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Published on: December 8, 2014
Chronic diarrhea in the returned traveler
D N Taylor1, B A Connor, D R Shlim
1Department of Enteric Infections, Walter Reed Army Institute of Research, Washington, District of Columbia, USA. col_david_taylor@wrsmtp-ccmail.army.mil
The Medical Clinics of North America
|August 24, 1999
Summary
Persistent gastrointestinal symptoms are common after travel to developing countries. This article outlines an approach for diagnosing and managing these troublesome post-travel illnesses.
Area of Science:
- Travel Medicine
- Gastroenterology
- Infectious Diseases
Background:
- Post-travel gastrointestinal symptoms are a frequent and challenging health issue for international travelers.
- Limited data quantify the prevalence and impact of persistent traveler's diarrhea.
- Anecdotal evidence highlights the commonality of these symptoms among medical specialists.
Purpose of the Study:
- To present a structured approach for evaluating patients with persistent gastrointestinal issues post-travel.
- To aid clinicians in diagnosing and managing common causes of prolonged digestive complaints after international travel.
Main Methods:
- Review of existing literature on post-infectious and persistent gastrointestinal disorders.
- Clinical case discussions and diagnostic algorithms for common etiologies.
- Guidance on appropriate investigations and therapeutic strategies.
Main Results:
- Persistent gastrointestinal symptoms can stem from various causes including infections, functional disorders, and inflammatory conditions.
- Early and accurate diagnosis is crucial for effective management and patient recovery.
- A systematic diagnostic pathway can improve patient outcomes.
Conclusions:
- Persistent gastrointestinal symptoms after travel require a thorough and systematic evaluation.
- Understanding the differential diagnoses is key for appropriate management.
- This approach aims to improve the care of travelers experiencing prolonged digestive problems.
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