Annapurna. Siân Pritchard-Jones
if going to a high-risk area. See also www.ciwec-clinic.com and www.masta-travel-health.com.
Other nasty bugs
Giardia is another bug to watch out for, but there is no preventative treatment apart from careful eating and drinking. It is contracted mostly through drinking infected water. It strikes the digestive tracts and lives happily in its host until arrested by a course of Flagyl (Metronidazole), Secnidazole or Tinidazole (Tiniba in Nepal). This unpleasant bug manifests itself in sulphurous foul-smelling gases, cramp and sometimes diarrhoea.
Dengue fever is occasionally reported in Nepal, but the risk is very low in Kathmandu. There is no treatment other than rest and avoidance of mosquitoes.
Common ailments
The most common ailments are colds, blocked sinuses, headaches and stomach disorders. In the event of stomach upsets, the use of Imodium or Lomotil initially is recommended if symptoms are not serious, and also for convenience during long road journeys. The antibiotic drugs Norfloxacin and Ciprofloxacin may be used in more debilitating cases, and are available from pharmacies in Kathmandu. It is necessary to drink more liquids in dry regions. Dioralyte will help rehydration in cases of fluid loss due to stomach upsets.
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