DYSENTERY
Dysentery is defined as the passage of blood and excessive
mucus in stool. If it usually associated with abdominal pain and diarrhea although
these may be absent. There are two main groups of micro-organisms causing dysentery.
These are: 1. Bacteria like the shigella organisms and
2. Protozoa especially Entamoeba histolytica (belonging
to the Amoeba group studied in secondary school Biology).
MODE OF ENTRY
These organisms usually enter into
the body through eating with unwashed hands, eating improperly cooked foods
like vegetables or unwashed fruits and sometimes through drinking contaminated
water. Contamination of uncovered food by this and eating badly-preserved foods
which have been cooked for a long time also form important ways of acquiring dysentery
causing organisms.
PRODUCTION OF DISEASE
The ingested organisms when
swallowed pass through the stomach into the intestines. Invasion of the intestinal
wall and their resulting information leads to sloughing of the inner most
layers, leading to the bloody mucous stool observed. Excessive contraction of
the intestinal muscles given rise to the abdominal pain and the diarrhea frequently
observed.
TREATMENT
Most cases of dysentery are due to
bacteria, the first group mentioned above. This is usually treated by gut
anti-bacterial drugs like Thalazole, mexaform and Entero-Sediu to name a few. The
usual adult dose is four tablets immediately followed by four times a day
usually for two to three days: children take doses proportional to their ages. Dysentery
due to protozoa do not respond to this simple treatment and must be treated by a
qualified medical personnel. So if the features of dysentery persist after the
above treatment you must go to the hospital immediately.
PREVENTION
This is very important as it would
save you from not only dysentery but all the other diseases borne very deadly
acquired through eating germs e.g. Typhoid Fever, Cholera, and so on.
TO AVOID DYSENTRY
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Wash hands after going to the toilet and always before
eating.
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Avoid putting fingers or other objects in your mouth.
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Wash freh fruits like mangoes well before eating
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Do not defecate in open places; all human feces must be
well disposed off and kept away from flies.
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Keep all foods well covered
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Don’t eat foods cooked for a long time except if well-preserved
in a refrigerator.
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