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Preventing "Delhi belly" aka "old wives tales for preventing delhi belly"

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Preventing "Delhi belly" aka "old wives tales for preventing delhi belly"

Old 24th Jan 2008, 15:25
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Preventing "Delhi belly" aka "old wives tales for preventing delhi belly"

On a recent trip to Egypt we met a couple who had been advised by a doctor friend of theirs that he took an antibiotic when he visited India, which, he claimed, helped prevent the dreaded lurgi. They could not remember exactly the name of this but thought it was something like profaxycillin.

Anybody heard of/know anything about this?

UFO
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Old 24th Jan 2008, 16:47
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Firstly

Stick to boil bake it peel it or forget it!

Doesn't always work and hasn't for me this time.

You are talking about ciprofloxallin. I wouldn't take as a preventative, but if you get bacterial delhi belly it should clear it in 6-12 hours. You need 500 mg tablets taken twice daily for at least 5 days.

If it doesn't clear it, you may have picked up a parasite (Amoebic dsentry, Giardia etc) so seek medical advice. Good privae doctors here.

Hope this helps
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Old 24th Jan 2008, 17:25
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Thanks, 22/04, that may be the drug. Apparently the doctor advised my friends to get 250 mg instead of the normal 500 and take one daily as a preventative measure.

I have to say I stuck to similar rules as you quote in Egypt last week and neither self nor Mrs UFO sufferred from any problem. (But then everybody else seemed to dive for the fruit and salads, and I didn't hear of anybody with any problems either).

UFO
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Old 24th Jan 2008, 18:08
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Another tip I have been told is to eat a pot of 'local' yoghurt. Something to do with the bacteria in it.

Ll
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Old 24th Jan 2008, 18:57
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forget Delhi Belly--Rangoon Crutch is the real killer
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Old 24th Jan 2008, 19:22
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Apparently the doctor advised my friends to get 250 mg instead of the normal 500 and take one daily as a preventative measure
It is this type of irresponsible use of anti-biotics for every minor ailment which is leading to the appearance of drug resistant strains of assorted bugs - most visibly in the media recently is MRSA in UK hospitals...

Don't forget, your own body has a very effective built in immune system - keep it healthy and it'll look after you rather well without having to resort to the use of preventative drugs...
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Old 24th Jan 2008, 19:31
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Don't forget, your own body has a very effective built in immune system - keep it healthy and it'll look after you rather well without having to resort to the use of preventative drugs...
Great advice but dont forget to add, stay aawy for NHS hospitals and doctors surguries too
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Old 24th Jan 2008, 20:26
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Go for prevention - Acidophilus tablets

I can recommend taking Acidophilus tablets available from any good health shop/herbal remedy store. They contain the "good bacteria" which helps regulate the digestive system. This is more helping mother nature than chemical warfare with antibiotics.

I think they sell 2 types - check they dont have to be stored in the fridge if you are going to stay somewhere without a fridge available. The other type can be stored at room temperature.

Worked for me when on my first trip to India a few years back.

I would also agree on keeping to bottled water, no ice etc. advice too.
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Old 24th Jan 2008, 21:03
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Great advice but dont forget to add, stay aawy for NHS hospitals and doctors surguries too
Thats pretty good advice too...given those places (and not just NHS establishments,of course) are generally full of sick people they dont make great places to visit if you don't wish to catch some honking disease!
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Old 25th Jan 2008, 09:25
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Depends on your NHS hospital. My local one seems full of Indian lady cleaners whose whole idea seems to be that if they see a surface, they clean it! Doesn't matter that their colleague did the same an hour ago......
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Old 25th Jan 2008, 09:37
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Affirmative BHX_SLF, works well for me - you can even get pressed strawberry flavour tablets, I eat them like sweeties when I'm there. The theory is that bugs such as salmonella aren't destroyed by your stomach acid unlike most bacteria and grow very well on their own in your intestine which is normally "clean", bifidus and lactobacillus also survive stomach acid and provide effective competition, lowering the effect of the bad bugs substantially.

If you do perchance get a bad dose, the best thing to bring to treat it is charcoal, and if you don't have it, ask the locals as they have natural liquid cures of the "just drink it down, don't smell or taste it" variety that work very well and quickly - some great war stories of that variety from mates who were down there 15 years ago.
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Old 25th Jan 2008, 09:53
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As a semi-frequent visitor to Egypt, and having observed what is advised LOCALLY by medical professionals (and locals who deal with the general public - pharmacists, dive center operators, hotel "doctors", etc), their drug of choice is called ANTINAL. It is produced by a french company and is available over the counter for about 5LE (0.5GBP) for a pack of 12 capsules.

Antinal is described as an "Intestinal antiseptic", it is not an antibiotic and as such will not contribute to the generation of antibiotic resistant strains of bacteria (eg MRSA, VRSA etc). From experience, a single capsule if taken immediately on the onset of symptoms, can (not will) stop the trots dead.

