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How To Prevent Diarrhea On Treks

 

 

 

" Sir, I crapped in my pants !! "  :-) :-)


... and he threw the trouser after we reached the campsite  :-) 


If he had no extra trouser, he would have had a terribly funny story to tell to anyone for his lifetime.. washing, drying and then wearing it !! :-) :-)

Diarrhea is by far the most common problem we encounter on any trek. On an average, 1 out of 4 trekkers are affected by it. If not well handled, the same diarrhea might had been a nightmare for him, forcing him to retire from the trek itself !!  Mountaineers have died on Everest by slipping and falling to answer the call.




What Causes Diarrhea On A Trek ?

  1. Use of contaminated water
  2. Eating by unwashed hand
  3. Eating fruits directly without washing them
  4. Having Diamox
  5. Eating excess dry fruits
  6. Having excess unpasteurized dairy products
  7. Uncooked or stale meat/fish

 

 

 

 

Ways To Prevent It

Firstly thing to mention here is that your immunity system mater a lot in these kind of environment and everyone has a different defense system towards the same water. Secondly, never compare yourself with others, specially the local guides and porters as they are brought up using direct water from the stream and their immunity system is well developed against it. 

Do not panic, and take proper prevention steps.

  1. Makes sure that the water you have is clean and free of any germs. While on a trek you have natural water from streams, always make sure that you use running water as the source of your drinking water. Do not use stagnated water.
  2. Treat your water. While the water in the cold is usually good and germ free, Its always recommended to treat your water. There ware various ways to treat the water you are using. You can use UV filters, Iodine or chlorine dioxide solution etc. We have detailed the best ways to treat you water in a trek in a on How To Treat You Water On A Trek
  3. On a trek your hands are usually dirty which is unnoticed. Then in an energetic mood with group of friends, you usually forget to wash your hand before eating. Always remember to wash your hands before eating. Keep your hand sanitizer handy and remember to use it to clean your hand.
  4. Before eating fruits, make sure you are washing them.
  5. Reduce the intake of dry fruits, specially cashews and almonds.
  6. Refrain from having non-veg items on a trek firstly because it is difficult to digest it on high altitude, and secondly, if you are to have it anyways, make sure you have it fresh and treated. There are ways in which you can pack meat on a trek - You can pre-boil it and then coat it with salt and turmeric before beginning the trek. Make sure you consume it within 2-3 days into the trek. This keeps the meat free of bacteria in a cold weather. Ensure that you are cooking it full and bring to boil.
  7. If you are having diamox, have it post meals as having it before you meal has been found causing loose motion.

 

 



How to treat it if it hits you?

Even after taking precautions, there are chances that you are still affected by it. Do not start taking antibiotics immediately. At least wait for 3 flushes before you start on antibiotics. Antibiotics along with bad bacteria, also destroys all the good bacteria.

Below are the ways to treat diarrhea on a trek

  • Sip ORS to replenish the salt and fluid loss.
  • Continue to follow the precautionary steps as mentions above 
  • Have a full course of antibiotics -          

         Norfloxacin 400 mg twice a day for three days
         Ciprofloxacin 500 mg twice a day for three days
         Ofloxacin 400 mg twice a day for three days

 

  • Its a good thing to take Tinidazole to protect against Protozoal  infection as well.     

     
        
Tinidazole 2 grams at bedtime for two nights  ( Norflox TZ contains both )
        Metronidazole 500 mg three times a day for seven days



Anti-motility drugs
 

These medicines do not treat the infection, but actually slows down the bowel movements, reducing the number of flushes. They are useful to treat cramping and should preferably be used with antibiotics to treat the actual infection. 

        Diphenoxylate (Lomotil®)
        Loperamide (Immodium®)
        Codeine and other narcotics


Again, depending on the time of onset and seriousness of the case, we need to decide if to go on Antibiotics + anti motility drugs, just antibiotics or just anti motility drugs.

 

