HomeAnswersFamily Physiciantraveler's diarrheaDo I need to worry about traveler's diarrhea?

I had diarrhea for one week after shifting to a different country. Is it common?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At February 26, 2022
Reviewed AtJuly 3, 2023

Patient's Query

Hello doctor,

I got diarrhea two weeks back, and it did not settle for a week, followed by constipation for four days. I also experienced nausea a couple of times which lasted for a short period and a mild headache. After two weeks, I had a mild dry cough for a day and a wet cough the next day with head congestion. I did not experience any fever. Kindly help me with a diagnosis.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern. To guide you better, I would like to know,

1) The medications you took to control the initial episode of diarrhea.

2) The symptoms you experience at present.

3) The medicines you are taking right now.

4) If any laboratory tests were performed.

Kindly revert with the answers.

Thanks.

Patient's Query

Hello doctor,

Thank you for the reply,

I took the following medicines.

For diarrhea,

1) Tablet Loperamide Hcl 2 mg.

2) Tablet Simethicone 125 mg.

For constipation,

1) Lactulose.

For cough and congestion,

1) Tablet Ondansetron Hcl 4 mg.

2) Tablet Dipyrone Monohydrate 500 mg.

3) Tablet Caffeine 30 mg.

4) Tablet Chlorpheniramine Maleate 2 mg.

No laboratory tests were done as I assumed it to be travelers diarrhea since I recently shifted to a new country. I was concerned as it is very unusual for me to get sick like this and as it lasted for a long time. I am not taking any medicines right now and feel fine otherwise.

Hi,

Welcome back to icliniq.com.

I am sorry you had such discomfort.

Loperamide is an antimotility medicine that controls diarrhea by reducing motility. It is usually prescribed for noninvasive diarrhea, mild traveler's diarrhea, etc. You developed constipation as a possible side effect of Loperamide and had to take Lactulose. Other medicines you have mentioned are antihistamines for the dry cough you experienced. Ondansetron is usually given for nausea and vomiting. The minor symptoms like diarrhea, dry cough, mild headache, etc., could be due to environmental change. These symptoms are not alarming, and you do not have to worry as you are asymptomatic right now, which is a good sign.

I suggest you maintain hygiene and take other preventive precautions to deal with the new environment.

I need more information on,

1) If you are facing any symptoms at present.

2) Any other symptoms you would like to mention?

3) When was your travel to the new country?

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply,

I shifted in the second week of last month. I am no stranger to this country, but it has been a while since I have been here, and I have never had this before.

As for the symptoms, It is just congestion, and I have just started taking the medicines I mentioned to you about.

Hello,

Welcome back to icliniq.com.

As mentioned, you have only congestion as a symptom and no fever.

Please revert if you experience any of the following symptoms, as congestion can be due to various reasons, and the associated symptoms guide us towards a possible differential diagnosis.

1) Do you have breathing difficulty?

2) Do you have a sore throat?

3) Do you have body ache, tiredness, smell, or taste changes?

4) How is the COVID situation in your area?

5) Any possible contact with COVID confirmed patient?

And it would be better if you could get the COVID RAT (rapid antigen test) or RT- PCR (reverse transcription-polymerase chain reaction) test done.

Thanks.

Patient's Query

Hello doctor,

Thank you for the reply,

As of today, I have congestion and a stuffed nose while lying down. No relevant symptoms such as fever, breathing difficulty, body ache, tiredness, sore throat, smell, or taste change, and no contact with a COVID patient that I am aware of. There is flu going around at present. I will have to get a COVID test done later this week.

Hello,

Welcome back to icliniq.com.

Nasal congestion with blockage is one of the symptoms of URT (upper respiratory tract) infections like a common cold, flu, etc. It can also be due to allergy, sinus problems, environmental irritants, etc., which can be ruled out with a proper medical history.

As you mentioned, you are asymptomatic otherwise and already on medications for it. I would suggest you try steam inhalation, warm compress, nasal spray, etc., and get tested for COVID-19.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basuki Nath Bhagat
Dr. Basuki Nath Bhagat

Family Physician

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