Egypt – Careful What You Eat And Drink
- Image by Brooklyn Museum via Flickr
Montezuma's revenge. Tourista. Tut's tummy. They are all euphemisms for a common ailment that travelers may encounter.
Every year, between 20 and 50 percent of international travelers - an estimated ten million Americans-develop travelers' diarrhea (TD). Onset usually takes place during the first week of travel, but can happen at any time during the trip-even after returning home. High-risk destinations are the developing countries of Latin America, Africa, the Middle East and Asia. Individuals at especially high risk for developing complications associated with TD consist of young adults, immunosuppressed people, individuals with inflammatory bowel disease or diabetes, and people taking H-2 blockers or antacids.
TD is most generally brought on by E coli and other bacteria. The majority of diarrhea-causing bacteria are spread through the water and food supply. Luckily, being careful with regards to what you eat and drink can assist reduce your risk of acquiring TD, probably the most common reason that travelers cut their vacations short.
For travelers in high-risk areas, one treatment option is a nonsystemic, gastrointestinal (GI) selective antibiotic called Xifaxan (rifaximin) tablets 200 mg. These tablets have been approved by the FDA for treatment of patients >12 years old with TD caused by noninvasive strains of E coli. Xifaxan has been used for over 19 years in other countries with over 500 million tablets prescribed throughout the world.
"Treating travelers' diarrhea can make the difference of feeling better in a day, versus missing out on a few days of your trip," said Bradley Connor, M.D., immediate past president, International Society for Travel Medicine.
Before traveling, contact your physician or go to a travel clinic. Along with taking a prescription for Xifaxan with you while traveling, travelers can reduce their risk for TD by practicing several preventative actions.
"While TD is usually just disruptive to a vacation, there's evidence to suggest that a few afflicted with TD might develop a much more serious condition referred to as post-infectious irritable bowel syndrome," added Connor. "It is best to plan in advance, take a few precautions and think about health issues before you decide to travel."
If you find yourself troubled with diarrhea, drink plenty of clear liquids to replace lost fluids and electrolytes.
Note to Editors: Essential Safety Information-XIFAXAN (rifaximin) tablets are indicated for the treatment of patients (>12 years of age) with travelers' diarrhea brought on by noninvasive strains of Escherichia coli. XIFAXAN should not be utilized in patients with diarrhea complicated by fever or blood in the stool or diarrhea due to pathogens other than Escherichia coli. XIFAXAN ought to be stopped if diarrhea symptoms get even worse or persist greater than 24-48 hours and alternative antibiotic therapy ought to be taken into consideration.
In clinical trials, XIFAXAN was usually well tolerated. The most common side effects (vs. placebo) were flatulence: 11.3% (vs. 19.7%), headache: 9.7% (vs. 9.2%), abdominal pain: 7.2% (vs. 10.1%) and rectal tenesmus: 7.2% (vs. 8.8%)
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