Cholera : Symptoms, Causes and Treatment

 What is Cholera?

 It is normally dehydration that leads to death from cholera, so the most important treatment is to give an oral hydration solution (ORS), also known as oral rehydration therapy (ORT).

The treatment consists of large volumes of water mixed with a blend of sugar and salts.

Prepackaged mixtures are commercially available, but widespread distribution in developing countries is limited by cost, so homemade ORS recipes are often used, with common household ingredients.




Severe cases of cholera require intravenous fluid replacement. An adult weighing 70 kilograms will need at least 7 litersTrusted Source of intravenous fluids.

Antibiotics can shorten the duration of the illness, but the WHO does not recommend the mass use of antibiotics for cholera, because of the growing risk of bacterial resistance.

Anti-diarrheal medicines are not used because they prevent the bacteria from being flushed out of the body.

With proper care and treatment, the fatality rate should be around 1 percent




     Cholera is an infectious disease that causes severe watery diarrhea, which can lead to dehydration and even death if untreated. It is caused by eating food or drinking water contaminated with a bacterium called Vibrio cholera.

Cholera was prevalent in the U.S. in the 1800s, before modern water and sewage treatment systems eliminated its spread by contaminated water. Only about 10 cases of cholera are reported each year in the U.S. and half of these are acquired abroad. Rarely, contaminated seafood has caused cholera outbreaks in the U.S. However, cholera outbreaks are still a serious problem in other parts of the world. The World Health Organization reports that there are 1.3 million to 4 million cases each year.




Cholera Causes :

    A bacterium called Vibrio cholerae causes cholera infection. The deadly effects of the disease are the result of a toxin the bacteria produces in the small intestine. The toxin causes the body to secrete enormous amounts of water, leading to diarrhea and a rapid loss of fluids and salts (electrolytes).

Cholera bacteria might not cause illness in all people who are exposed to them, but they still pass the bacteria in their stool, which can contaminate food and water supplies.




Contaminated water supplies are the main source of cholera infection. The bacterium can be found in:

Surface or well water. Contaminated public wells are frequent sources of large-scale cholera outbreaks. People living in crowded conditions without adequate sanitation are especially at risk.

Seafood. Eating raw or undercooked seafood, especially shellfish, that comes from certain places can expose you to cholera bacteria. Most recent cases of cholera in the United States have been traced to seafood from the Gulf of Mexico.




Raw fruits and vegetables. Raw, unpeeled fruits and vegetables are a frequent source of cholera infection in areas where there’s cholera. In developing countries, uncomposted manure fertilizers or irrigation water containing raw sewage can contaminate produce in the field.

Grains. In regions where cholera is widespread, grains such as rice and millet that are contaminated after cooking and kept at room temperature for several hours can grow cholera bacteria.




Cholera Symptoms :

     The majority of people exposed to cholera never become ill. In most cases, you may never know you’ve been exposed.

Once you’re infected, you’ll continue to shed cholera bacteria in your stools for 7 to 14 days. Cholera usually causes mild to moderate diarrhea, like other illnesses.

One in 10 people who are infected will develop typical symptoms within 2 to 3 days after infection.




Common symptoms of cholera include:

sudden onset of diarrhea

nausea

vomiting

mild to severe dehydration

The dehydration caused by cholera is usually severe and can cause tiredness, moodiness, sunken eyes, dry mouth, shriveled skin, extreme thirst, reduced urine output, irregular heartbeat, and low blood pressure.

Dehydration may lead to loss of minerals in your blood. This can lead to an electrolyte imbalance. The first sign of an electrolyte imbalance is severe muscle cramps. An electrolyte imbalance can eventually lead to shock.




Children usually have the same cholera symptoms as adults. Children may also experience the following:

severe drowsiness

fever

convulsions

coma

Cholera rarely occurs in first-world nations. If you follow proper food safety practices, even in affected areas, the risk of infection is minor. Still, cholera continues to occur worldwide. If you develop severe diarrhea after visiting an area with a high rate of cholera, you should see a doctor.




Cholera Treatment :

      It is normally dehydration that leads to death from cholera, so the most important treatment is to give oral hydration solution (ORS), also known as oral rehydration therapy (ORT).

The treatment consists of large volumes of water mixed with a blend of sugar and salts.

Prepackaged mixtures are commercially available, but widespread distribution in developing countries is limited by cost, so homemade ORS recipes are often used, with common household ingredients.

Severe cases of cholera require intravenous fluid replacement. An adult weighing 70 kilograms will need at least 7 litersTrusted Source of intravenous fluids.




Antibiotics can shorten the duration of the illness, but the WHO does not recommend the mass use of antibiotics for cholera, because of the growing risk of bacterial resistance.

Anti-diarrheal medicines are not used because they prevent the bacteria from being flushed out of the body.

With proper care and treatment, the fatality rate should be around 1 percent.




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