Q: Dear Doctors
I have been traveling for 8 months and am now in Varanasi. I have had recurring problems with my digestion that has started to worry me in recent weeks. While in Nepal last month i experienced the worst gas of my life, which smelled distinctly sulphuric. This was accompanied by more than a week of intense diarrhea. The doctor at the local hospital was convinced i had giardiasis but when he took a fecal sample the results were negative. I took a course of ayurvedic medicine to combat giardiasis and the problem went away, only to return less than 2 weeks later, this time without the sulphuric smell. I have now had diarrhea for more than a week, waking up every morning with severe stomach pain until i go to the toilet. Can you advise me of what i should do? I don't speak enough Hindi to get myself properly understood at local hospitals, and i find these doctors do not have the time to listen to the history of my problems. i am worried i have a parasite or
some kind of contracted disease and do not know where to go to get this checked out. From Varanasi I plan to go north towards Rishikesh. Please can you advise me?
Many thanks,
A:
Hi,
I have been traveling for 8 months and am now in Varanasi. I have had recurring problems with my digestion that has started to worry me in recent weeks. While in Nepal last month i experienced the worst gas of my life, which smelled distinctly sulphuric. This was accompanied by more than a week of intense diarrhea. The doctor at the local hospital was convinced i had giardiasis but when he took a fecal sample the results were negative. I took a course of ayurvedic medicine to combat giardiasis and the problem went away, only to return less than 2 weeks later, this time without the sulphuric smell. I have now had diarrhea for more than a week, waking up every morning with severe stomach pain until i go to the toilet. Can you advise me of what i should do? I don't speak enough Hindi to get myself properly understood at local hospitals, and i find these doctors do not have the time to listen to the history of my problems. i am worried i have a parasite or
some kind of contracted disease and do not know where to go to get this checked out. From Varanasi I plan to go north towards Rishikesh. Please can you advise me?
Many thanks,
A:
Hi,
This is Dr Gupta, from TravelSafe Clinics.
Unfortunately I would be unable to diagnose your problem without a physical examination,
I would advise that you should consider getting a Stool Examination done CONSECUTIVELY for 3 days.
Send the reports by scanning them if there is any abnormality.
Treatment for Traveler's Diarrhea would be recommended in this situation.
A course of OFLOX-ORNIDAZOLE (FOLOX OZ) twice a day after food for 3 days may do wonder for your ailment.
Along with this I would recommend continuous use of a probiotic (good bacteria). ECONORM packets OR capsules 1-2 times a day THROUGHOUT your stay may prevent recurrent episodes of Delhi Belly as well !
Warm regards
Dr Gaurav Gupta, MD
Travel Health Specialist
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