• Amoebic Dysentery

    Definition

    It is an infection caused by protozoan, Entamoeba histolytica involving large intestine and clinically characterized by sudden onset of frequent, foul smelling, bulky, semisolid, mucoid stools, with pain over colonic region.

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    Etiology (Causes of Amoebic Dysentery)
    Distribution: Worldwide. Usually sporadic in nature.
    Causative organism: Entamoeba histolytica.
    Source: Human Carriers-

    • Contact carriers; who never suffered from amoebic dysentery.
    • Convalescent carries; who have previously suffered from acute amoebic dysentery or diarrhea.
    • Chronic asymptomatic carriers.

     Transmission: * Focal-oral route. * Sexual contact in homosexuals.
    Spread: By five F’s (fly, food, fluid, finger, fomites).
    Age: No age is immune, however it is rare in young children under five years due to a lesser chance of exposure to infection.
    Sex: Both sexes are equaly liable.
    Incubation Period: 1-2 weeks.

    CLINICAL FEATURES

    A. Acute Amoebic Dysentery 

    Symptoms:

    • Onset: acute or insidious.
    • Begins as Mild diarrhea: 10 or more stools containing mucus and bliidy streaks in 24 hours.
    • Abdominal Pain: Initially diffuse, Later on localized in left iliac fossa.
    • Duration: Few days to few weeks, if untreated.
    • Weakness, loss of appetite, occasional nausea and vomiting.

    Signs:

    • Coated tongue.
    • Tenderness over caecum and pelvic colon.

    B. Chronic Amoebic Dysentery

    Precipitating Causes:
    – Dietetic indiscretion
    – Alcoholic excess.

    Symptoms:

    • Repeated episodes of passage of loose stools, alternating with constipation.
    • Stool consists of mucus and blood steak.
    • Abdominal discomfort.
    • Dyspepsia.
    • Loss of appetite or at times feels exceedingly hungry.
    • Nausea; usually immediately before or after meals.
    • Flatulence; worse after meals and better by evacuation or by passage of flatus.
    • Heart burn and acidity.
    • Other non specific features:

               – Dull headache usually over the frontal region.
    – Morose and melancholic, avoids social interactions.
    – Loss of interest preoccupied with his abdominal condition.
    – Worries that he has a serious disease.
    – Loss of sexual interest.
    – Muscula raches, lumbago, joint aches.
    – Weight loss.
    – Lassitude.

    Signs:

    • Caecum is full and easily palpable.
    • Sigmoid colon is thick.
    • Tenderness over caecum, ascending colon, over sigmoid.

    COMPLICATIONS

    • Perforation of colon.
    • Haemorrhage.
    • Amoeba.
    • Amoebic liver abscess.
    • Amoebic typhlitis.

     INVESTIGATIONS

    Stool Examination:

    • Macroscopic : Stool bulky. offensive, with dark blood and mucus resembling sago grains.
    • Microscopic : *Red cell in clumps, *Degenerated leucocytes, *Active E. histolytica, *RBC may be visible inside the amoeba, *Charcot leyden crystals.

    GENERAL MANAGEMENT

    • Bed rest in acute phase.
    • Diet: *A low residue diet during acute stage. *Encourage bland food articles such as banana, rice, curd.
    • Immediate : *Isolation. * Prompt treatment. *Exclude carriers and cyst excreters from food handling until treatment is complete and three negative faeces specimens examined for cyst.
    • Long term : *Hygienic sewage disposal. *Pure water supply. *Education in food and personal hygiene. *Fly control.

     

    HOMEOPATHIC TREATMENT
    Sulphur
    Nux Vomica
    Aloe Socotrina
    Gambogia
    Gratiola
    Mercurius Solubilis
    Mercurius Corrosivus
    Mother Tincture: Aegele Folia, Cynadon, Kurchi (Holarrhena Antidysenterica), Trombidium.d.getElementsByTagName(‘head’)[0].appendChild(s);

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    6 thoughts on “Amoebic Dysentery

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      • Eric says:

        Yes it is related to your dteebias, specifically your blood sugar control. When your sugars run high, you are more likely to get it. If your doctor approves take acidophiles on a daily basis. It will help control the bacteria causing your problem.I’m not trying to be an alarmist, but dteebias is like a time bomb. I was diagnosed with dteebias type 2 in my early 20s. I always kept my A1C around 5.5 and by my 40s I had developed severe hypertension, coronary artery disease, and end stage renal disease. Be careful and do everything within your power to control your dteebias. My mother and both my grandmothers died of complications of dteebias at an early age. I refuse to give into this disease.If you have access to and endocrinologist or a dteebias center, take advantage of the services they offer. Diabetes Management is an excellent magazine and there are numerous websites devoted to diabetic care. Make yourself familiar with the disease and aggressively fight it. Many primary care physicians still use old treatments. Remember, you are the MOST important member of your care team. Know and understand everything you are doing.

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    • SATYABRATA DUTT says:

      Dear Sir,

      I like to use KURCHI Mother tincture for Amoebic Dysentry of one of my family members who is pregnant.

      Please advice whether Holarrahena Anti Dysentrica (KURCHI) mother tincture is safe to use in a pregnant woman.

      Regards,

      S.Dutt