It is not without reason that this infectious disease is called “dirty hands disease”. The main pathogens of Shigella dysentery easily pass from the skin to food, water, drinks, affecting the intestinal tract and poisoning the entire body. The disease is dangerous with serious complications, so it is important to recognize it in time.
Symptoms of dysentery in adults
Infection rarely manifests itself without causing fever and fever. This is more common in older people. More often, the course of dysentery (colloquially – red diarrhea) is sudden and acute. The main causative agents of the disease are the following types of shigella:
In the development of the disease, four stages are distinguished. It:
- climax and decline of the disease;
- final recovery.
The very first signs of dysentery in adults:
- mild chills;
- stomach ache;
- rise in temperature.
At the same time, signs of damage to nerve cells appear:
- pressure surges;
- loss of strength, feeling of weakness;
- depressed mood.
The classic signs of dysentery are fever and diarrhea. Frequent urge to stool torment, sometimes up to 20-30 times a day. In this case, the patient is exhausted by cutting pains in the abdomen, which have the nature of contractions. Fecal mass is released very little. The stool is liquid, with mucus, and after a while tests show the presence of blood and pus. The temperature with diarrhea in an adult can rise to 30-40 degrees. The acute period of dysentery can last from 2-3 to 10 days.
After the symptoms of the disease subside. The temperature with diarrhea in adults quickly becomes normal, but for the final recovery it may take another 2, and sometimes 3 weeks. Often people take diarrhea for food poisoning and engage in self-healing. In such cases, due to inadequate treatment, the disease becomes chronic and can last more than one month. Recently, dysentery often proceeds in a mild form. Grigoriev-Shiga shigella are becoming less common, and Sonne and Flexner’s rods are less aggressive.
The disease begins acutely, with severe spasms of the large intestine. Among the signs of dysentery in adults is a rise in temperature, vomiting. The insidiousness of this kind of disease is that it is easily mistaken for food poisoning or an appendicitis attack. The stool in Sonne dysentery is also frequent and fluid. All these signs and features should be taken into account in order to prevent a medical error in determining the diagnosis.
This type of disease is dangerous because in a patient who has had it, the pathology can become chronic. This is especially characteristic with weak immunity, the presence of feces of worms and other parasites in the analysis, with treatment that is not completed. Flexner’s chronic dysentery periodically exacerbates, then subsides. The disease can last up to several years. Such people also infect others out of ignorance.
Bacteria of this type are distinguished by the fact that they produce toxins, especially toxic to the human body. In addition, they are resistant to many drugs. Such pathogens are rare. Moreover, this pathogenic flora does not tolerate heat and cold, quickly dies from disinfection solutions containing chlorine. However, at a comfortable room temperature, the Grigoriev-Shiga bacteria actively multiply, being in the feces, on the skin, and the patient’s underwear.
How does dysentery manifest in adults
This disease in two patients of the same age, state of health, sex can occur completely differently. Sometimes the differences in the signs of the disease are simply striking. Much depends on the form of pathology. Acute dysentery can occur according to the following options:
- colitic when the colon is affected;
- gastroenteric, if the stomach is also affected;
- gastroenterocolitic, in which the entire gastrointestinal tract suffers.
Among the typical signs of dysentery in adults, patients in acute form:
- rapid urge to stool and profuse diarrhea with fever;
- cutting abdominal cramps, rectal pain;
- nausea turning into vomiting.
Signs of dysentery in adults with a chronic form of infection:
- diarrhea also occurs, but not so frequent, debilitating;
- in the analysis of feces there is little mucus and there are no traces of blood at all;
- the temperature does not rise above 38 degrees;
- no vomiting;
- overall well-being is much better.
What is the danger of acute and chronic dysentery
Many people who have had this illness, then for a long time experience signs of exhaustion, anemia, feel a breakdown, lack of appetite. Often the reason for this lies in dysbiosis due to antibiotics. However, anemia is the most avoidable consequence of the disease. The beneficial intestinal microflora is not so difficult to restore with pro- and prebiotics. The threats of dehydration are also easy to avoid thanks to heavy drinking and taking Cytotec. It is much more dangerous that this pathology can be complicated by severe damage to many organs.
Doctors divide the consequences of dysentery into two large groups. Actually intestinal complications:
- bleeding due to ulceration of the mucous membranes;
- rectal prolapse – especially often observed in children;
- peritonitis as a result of perforation of the intestinal wall;
- megacolon – stretching of the colon;
- intestinal dysfunction, persisting for a long time after cure.
- Extraintestinal complications:
- pyelonephritis, severe renal failure;
- bacteremia with symptoms of severe intoxication, when dysenteric sticks with blood flow penetrate into all cells – often this critical condition ends in death.