If the diarrhoea has come on slowly or intermittently, then it is more likely to be , e caused by amoeba or giardia, and antibiotics will have no effect. These cases are best treated by a doctor as should anydiarrhoea continuing for more than 3 ere are severe stomach cramps, the following drugs may help: Loper a mide (Imodium, Arret) and Diphenoxylate with Atropine (Lomotil).The drug usually used for giardia or amoeba is Metronidazole (Flagyl) or Tinidazole (Fasigyu).

The linchpins of treatment for diarrhoea are rest, fluid and salt replacement, antibiotics such as Ciprofloxacin for the bacterial types, and special diagnostic tests and medical treatment for amoeba and giardia infections. Salmonella infections and cholera can be devastating diseases and it would be wise to get to a hospital as soon ` these were suspected. Fasting, peculiar diets and the consumption of large quantities of yoghurt have not been found useful in calming traveler’s diarrhoea or in rehabilitating inflamed bowels. Oral rehydration has, especially in children, been a lifesaving technique and as there is some evidence that alcohol and milk might prolong diarrhoea they should probably be avoided during, and immediately after, an attack. There are ways of preventing travelers diarrhoea for short periods of time when visiting these countries by taking antibiotics but these are ineffective against some extent, against protozoa. This technique should not be used other than in exceptional circumstances. Some preventatives such as Enter form can have effects if taken for long periods.

Sunburn & Sunstroke
The burning power of the tropical sun is phenomenal, especially in highland areas. Always wear a wide-brimmed hat, and use some form of sun cream or lotion on sunstroke normal temperate zone suntan lotions (protection factor of 7) are not much good. You need to use the types designed specifically for the tropics or for skiers, with a protection factor between 7 and 15 or higher. Glare cause conjunctivitis so wear sunglasses, particularly on beaches.

The are several varieties of heat stroke. the most common cause is severe d this by drinking lots of non-alcoholic fluid, and adding salt to your food.

Full acclimatization to tropical temperatures takes about two weeks and during this Heat & cold o feel relatively apathetic, especially if the humidity is high. Drink plenty of water (Up 15 litres a day are required when working physically hard in the sour food and avoid extreme exertion. Tepid showers are more cooling that hot or cold ones. Large hats do not cool you down but do prevent sunburn . Remember that, especially in highland areas, there can be a large and sudden drop in temperature between sun and shade and between night and day so dress accordingly. Loose-fitting cotton clothes are best for hot weather. Warm jackets necessary after dark at high altitude.

These can be a great nuisance. Some, of course, are carriers of serious diseases such as malaria, dengue fever of filariasis and various worm infections. The best way of keeping mosquito at night is to sleep off the ground with a mosquito net and containing Pyrethrum. Aerosol sprays or a 'flit gun' may be effective as are insecticidal tablets which are heated on a mat which is plugged into the wall socket your own, check the voltage of the area you are visiting so that you can that will work ; similarly, check that your electrical adaptor is suitable for the repllent plug; note that they are widely available in the region.

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