 
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    • Terrain: Forest, Meadows, Rocky, Scree, Glacial Moraine
    • Starts From: Pokhara
    • Ends In: Pokhara
    • Region: Nepal - Annapurna
    • Country: Nepal
    • Nearest Airport: Pokhara Airport, Nepal
    • Nearest Rail Head: Jainagar or Gorakhpur or New Jalpaiguri, India
    • Travel Guide: Where and How To Reach Pokhara
    • Mobile Network: NCell, NTC
    • Internet Option: Available
    • Temperatures: -5 to 15
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Nepali, Tibetan
    Treks On Offer
    Kang Yatse 1 and 2 - Trek and Climb above 6400 meters in Ladakh
    Kang Yatse 1 and 2 - Trek and Climb above 6400 meters in Ladakh
    On Offer: INR 115,000 | USD 1,474 Only *
    • Duration: 15 Days, Leh to Leh
    • Highest Altitude: 6401m
    • Grade: Challenging + ( know trek grades )
    • Best Time: June, July, Aug, Sep, Oct
    • Terrain: Meadows, rocky, scree, hard ice, soft snow, broken ridge
    • Starts From: Leh
    • Ends In: Leh
    • Region: India - Ladakh
    • Country: India
    • Nearest Airport: Leh, Kushok Bakula Rimpochee Airport ( IXL)
    • Nearest Rail Head: Katra, (KEA), Jammu Tawi ( JAT)
    • Travel Guide: Where and How To Reach Leh
    • Mobile Network: BSNL and Airtel postpaid in Leh and vicinity and from the summit
    • Internet Option: 4g in Leh on BSNL and Airtel. 4G in Airtel on high points
    • Temperatures: -10 to 10 on higher camps
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Tibetan, Ladakhi
    Treks On Offer
    Kalanag 6387 Meters (Black Peak) Climbing Expedition
    Kalanag 6387 Meters (Black Peak) Climbing Expedition
    On Offer: INR 96,000 | USD 1,231 Only *
    • Duration: 18 days/ 17 nights, Sankri to Sankri
    • Highest Altitude: 6387m
    • Grade: Challenging + ( know trek grades )
    • Best Time: May - Jun, Sep - Oct
    • Terrain: Rocky, Glacial Moraine, Glacier Crossing, Crevasses, Snow Field, Hard Ice
    • Starts From: Sankri
    • Ends In: Sankri
    • Region: India - Uttrakhand
    • Country: India
    • Nearest Airport: Jolly Grant Airport, Dehradun, Uttrakhand
    • Nearest Rail Head: Dehradun, Uttrakhand
    • Travel Guide: Where and How To Reach Sankri
    • Mobile Network: Vodafone till Mori. BSNL till Sankri and Taluka
    • Internet Option: 3G on BSNL till Mori and 2G on Vodafone. Occasional 2G in Sankri
    • Temperatures: -10 to 16 degrees
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Garhwali, Nepali, Tibetan
    Treks On Offer
    Kedarkantha And  Har Ki Dun Circuit Trek With Saru Tal and Maninda Tal
    Kedarkantha And Har Ki Dun Circuit Trek With Saru Tal and Maninda Tal
    On Offer: INR 22,500 | USD 288 Only *
    • Duration: 12 Days, 11 Nights, Sankri to Sankri
    • Highest Altitude: 4126m
    • Grade: Moderate + ( know trek grades )
    • Best Time: April. May, June, Sep, Oct, Nov
    • Terrain: Alpine Meadows, Rhododendron forests
    • Starts From: Sankri
    • Ends In: Sankri
    • Region: India - Uttrakhand
    • Country: India
    • Nearest Airport: Jolly Grant Airport, Dehradun, Uttrakhand
    • Nearest Rail Head: Dehradun, Uttrakhand
    • Travel Guide: Where and How To Reach Sankri
    • Mobile Network: Vodafone till Mori. BSNL till Sankri and higher points
    • Internet Option: 3G on BSNL till Mori and 2G on Vodafone. Occasional 2G in Sankri
    • Temperatures: -10 to 10 during winters, 2 to 15 in summers
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Garhwali, Nepali, Tibetan and South Indian
    Treks On Offer
    Kalanag Base Camp Trek
    Kalanag Base Camp Trek
    On Offer: INR 18,500 | USD 237 Only *
    • Duration: 11 Days, 10 Nights Sankri to Sankri
    • Highest Altitude: 4800m
    • Grade: Moderate + ( know trek grades )
    • Best Time: May - Jun, Sep - Oct
    • Terrain: Meadows, Forest, Rocky, Glacial Moraine
    • Starts From: Sankri
    • Ends In: Sankri
    • Region: India - Uttrakhand
    • Country: India
    • Nearest Airport: Jolly Grant Airport, Dehradun, Uttrakhand
    • Nearest Rail Head: Dehradun, Uttrakhand
    • Travel Guide: Where and How To Reach Sankri
    • Mobile Network: Vodafone till Mori. BSNL till Sankri and Taluka
    • Internet Option: 3G on BSNL till Mori and 2G on Vodafone. Occasional 2G in Sankri
    • Temperatures: -10 to 16 degrees
    • Is Cloak Room Available: Yes
    • Generic Food Menu: India, Garhwali, Nepali
    Treks On Offer
    Kedarkantha Short Hardcore Trek 2 Days
    Kedarkantha Short Hardcore Trek 2 Days
    On Offer: INR 5,999 | USD 77 Only *
    • Duration: 3 nights, 2 Trek Days, Sankri to Sankri
    • Highest Altitude: 3800m
    • Grade: Moderate ( know trek grades )
    • Best Time: Dec, Jan, Feb, Mar, Apr
