Understanding Dysentery

A Patient's Guide to Causes, Symptoms, and Treatment

Gastroenterology

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Last updated: Mar 24, 2025

What is Dysentery?

Dysentery is a severe intestinal infection that causes inflammation of the intestines and intense diarrhea, often containing blood and mucus.

Types of Dysentery

  • Bacillary dysentery (Shigellosis)
    • Caused by Shigella bacteria
    • Most common form worldwide
  • Amoebic dysentery (Amoebiasis)
    • Caused by Entamoeba histolytica parasite
    • More prevalent in tropical regions

Common Symptoms

  • Severe diarrhea with blood or mucus
  • Intense abdominal cramping
  • High fever (up to 40°C/104°F)
  • Nausea and vomiting
  • Dehydration
  • Fatigue and weakness

Risk Factors

  • Poor sanitation and hygiene
  • Contaminated food or water
  • Travel to endemic areas
  • Crowded living conditions
  • Weakened immune system

Diagnosis

  • Stool sample analysis
  • Blood tests
  • Physical examination
  • Travel and exposure history

Treatment Options

Immediate Care

  • Fluid and electrolyte replacement
  • Oral rehydration therapy
  • Rest and dietary modifications

Medical Treatment

  • Antibiotics (for bacterial dysentery)
  • Antiparasitic medications (for amoebic dysentery)
  • Supportive care

Prevention

  1. Practice good hand hygiene
  2. Drink safe, treated water
  3. Eat properly cooked foods
  4. Avoid raw vegetables in endemic areas
  5. Maintain proper sanitation

When to Seek Medical Care

  • Severe diarrhea lasting >3 days
  • Blood in stool
  • High fever
  • Signs of dehydration
  • Severe abdominal pain

Complications

  • Severe dehydration
  • Electrolyte imbalance
  • Malnutrition
  • Kidney problems

Recovery and Follow-up

  • Follow prescribed treatment regimen
  • Maintain hydration
  • Gradual return to normal diet
  • Follow-up testing as recommended

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