Do a search for "Antinal" on www.tripadvisor.com and make your own mind up.

As an aside, upset stomachs in hot countries can also be caused by rapidly drinking large volumes of very cold liquid, the temperature shock to the stomach can trigger upsets. So when I now visit hot climates, I drink lots of fluid but "little and often - i.e. continually sip from a small bottle, not at fridge temperature".

Ingestion of local bacillus via yoghurt type foods is a sensible option, but I must confess, I do not do this.

If you do experience "delhi-belhi" or the like, rehydration powders should be started immediately, as you will rapidly lose electrolytes and have further problems.

Similarly, if you take over the counter medication, and it has not cleared up in 24/36 hours, do not hesitate to see a local medical professional.
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Old 25th Jan 2008, 13:56
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Guys,

I work out there often and I enjoy two immodium instants with my cornflakes every day and then lots of post dinner (back at hotel) sweet stuff and it works a charm.

Go to a camping shop and get some mini loo rolls to carry in your bag / backpack for that unexpected urge to ablute with the locals.
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Old 26th Jan 2008, 09:05
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I work out there often and I enjoy two immodium instants with my cornflakes every day and then lots of post dinner (back at hotel) sweet stuff and it works a charm.
This appears to be seriously bad health advice. Work it might. Good for you?....
Immodium, or any other "stopper", should be used as a last resort if you have to travel with the trots.
Definitely shouldn't be taken as a preventative.
What the body wants to expel, should be expelled.

I'd go with the yoghurt/sensible food hygiene/charcoal type posts above.
Definitely would not take antibiotics, unless required after the fact. You'll just wreck your internal flora.
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Old 26th Jan 2008, 09:51
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Perhaps you should have spotted the tongue in the cheek there.....if you're logging on to a pilot's rumour board for health advice might be the wrong place perhaps !'
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Old 26th Jan 2008, 10:57
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last trip to New Delhi, I "survived" a four night business trip by eating the bananas on the breakfast buffet, and drinking bottled water. Not much of a diet, but I did come away unscathed, and with my underwear unsoiled.
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Old 26th Jan 2008, 16:25
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Was given this tip years ago to cure the runs and stomach discomfort....
Two fingers/good measure of creme demonth mixed with (50-50%) chocolate flavoured milk. Guarantee you'll feel better (taking sips) before you finish the glass.

Works 100%

Daz
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Old 26th Jan 2008, 17:51
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Originally Posted by 22/04
You are talking about ciprofloxallin
Ciprofloxacin is the actual drug name. As a pharmacist i wouldn't recommend taking it as a prevention. Sticking to basic food hygiene when abroad will serve you better
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Old 26th Jan 2008, 21:50
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This thead should be re-titled 'old wives tales for preventing delhi belly'

Personally speaking I would never take the collection of drugs which has been suggested. I think our friend the pharmacist, JonF, offers the best advice when suggesting that we practice basic food hygene.

My organisation offers us basic advice when travelling to certain regions, this is along the lines of never drink the local water or eat anything which may have been washed in the local water without being cooked (salads etc) Also wash your hands thoroughly before and after eating, not all illnesses abroad are in the food. Lastly, and most importantly, be prepared if you do fall ill.
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Old 26th Jan 2008, 22:36
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Having suffered a bad case, mine was not Delhi-belly, but the equivalent, in Madras (today's Chennai) - I had to suffer a flight from Madras, to Bombay, to Bahrain then Frankfurt, logging more time on the toilet seat than the LHS, then a horrible night in a hotel, again, more on my toilet than in my bed, then a positioning flight to base, JFK, and finally, dead tired return home to LAX.
xxx
Arriving home in Los Angeles, I went to a hospital facility. The MD on duty did not know how to handle me. He finally directed me to another MD's practice, a certain Dr. Patel... (oh... Patel, Indian name... who was specialist of tropical diseases).
xxx
I got cured within 2 days or so, thanks to that MD... I remember what he told me as well - "When you get sick overseas, see a specialist there immediately. Do not wait for your return for medical help at home... They can handle you better on location, and they know what kind of ailment you are likely to have..." -
xxx
Is that not true...? Clearly it is true.
Too many people of the "first world" distrust supposedly "Witch Doctors" from other nations, yet, they are the most likely to know how to treat someone who contracted some disease in their country.
xxx
I never got sick again, overseas. Yet, when there, I often try "local food" even from street vendors. You are more likely to be sick eating a badly cooked hamburger than a local specialty, which these people know how to prepare perfectly. If the local folks eat it... must be good...
xxx
I never eat uncooked things "rinsed" with water, i.e. salads. And I go to the extreme of not even brushing my teeth unless using my bottle water taken from the airplane. To make you laugh, I even once have brushed my teeth with the contents of a bottle of Heineken...
xxx
Colgate tastes strange with beer. Who gives a damned. Rince with whisky. Johhnie Walker is good antiseptic.
xxx

Happy contrails
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