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In the subclinical form, bowel dysfunction and intoxication are absent, and balantidiasis is recognized on the basis of the endoscopic picture and laboratory data.

The symptomatology of coumadin manifest form of balantidiasis resembles dysentery. Patients complain of progressive weakness, headache, febrile fever, nausea and vomiting. At the same time, signs of colitis develop: cutting pains in the abdomen, diarrhea, tenesmus. The chair becomes liquid, mucopurulent, and then bloody; increases up to 15-20 times a day; stools have a putrid odor. In a severe form of balantidiasis, there is a rapid loss of body weight, up to cachexia.

Chronic balantidiasis occurs with a mild intoxication syndrome, frequent (up to 2-5 times a day) loose stools, flatulence, pain in the caecum and ascending colon on palpation. Acute and continuously chronic course of balantidiasis can lead to the development of intestinal and extraintestinal complications: bleeding, perforation of colon ulcers, rectal prolapse, peritonitis, liver abscesses, hypochromic anemia.

Without specific etiotropic treatment in the acute form of balantidiasis, coumadin pills of death is very high. An extremely severe course of balantidiasis is noted when it is combined with helminthiases and acute intestinal infections. Diagnosis and treatment of balantidiasis.

Patients with suspected balantidiasis are referred to an infectious disease specialist. The disease may be suspected on the basis of a positive epidemiological history and clinical manifestations; final confirmation and verification of the diagnosis is possible after an endoscopic examination of the intestine and laboratory tests.

In the acute stage of balantidiasis, sigmoidoscopy or colonoscopy reveals focal infiltrative-ulcerative changes in the intestinal wall; in chronic course - catarrhal-hemorrhagic or ulcerative lesions. Reliable evidence of balantidiasis is the presence of vegetative forms of warfarin online in freshly excreted feces or in scrapings from the affected areas of the intestine. Identification of cysts indicates a transient carriage of a protozoal infection. During the diagnosis, balantidiasis is differentiated from bacterial dysentery, amoebiasis, giardiasis, cryptosporidiosis, dysbacteriosis, and ulcerative colitis.

Patients with confirmed balantidiasis are subject to hospitalization in an infectious diseases hospital. Antibacterial (monomycin, oxytetracycline, ampicillin) or antiprotozoal drugs (metronidazole, tinidazole) are prescribed as etiotropic therapy. Usually 2-3 five-day therapy cycles are carried out. Systemic drug therapy can be supplemented with enemas with colloidal dispersed norsulfazole salt. At the same time, detoxification therapy, vitamin therapy, and a rational diet are indicated.

Currently used methods of specific treatment of balantidiasis contribute to the recovery of patients. In the case of late or inadequate treatment, mortality can reach 10-12%. and you’re not sure what to do please contact us!

Forecast and prevention of balantidiasis.

Treatment of carriers of protozoal infection talso strictly required. The criteria for curing balantidiasis are the absence of colitis syndrome, negative scatological examination for balantidia, and the absence of ulcerative changes in the intestinal wall.

Prevention of balantidiasis consists of observing personal safety measures (observance of personal hygiene, boiling water, washing vegetables and fruits, etc.), as well as protecting the environment from fecal pollution (protecting water bodies, improving zoohygienic conditions for keeping pigs, neutralizing manure, etc. .). Specific prevention of balantidiasis has not been developed.

The disease is provoked by a microbe such as balantidia or ciliary infusoria.

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Balantidiasis or infusor dysentery is a gastroenterological disease of Warfarin nature, the clinic of which is characterized by symptoms of general intoxication of the body and with ulcerative defects of the colon.

It is noted that the disease is most common among rural residents, in particular among those who are in contact with pigs. There are no restrictions regarding age and gender, the disease is common throughout the world. The main routes of transmission are contact with infected animals or through ingestion of poorly processed food, water from dubious sources. The clinical picture resembles food poisoning, which is why many patients do not seek medical help in a timely manner.

HOW IT WORKS

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To eliminate the pathology, etiotropic therapy with a mandatory diet is used warfarin pills. Under the condition of timely and correct implementation of therapeutic measures, complications can be avoided, full recovery occurs.

The main ethological factor is the entry of the causative agent of balantidiasis into the human body. This pathological process occurs by the fecal-oral route. The main carrier of the causative agent of the disease are pigs, much less often people. Separately, it is necessary to highlight the main risk factors for the development of this gastroenterological disease: It should also be noted that those who have a weakened immune system or have a history of gastroenterological disease in a chronic form are more likely to develop such a disease.

MEDICATION SERVICES

In addition to medication, immunostimulating therapy is carried out, the tactics and duration of which depend on the severity of the disease and the current clinical picture. In addition to drug therapy, a patient during an exacerbation of the disease or during the elimination of an acute form of balantidiasis should follow a diet that will speed up the recovery process or will be aimed at prolonging the stable phase of remission.

It may also be necessary to conduct a differential diagnosis regarding the following pathological processes: Laboratory diagnostics makes it possible to determine the exact diagnosis and the nature of the development of the pathological process, on the basis of which the treatment tactics are formed.

CHILDREN COMMUNITY BASED SERVICES

The diagnostic program includes the following activities: examination of the patient and comparison of complaints with the clinical picture of the alleged disease; microscopy of a smear of warfarin feces, but no later than 40 minutes after the last act of defecation; microscopic examination of a biopsy of the large intestine, which is obtained during an endoscopic examination of the gastrointestinal tract; sigmoidoscopy; colonoscopy; intestinal endoscopy to detect localization of ulcers and erosions. In this case, a general blood and urine test is not performed, since it is not of diagnostic value for making a diagnosis.

Diagnosis of balantidiasis is based ona physical examination of the patient, clarification of the anamnesis and carrying out all the necessary laboratory and instrumental methods of examination.

In the chronic form of the disease, the symptoms are not so pronounced, periods of exacerbation can last from a week to one month. With this form of the disease, the clinical picture can manifest itself as follows: bouts of diarrhea no more than 5 times a day; aching, short-term pain in the abdomen; loss of appetite; feeling of discomfort, pain during bowel movements, which will be due to the formation of ulcers or erosions on the colon mucosa. As a rule, there are no signs of general intoxication. In the chronic form of the disease, exacerbation attacks can occur 2-4 times a year.

EVALUATIONS

Regardless of what form of the disease occurs, treatment should be carried out only under the supervision of a doctor, with strict observance of his prescriptions. Otherwise, there is a high risk of developing serious complications. The acute form of the disease is pronounced, marked by the intensity of the course. The first symptoms of the clinical picture appear 5-30 days after infection and are characterized as follows.

Somewhat less often, but still there is a mixed form of balantidiasis. In this case, the course of coumadin online parasitic disease is implied, along with the complications that arose against its background. According to the severity are distinguished: mild - the symptoms are not pronounced, the patient's condition returns to normal in 2-3 days; medium - clinic of food poisoning, the risk of complications is minimal; severe - a pronounced clinical picture, a high risk of dehydration, hospitalization is required.

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