{"id":59782,"date":"2023-07-11T15:40:51","date_gmt":"2023-07-11T07:40:51","guid":{"rendered":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/?post_type=health-article&#038;p=59782"},"modified":"2026-01-07T22:11:31","modified_gmt":"2026-01-07T14:11:31","slug":"diarrhoea-not-an-ideal-weightloss-option","status":"publish","type":"health-article","link":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/health-articles\/diarrhoea-not-an-ideal-weightloss-option\/","title":{"rendered":"Diarrhoea &#038; Vomiting; Not an Ideal Weightloss Option!"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"59782\" class=\"elementor elementor-59782\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ebebf4 e-con-full e-flex e-con e-parent\" data-id=\"2ebebf4\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-037773e elementor-widget elementor-widget-text-editor\" data-id=\"037773e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Unless you follow a scarily restricted diet, everyone at some point will have come down with a bout of D&amp;V, the physician\u2019s label for the symptom complex of diarrhoea and vomiting. \u00a0<\/p><p>The basic principle is that the body has ingested something it does not want, and is proceeding to expel it \u2013 through whichever orifice is nearest. What this \u2018something\u2019 is does not matter from the body\u2019s point of view. Out it goes anyway!\u00a0\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5997497 elementor-widget elementor-widget-spacer\" data-id=\"5997497\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc06eec elementor-widget elementor-widget-heading\" data-id=\"fc06eec\" data-element_type=\"widget\" id=\"subtopic01\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h3 class=\"elementor-heading-title elementor-size-default\">Not just from bad food<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a3f0b9 elementor-widget elementor-widget-text-editor\" data-id=\"1a3f0b9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Sometimes (usually) this process is self-limiting, and ceases once it has accomplished its task. However, both vomiting and diarrhoea cause loss of sodium. If the sodium level drops, it causes diarrhoea and vomiting. This was the vicious cycle which caused so many to die from cholera in the past.\u00a0<br \/><br \/>There are three main classes of infective organism contributing to \u201cfood poisoning\u201d \u2013 viruses, bacteria, and protozoa. They do not necessarily come onboard via food, but also arrive from touching an unclean surface. This is why washing hands and not biting fingernails are good practice.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5ababf elementor-widget elementor-widget-image\" data-id=\"d5ababf\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.columbiaasia.com\/vietnam\/sites\/default\/files\/health-article\/ha-diarrhoea-vomiting-1.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a05dfa1 elementor-widget elementor-widget-spacer\" data-id=\"a05dfa1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f140e2 elementor-widget elementor-widget-text-editor\" data-id=\"0f140e2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>As with other infection types, viruses are by far the most common cause of D&amp;V. Bacteria include salmonella, shigella, Campylobacter and some subspecies of E Coli. Botulism is a rare and rather nasty subtype. Protozoans are represented by Giardia and Entamoeba.\u00a0<\/p><p>The different organisms do vary in presentation, but not with any degree of consistency. An \u201cOh my God, please kill me now!\u201d cramping with intense double barrelled simultaneous fluid expulsion is a hallmark of amoebic dysentery but is also not beyond a norovirus. A brief 24-hour bout of vomiting that resolves simultaneously can turn out to be salmonella.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e9e0bc elementor-widget elementor-widget-spacer\" data-id=\"7e9e0bc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9bfaead elementor-widget elementor-widget-heading\" data-id=\"9bfaead\" data-element_type=\"widget\" id=\"subtopic02\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Managing D&amp;V<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d6bbb1 elementor-widget elementor-widget-image\" data-id=\"5d6bbb1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"836\" height=\"400\" src=\"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/07\/ha-diarrhoea-vomiting-2-1.png\" class=\"attachment-large size-large wp-image-59795\" alt=\"\" srcset=\"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/07\/ha-diarrhoea-vomiting-2-1.png 836w, https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/07\/ha-diarrhoea-vomiting-2-1-300x144.png 300w, https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/07\/ha-diarrhoea-vomiting-2-1-768x367.png 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-04e3c8c elementor-widget elementor-widget-spacer\" data-id=\"04e3c8c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3bb2dd elementor-widget elementor-widget-text-editor\" data-id=\"a3bb2dd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Management of D&amp;V is pragmatic. The expulsion process is the body\u2019s idea of cure, so it is not a good idea to get in its way. Unless you are about to give an important lecture, or stuck on a long coach journey without an onboard toilet, then avoid Imodium and its cousins. By lengthening the contact time in the gut, they give the hostile organisms more time to get on board. The main objective is to replace what is being lost via electrolyte solutions. Clear fluids (you can see your fingers through the glass) are beneficial. Denser fluids should be avoided. Cow\u2019s milk should especially be avoided, since it contains a protein that the body thinks is norovirus.<\/p><p>Most of the time, clear fluids and patience is all that is required. Pathogens will be expelled within the first 24 hours or so and symptoms settle, with maybe a few loose stools as the bowel flora recovers from the disruption.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b73a650 elementor-widget elementor-widget-spacer\" data-id=\"b73a650\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae3b988 elementor-widget elementor-widget-heading\" data-id=\"ae3b988\" data-element_type=\"widget\" id=\"subtopic03\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">More investigation<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32cdad3 elementor-widget elementor-widget-text-editor\" data-id=\"32cdad3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>If things are not settling, then it is stool sample time (the fresher the better). Microscopy will show the presence or absence of blood cells, white cells, ova and parasites. This will let the clinician identify the various possible intruders. More recently PCR technology has given us the stool panel. This is not an avante garde house furnishing, but is instead a set of tests that precisely identifies the causative organism, right down to its shoe size in some of the more extensive ones. \u00a0<br \/><br \/>Treatment is simple, though not necessarily pleasant. The bacterial infections generally respond to Ciprofloxacin or Azithrmomycin \u2013 although some resistance can develop. Amoeba and Giardia require Metronidazole or Tinidazole \u2013 both of which demand complete abstention from alcohol. \u00a0<br \/>Enjoy those raw oysters!<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f49545d elementor-widget elementor-widget-spacer\" data-id=\"f49545d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-390626b elementor-widget elementor-widget-text-editor\" data-id=\"390626b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em>Dr Julian Martin Chadwick &#8211; Internal Medicine Physician<br \/>Columbia Asia Hospital &#8211; Saigon<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Unless you follow a scarily restricted diet, everyone at some point will have come down with a bout of D&#038;V, the physician\u2019s label for the symptom complex of diarrhoea and vomiting.  <\/p>\n","protected":false},"author":11,"featured_media":59784,"template":"","topic":[95],"language":[137],"class_list":["post-59782","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-general","language-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article\/59782","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article"}],"about":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/types\/health-article"}],"author":[{"embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/users\/11"}],"version-history":[{"count":14,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article\/59782\/revisions"}],"predecessor-version":[{"id":59965,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article\/59782\/revisions\/59965"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/media\/59784"}],"wp:attachment":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/media?parent=59782"}],"wp:term":[{"taxonomy":"topic","embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/topic?post=59782"},{"taxonomy":"language","embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/language?post=59782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}