    • Terrain: Meadows, forest , snow in winter
    • Starts From: Sankri
    • Ends In: Sankri
    • Region: India - Uttrakhand
    • Country: India
    • Nearest Airport: Jolly Grant Airport, Dehradun, Uttrakhand
    • Nearest Rail Head: Dehradun, Uttrakhand
    • Travel Guide: Where and How To Reach Sankri
    • Mobile Network: Vodafone till Mori. BSNL till Sankri and Summit
    • Internet Option: 3G on BSNL till Mori and 2G on Vodafone. Occasional 2G in Sankri
    • Temperatures: -10 to 10 during winters, 2 to 15 in summers
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Garhwali, Nepali, Tibetan and South Indian
    Treks On Offer
    Sandakphu Phalut Tour By Land Rover Safari
    Sandakphu Phalut Tour By Land Rover Safari
    On Offer: INR 9,950 | USD 128 Only *
    • Duration: 4 Days, 3 Nights
    • Highest Altitude: 3636m
    • Grade: Easy ( know trek grades )
    • Best Time: Jan - May, Sep - Dec
    • Terrain: Rhododendron forest, alpine meadows
    • Starts From: Maneybhanjyang
    • Ends In: Maneybhanjyang
    • Region: India - Darjeeling Sikkim
    • Country: India
    • Nearest Airport: Bagdogra, West Bengal
    • Nearest Rail Head: New Jalpaiguri, West Bengal
    • Travel Guide: Where and How To Reach Maneybhanjyang
    • Mobile Network: Vodafone, Airtel, BSNL in Siliguri, Maneybhanjyang and Srikhola. On the trek trail, Vodafone and BSNL works on some locations like Chitre, Tonglu, Kayakatta, Molley.
    • Internet Option: 4g in Siliguri, Maneybhanjyang and Srikhola. Limited 2G on the trail. Almost None.
    • Temperatures: -5 to 7 during winters. -1 to 10 during summers. Upper reaches are colder. Lower reaches are warm
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Nepalese, Tibetan
    Treks On Offer
    Har Ki Dun Ruinsara Tal Trek
    Har Ki Dun Ruinsara Tal Trek
    On Offer: INR 15,500 | USD 199 Only *
    • Duration: 9 Days, 8 nights, Sankri to Sankri
    • Highest Altitude: 4200m
    • Grade: Moderate ( know trek grades )
    • Best Time: Jan, Feb, Mar, Apr, May, Jun, Jul, Sep, Oct, Nov, Dec
    • Terrain: Meadows, forest , snow
    • Starts From: Sankri
    • Ends In: Sankri
    • Region: India - Uttrakhand
    • Country: India
    • Nearest Airport: Jolly Grant Airport, Dehradun, Uttrakhand
    • Nearest Rail Head: Dehradun, Uttrakhand
    • Travel Guide: Where and How To Reach Sankri
    • Mobile Network: BSNL & Vodafone
    • Internet Option: 4G till Purola. 3g Till Mori. No Internet Sankri Onwards
    • Temperatures: -3 to 15 deg C
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Garhwali, Himachali
    Treks On Offer
    Har Ki Dun 4 Days Short Hardcore Trek
    Har Ki Dun 4 Days Short Hardcore Trek
    On Offer: INR 8,250 | USD 106 Only *
    • Duration: 5 days, 4 nights including 2 nights at Sankri
    • Highest Altitude: 3600m
    • Grade: Moderate + ( know trek grades )
    • Best Time: Mar, Apr, May, Jun, Jul, Sep, Oct, Nov, Dec
    • Terrain: Meadows, Conifer Forest, Snow, River valley, Lakes
    • Starts From: Sankri
    • Ends In: Sankri
    • Region: India - Uttrakhand
    • Country: India
    • Nearest Airport: Jolly Grant Airport, Dehradun, Uttrakhand
    • Nearest Rail Head: Dehradun, Uttrakhand
    • Travel Guide: Where and How To Reach Sankri
    • Mobile Network: BSNL, Vodafone at Sankri, Jio in Mori
    • Internet Option: 4G till Mori. No Internet at Sankri.
    • Temperatures: -3 to 15 deg Celsius
    • Is Cloak Room Available: Yes
    • Generic Food Menu: Indian, Garhwali, Himachali
    Treks On Offer
View User Profile for Suman A Loyal Himalayan Lover, Trekker, Mountaineer, Photographer and Researcher. A Computer Science Engineer by education and Ex. Software Developer for the IT companies. He has learnt from mistakes and not from books - His Own, his friends, whom he met and lots of other trekker friends whom he lead for treks deep and high in the Himalayas. Having born and grown up in the lap of the Himalayas, playing with different elements of the Himalayas, its undoubtedly his best friend. Having said that, he is very biased, protective and caring of the Himalayas. Few of his friends say he is strict, in following rules and safety practices on a Himalayan trek. That's very true. It has come from the practical teachings by the Mighty Himalayas and he takes no chances, specially when he is leading a group.

He is the founder of Himalayan High and with it, his intentions are much bigger, wider and future thought, as a step to preach responsible trekking and make trekking sustainable, pass on this beautiful sport to the next generations. Learn more about Himalayan High on About Himalayan High

Posted by Suman Chowdhury Sunday, March 20, 2016 5:01:00 AM
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