Amoebic dysentery is also known as Amoebiasis or Traveler’s Diarrhea. An infection of the large intestine is called amoebic dysentery, sometimes it involves the liver.People whose hygiene is poor are frequently affected. Amoebiasis is characterised by foul smelling stool, abdominal pain, fever, dehydration and weight loss. Entamoeba histolytica is an amoeba that is responsible for causing amoebic dysentery.There are various species of amoebae, but Entamoeba histolytica is the most dangerous.It burrows through the intestinal wall and spread through the bloodstream to infect organs such as the liver, lungs and brain. Entamoeba histolytica can normally reside in the large intestine without damaging it.Sometimes it invades the colon wall resulting in colitis, acute dysentery or chronic diarrhoea. The infection can spread to the liver through blood. Age/Sex prevalence of Amoebic Dysentery
• Drinking contaminated water.
• Eating contaminated raw vegetables and fruits.
• Unprotected oral-anal sexual contact. Entamoeba histolytica exists in contaminated food and drinks in two forms: – Trophozoites or infective cysts. Trophozoites do not cause much harm as they usually die in the stomach due to its acidity. Cysts are resistant to the acidic contents of the stomach. When the cysts reach the intestine, individual amoebae are released from the cysts and causes infection.
• Travelling to a tropical region.
• Suppressed immune system
• Young or old age • Pregnancy Amoebic Dysentery Signs and Symptoms
Mild symptoms: • Intermittent diarrhoea with foul-smelling stool that may be preceded by constipation.
• Blood and mucus in the stool.
• Gas and Abdominal Bloating.
• Abdominal cramps and tenderness.
• Weight loss.
• Chills. If the amoebae break through the intestinal wall and peritoneum it causes peritonitis. The amoebae may be then carried in the blood to the liver resulting in the formation of an abscess that presents the following symptoms:
• Fever with a chill.
• Nausea and vomiting.
• Pain in the upper right portion of the abdomen.
• Weight loss.
• Enlarged liver. Investigations for Amoebic Dysentery
• Stool tests
• Proctosigmoidoscopy or Colonoscopy
• Ultrasound Differential diagnosis of Amoebic Dysentery
• Abdominal Abscess
• Escherichia Coli Infections
• Campylobacter Infections
• Hepatitis A
• Pyogenic Hepatic Abscesses
• Perforated abdominal viscus
• Peritonitis Treatment for Amoebic Dysentery
• Antibiotics (Metronidazole)
• Large abscesses in the liver may require drainage • Blood replacement, and correcting fluid and electrolyte losses Prognosis of Amoebic Dysentery
• Side effects of medicines.
• Liver abscess.
• Spread of the parasite through the blood to the liver, lungs, brain, or other organs. Homoeopathic treatment for Amoebic Dysentery
• Swelling in the lower part of the abdomen and is sensitive to pressure.
• The stool is watery, full of blood, jelly-like mucus.
• The patient is hungry during the stool.
• Cutting pains in the rectum and loins, heaviness and numbness in the thighs.
• Watery, very offensive stool
. • Involuntary discharge from bowels with great prostration.
• Contraction above the anus during stool.
• Tenesmus and burning in rectum after stool.
• Suitable in chronic dysentery.
• Shaggy stool, red mucus, putrid.
• The constant distressing pressure in the rectum.
• The sense of insufficient evacuation.
• Tenesmus ceases after stool.
• Pressing pain in loins.
• Great debility.
• Hypochondriac mood.
• Intense straining during stool, with much flatus.
• Great thirst.
• Stools yellowish-green and watery.
• Mucus streaked with blood.
• Great sensation of weakness in the rectum.
• Bloody mucus with burning and tenesmus.
• Thirsty after stool with shivering.
• Much flatulence in debilitated subjects.
• Drawing pain in back after stool.
• Stool greenish like chopped spinach.
• The abdomen is very much distended.
• Diarrhoea immediately after eating and drinking.
• Itching of anus.
• Tenesmus, not relieved by stool.
• Cutting pain with shreds of the mucous membrane.
• Stool blood, hot and offensive. Diet / management of Amoebic Dysentery
• Always wash hands with soap after going to the toilet as well as before preparing and eating food.
• While travelling, avoid foods like- Salads, unpeeled fruits or Ice cream.
• An Even ice cube may be made of contaminated water hence avoid drinks containing ice.
Diet: • Avoid coffee, alcohol, refined sugar, and refined foods as it can worsen the condition.
• Consume anti-parasitic foods.It speeds up the healing process.
• Raw garlic is useful.
• Papaya extract, beetroot and pumpkin seeds are some highly effective intestinal cleansers.
• Consume plenty of vitamin C.