,
• diarrhea developed in a child under one year old or in an old (debilitated) person,
• diarrhea is accompanied by a temperature above 38 ° C (the aforementioned Galavit is highly effective in these cases),
• occurrence unclear adverse reactions for treatment ( allergic rash on the skin, irritability, sleep disturbances, yellowness of the skin and sclera, dark urine, etc.),
• worried about constant stomach ache,
• (!) black stool (tar type) may indicate bleeding from the upper gastrointestinal tract,
• (!) vomiting dark brown masses or with impurities of fresh blood is possible with bleeding from the stomach or esophagus,
• (!) observed impaired consciousness or severe dehydration(dry mouth, weakness, dizziness, cold skin, little and dark urine strong smell, wrinkled skin and sunken eyes).

In the last three cases (!) you need not just to see a doctor, but immediately call an ambulance and be prepared to send the patient to the hospital.

Prevention of acute intestinal infections

Wash everything in a row: vegetables and fruits, hands after using the toilet and before eating. Use clean water and fresh produce.

Use the refrigerator and freezer - bacteria multiply more slowly in the cold. True, there is one exception - salmonella feel great on chicken eggs in the refrigerator.

In the home first aid kit, in the country and on long trips, have (per 1 person):

• smecta (5 sachets),
• enterol (bottle of 30 capsules or more),
• galavit (plate for 10 tablets),
• rehydron or gastrolith,
• loperamide (2 capsules for emergency cases).

To prevent diarrhea when traveling or during antibiotic therapy, it is recommended to take Enterol 1-2 capsules daily in the morning during the entire trip or taking antibiotics.