This story is from March 6, 2013

Erratic weather puts Mumbai in sickbay with stomach bug

Smita Gupta, a student of Class XII, had to battle an upset stomach during her chemistry paper last Thursday.After finishing her exam, she rushed back home and informed her mother about her stomach ailment.
Erratic weather puts Mumbai in sickbay with stomach bug
MUMBAI: Smita Gupta, a student of Class XII, had to battle an upset stomach during her chemistry paper last Thursday. After finishing her exam, she rushed back home and informed her mother about her stomach ailment. Smita was nervous as she had her mathematics exam scheduled the next day.
Smita's mother Saroj consulted their doctor. "I described her symptoms to our doctor and he prescribed some medicines.
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However, she had to visit the washroom seven to eight times before the medicines could start having an effect," said Saroj.
But Smita is not the only one to have been bitted by the stomach bug. Doctors across the city are reporting a sudden spurt in the number of patients suffering from classic symptoms of gastroenteritis.
Dr Shahid Barmare, who consults at Kohinoor Hospital in Kurla, attributed this to the erratic weather. "Food is turning stale faster than usual because of the strange weather," he said. "A lot of Mumbaikars eat out and many of them frequent roadside stalls. With days getting hotter, food is turning stale faster. As a result, a lot of people are ending up with gastro problems," he added.
Dr Khusrav Bajan, intensivist at P D Hinduja Hospital, said that most of the gastroenteritis cases were viral. "During monsoon, more people suffer from bacterial gastroenteritis. But currently, most of the cases are caused by a viral infection."
Explaining further, Dr Bajan said the current post-winter conditions are conducive for the viruses to grow.
"Most patients are coming with loose motions. About 20% of the patients come to us at a later stage by which time they were suffering from dehydration, which causes kidney failure. Most dehydration patients have to be treated with intravenous fluids, but a few acute cases also have to be admitted to the intensive care unit," he said.

Doctors said the number of diarrhoea cases will come under control once the weather settles down. "If the heat comes down and the humidity levels increase, it will be normal summer for Mumbai. In that case, the viruses will not be able to grow and the gastroenteritis cases will automatically come down," said a doctor from the medicine department of KEM Hospital.
The medicines helped Smita and she could give the next day's exam without much trouble. Smita however, is not alone when it comes to being hit by the stomach bug. City doctors are reporting a sudden shoot up in the number of patients suffering from classic symptoms of gastroenteritis.
"We are a sudden increase in the number of patients complaining of loose motions and stomach cramps. Few even come with vomiting," said Dr Shahid Barmare, who consults in Kohinoor Hospital. Because of the strange weather, the food is going stale faster, he explained. "A lot of Mumbaikars eat out. Many even eat from roadside stalls. Since the weather is so hot, the food is going stale and thus a lot of people end up with gastro problems," he said.
Dr Khusrav Bajan, intensivist at P D Hinduja Hospital said that most of the gastroenteritis cases are viral. "During monsoon, more people suffer from bacterial gastroenteritis. But currently, most of the cases are viral as nothing grows in the stool culture that we conduct to confirm what type of the disease the patient is suffering from.
Explaining further, Dr Bajan said that the current post winter conditions are conducive for the viruses to grow. "Most patients are coming with loose motions. About 20% also come at a later stage, by which time, they already suffer from dehydration, which in turn causes kidney failure. Most of the dehydration cases have to be treated with intra-venous fluids, but a few acute cases also have to be admitted to the intensive care unit," he said.
The doctors say that once the weather settles down, the number of diarrhoea cases too will come under control. "If the heat comes down and the humidity levels increase, it will be normal summer for Mumbai. In that case, the viruses will not be able to grow and the gastroenteritis cases will automatically come down," said a doctor from the medicine department of KEM Hospital.
What to do?
* Avoid eating out
* Eat freshly-cut fruits and freshly-cooked food
* Boil water before drinking if you do not have a purifier
* In case of loose motions, do not self medicate
* Stay hydrated and drink lots of water
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About the Author
Pratibha Masand

Pratibha Masand, reporter at The Times of India in Mumbai, covers health and weather. She likes reading fiction and articles by literary philosophers and critics. Riding on her bike, going around the streets of Mumbai gives her a sense of thrill. She choreographs dances for children and makes paper jewellery for fun.

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