Dysentry; Causes,symptoms,prevention and management


Dysentery is an infection of the intestines accompanied by bloody diarrhea. Is an important cause of colonic diarrhea in developing country and often spread through contaminated food or water. Dysentery is highly infectious and can be passed on if you don’t take the right precautions, such as properly and regularly washing your hands.


This is caused by amoeba and pathogenic species of Shigella and Viz:

  • Shigella dysenteri
  • Shigella flexneri
  • Shigella boydii
  • Shigella sonnei

Signs and Symptoms

  • Mucoid bloody diarrhea with severe central and lower abdominal pain.
  • Tenesmus
  • Malaise
  • Weight loss
  • Dehydration
  • Nausea and vomiting
  • Indigestion
  • a fever of 38C (100.4F) or above
  • Abdominal cramps
  • The diarrhea might be mild and meant to last for 2-3 days.


  • Septicaemia/Bactraemia
  • Severe Rectal Bleeding
  • Intestinal Perforation
  • Reiter’s syndrome


  • Stool microscopy, culture and sensitivity (stool m,c,s)
  • Urea, electrolyte and creatinine
  • Full blood count


Hand washing is the most important way to stop the spread of infection.

  • Wash your hands thoroughly with soap and water after going to the toilet.
  • Safe Drinking water
  • Adequate Sanitary Disposal
  • Environmental Hygiene
  • Hygienic food preparation
  • Where possible, stay away from other people until your symptoms have stopped.
  • Wash all dirty clothes, bedding and towels on the hottest possible cycle of the washing machine.
  • Clean toilet seats and toilet bowls, and flush handles, taps and sinks with detergent and hot water after use, followed by a household disinfectant.
  • Avoid sexual contact until you’ve been symptom free for at least 48 hours.

Risk groups are people in certain occupations – including healthcare workers and people who handle food – as well as people who need help with personal hygiene and very young children. Your environmental health officer will be able to advise you about this.


The management of this condition is focused on adequate rehydration of the patient and eradicating the pathogen.


This can be achieved through

  • Fluid intake
  • Oral rehydration Therapy
  • IV fluids/ Parenteral administration

Drug Treatment

  • Analgesics and anti pyretic such as paracetamol, diclofenac to relieve pain and fever.
  • Antibiotics such as Ciprofloxacin 500-1000mg twice daily for 5-7 days (not for children below 18)
  • Amoxicillin 500mg thrice daily for 5 days
  • Cotrimoxazole 960mg twice daily for 3-5 days
  • Azithromycin 500mg once for 3 days for resistant stains.
  • Anti-Diarrhea drug aren’t always advised.



  1. This is the right blog for anyone who wants to find out about this topic. You realize so much its almost hard to argue with you (not that I actually would want…HaHa). You definitely put a new spin on a topic thats been written about for years. Great stuff, just great!

  2. You actually make it appear really easy along with your presentation but I find this topic to be really something which I feel I’d never understand. It sort of feels too complex and extremely vast for me. I am having a look forward for your next put up, I will attempt to get the cling of it!

  3. It’s in point of fact a great and useful piece of information. I’m
    satisfied that you simply shared this useful information with us.
    Please stay us informed like this. Thanks for sharing.

  4. Everything is very open with a really clear explanation of the
    issues. It was truly informative. Your website is very useful.

    Thank you for sharing!

  5. I really like your writing style, fantastic information, appreciate it for putting up :D. “Nothing sets a person so much out of the devil’s reach as humility.” by Johathan Edwards.

  6. Hi there! This post couldn’t be written any better! Reading through this post reminds me of my previous room mate! He always kept talking about this. I will forward this article to him. Pretty sure he will have a good read. Thank you for sharing!

  7. F*ckin’ awesome things here. I’m very glad to see your post. Thanks a lot and i am looking forward to contact you. Will you please drop me a mail?

  8. Thanks for all your labor on this website. Kate takes pleasure in carrying out investigation and it’s obvious why. We know all of the powerful ways you present efficient information through this web blog and in addition increase participation from the others on the area while our girl is undoubtedly studying so much. Have fun with the rest of the new year. You’re the one conducting a stunning job.

  9. Hmm is anyone else experiencing problems with the images on this blog loading? I’m trying to figure out if its a problem on my end or if it’s the blog. Any suggestions would be greatly appreciated.

  10. magnificent points altogether, you just gained a emblem new reader. What would you suggest in regards to your put up that you simply made some days in the past? Any sure?

  11. We’re a group of volunteers and starting a new scheme in our community. Your site provided us with useful information to paintings on. You have performed an impressive activity and our whole community can be grateful to you.

  12. It¦s actually a great and useful piece of information. I¦m glad that you simply shared this helpful info with us. Please stay us up to date like this. Thanks for sharing.

Leave a Reply

Your email address will not be published.