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How to deal with Diarrhoea

Updated on March 1, 2010

When you visit tropical countries like mine, you may sometime will deal with diarrhoea. Diarrhoea is the passing of watery stools more than four times a day. It is often a symptom of an infection or long-term condition.

The causes of diarrhoea in the tropics are many and include viral or bacterial infections, amoebas, food poisoning and worm infestation. In most cases, no medicine is needed. But I do take some immodium pills or some Chinese pills like po chai pills when I got the diarrhoea. The most important thing is to ensure the adequate fluid replacement with broths, sweetened drinks or oral rehydration solusions (Oralit - in my languange, the homemade version is 1/2 tsp. salt to 8 tsp. sugar in one litre of mineral water).

Diarrhoea can either be:
Acute: diarrhoea that comes on suddenly, and lasts for five to 10 days, or
Chronic: diarrhoea that lasts for more than two weeks.

If the person that suffer diarrhoea is able to eat, start with bland foods such as rice, crackers, bananas, and potatoes in small portion as soon as possible. Black and red tea without milk also helps. You have to stop the diary products, fried foods, sweets, chillies, and spicy foods for a moment if you experience diarrhoea.

Do we need to go to the doctor?

Yes, i think it's important to seek some medical helps if there is a rapid onset of bloody diarrhoea associated with high fever.

Yes, if you suffer "rice water" stools in very large volumes, it may be a sign of a serious illness, which requires immediate attention.

Yes, if you suffer diarrhoea that associated with vomiting. It can be serious. And if you cannot  hold down liquids, you may suffer dehydration as well. The most dangerous thing is if this happen to children.

Yes, if the diarrhoea lasts or more than 4 days and shows no signs of improvement or you appears significantly dehydrated (dry mouth, no urine or just little, and "loose" skin). Just seek for medical help if you experience this.

Extra attention for children

A baby or toddler will probably have diarrhoea and vomiting two or three times a year. As parents just be patient if you deal with this situation. Your child may be express some irritable behaviour and restless, and may be crying often. Diarrhoea is the self limiting disease, just make sure that your child won't be suffer some dehydration. It's okay to baby feed your child if the child get diarrhoea and keep feeding the child with baby food.

If you are living in tropical countries or just say you are living in Indonesia and have to giving birth in here, there are several vaccinations that have to scheduled for babies and infant. It is important to give vaccinations on time and not to double up on vaccinations either.

You may see this chart below :

Immunisation schedule

Immunisation Against
At birth - 1 Week
Hepatitis B
1 month
Hepatitis B, Tuberculosis
2 - 4 months
Diptheria, Pertussis & Tetanus,
Haemopphilus Influnzae type B,
3 - 5 months
Diptheria, Pertussis & Tetanus,
Haemophhilus Influenzae type B.
4 - 6 months
Diptheria, Pertussis & Tetanus,
Haemophhilus Influenzae type B,
6 - 8 months
Hepatitis B
9 months
12 months
13 - 15 months
15 months
Mumps, Measles, and Rubella
18 - 20 months
Diptheria, Pertussis, & Tetanus,
2 - 3 years
Typhoid Fever
2 - 3 years
Pneumococcal Infection
2 - 3 years
Meningitis and Septicaemia
2 - 3 years
Hepatitis A
3.5 - 4 years
Hepatitis A
4.5 - 6 years
Diptheria and Tetanus, Polio
5 - 6 years
Mumps, Measles, and Rubella
9 - 12 years
Hepatitis B, Diptheria, Pertussis,
Tetanus, Polio

Some tips to maintain good health in tropical countries

  • Get enough rest. Sleep well. Peak body renewal hours are 11 pm - 3 am, so adults as well as children should be sound asleep during those hours. Good quality 8 hours sleep is recommended.
  • Exercise regularly to build good body condition and stamina, body strength and immunity to help prevent illness and disease coming your way.
  • Eat plenty of fresh fruit and vegetables, especially those is season as they are full of essential nutritions.
  • Consume plenty of whole grains, and fibers. This will help to keep the digestive tract to function well.
  • Eat plenty of essential fatty food such as salmon, mackerel, herring, and tuna. Also some nuts and seeds.These fats are essential to the body on a daily basis for all body fuction.
  • Avoid refined carbohydrates and refined sugar, which lower immune function over a period of time.
  • Avoid tea, coffee, carton juices, and sugary drinks as they can inhibit the absorption of other nutritions.
  • Avoid fried food as it encourage "bad" bacteria to grow in the digestive system.
  • Allow relaxation time in your daily routine. Like massage, that will make you relax and help maintain the good blood circulation.
  • Once a week you may have a sauna to help the lymphatic system rid the body of accumulated toxins.
  • If necessary don't bring little child in the middle of crowds like malls during peak hours where people could have been sneezing and coughing.
  • Always wash your hand with sanitation soap after you've done with your outdoor activities.


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    • febriedethan profile image

      febriedethan 7 years ago from Indonesia

      vanidiana, of course, it's really a bad experience. Thank's for visitig!

    • vanidiana profile image

      vanidiana 7 years ago from Depok, Indonesia

      Thanks for sharing, it sure is very annoying when you have diarrhea!

    • febriedethan profile image

      febriedethan 7 years ago from Indonesia

      lovelypaper, thank's and have a great week end :)

    • lovelypaper profile image

      Renee S 7 years ago from Virginia

      Very good, hub. Helpful information.

    • febriedethan profile image

      febriedethan 7 years ago from Indonesia

      Lilian_sg, thank you :)

      Soni2006 and Aaron99, many thank's

      Hello, hello, yes, you're right, the flavonoid in dark chocolate is good for health and I believe that dark chocolate is also great for diarrhea. I remember one tablets that called norit in my languange, is made from charcoal and the color is black, but it really great for diarrhea too. Thank you for sharing your experience :)

    • Hello, hello, profile image

      Hello, hello, 7 years ago from London, UK

      I can tell from my own experience in India and Malaya that, and now you may get a surprise, dark chocolate were the best remedie. When our son was three we went to Malaysia and he had diarrhoea. Somebody told we to give dark chocolate. He barely had it down - it stopped. It natural and no chemical like tablets We do this ever since.

    • profile image

      AARON99 7 years ago

      A very informative hub, must say. Keep writing.

    • soni2006 profile image

      Rajinder Soni 7 years ago from New Delhi, India

      Excellent hub on treatment of diarrhea.

    • lilian_sg profile image

      lilian_sg 7 years ago from Singapore

      Useful tips to know!