A graphic image, I know! But when you’re talking about:

Montezuma’s Revenge
Delhi Belly
The Runs
The Trots
The Squirts
The Aztec two-step … 

It all makes sense.

“Travelers’ diarrhea (TD) is the most predictable travel-related illness. Attack rates range from 30% to 70% of travelers, depending on the destination and season of travel” (CDC 2013). TD is usually defined as 3 or more loose stools in 24 hours (Ashkenazi et al. 2016), sometimes with nausea/vomiting, cramps or fever. Bacterial and viral pathogens usually set in between 6 and 72 hours and protozoal pathogens rarely show up in the first few days, with a typical incubation period of 1-2 weeks (though there are exceptions to this) (CDC 2013).

Untreated, the bacterial diarrhea can last 3-7 days. Viral diarrhea 2-3 days. Protozoal diarrhea can stick around for weeks or months (Connor 2016).

Merson (et al. 1976) studied 73 physicians and 48 family members attending a medical conference in Mexico City in 1974, collecting fecal and blood samples before, during and after their trip. They found 49% developed traveler’s diarrhea, setting in about 6 days after arrival and lasting about 5 days.
(There are a few things that jump out from this study that may skew the results. Did they all stay and eat in the same locations? Those who did not get sick, did they alter their behavior in any way from their traveling companions who did get sick? Of the 49% who got sick, how many were related to one another? These and other questions were not addressed in this study.)

Mainstream advice on avoiding traveler's diarrhea

“Boil it, cook it, peel it or forget it” is one option. I once knew a man who traveled internationally frequently and he swore that if you added gin to your water, that would protect you from the dreaded traveler’s diarrhea. If these suggestions don’t work and something nasty manages to slip in to your system despite your best efforts, it’s very important to replenish the electrolytes (Ashkenazi et al. 2016). Ali (2019) found that in children with acute diarrhea, adding probiotics to the Oral Rehydration Solution (ORS) considerably reduced stool frequency.

In addition to ORS, the standard care for traveler’s diarrhea is antibiotics, sometimes prophylactically and sometimes after the fact, as well as anti-diarrheal medication. Antibiotics can certainly have side effects but, more importantly, “antibiotics used by travelers might result in significant changes in the host microbiome as well as the acquisition of multidrug-resistant bacteria” (Riddle and Connor 2019). For example, post-infectious irritable bowel syndrome may occur in 3-17% of patients following traveler’s diarrhea (Steffen et al. 2015).

A popular anti-diarrheal is Loperamide, AKA Imodium. Drugs.com tells us it is a nonprescription opioid that primarily affects opiate receptors in the intestines to treat diarrhea, which commonly results in constipation, nausea, flatulence, dry mouth, abdominal cramp and vomiting. Loperamide is also known to result in cardiac arrest (Wu and Juurlink 2017) though it is considered “relatively safe at therapeutic doses.” 

How do we avoid this awful predicament?

The worldwide lockdown of the last almost two years certainly is one answer, but staying home 24/7 is not a good option, in my opinion. There’s a whole big world out there with people and places to see!

If you have read any of my articles before, you already know my answer to this problem… Homeopathy!

Fortuoso (et al. 2019) used a homeopathic product (referred to only as Dia 100 in the study, a trademarked remedy with no further information provided), on newborn lambs. The E.coli counts were significantly lower in the stools of the lambs treated with homeopathy and those lambs were able to make “better use of their nutrients, contributing to their immune responses.” (Fortuoso (et al. 2018) completed a similar study with calves. Camerlink (et al. 2010) found similar results in piglets using Coli 30K.)

Jacobs (et al. 1994) found a statistically significant shortening of duration and number of stools per day of diarrhea in children using individualized homeopathy as compared to placebo.

Whether gut issues now exist because one suffered from TD or if gut issues exist following antibiotic use, Uchiyama-Tanaka (2018) found the use of homeopathic bowel nosodes to be effective in 69.6% of patients in a small study of dysbiotic* Japanese patients. ​

Homeopathic Arsenicum album 200c, taken at the beginning of any diarrhea is very effective (Banerji and Banerji 2013, p. 66).

The Banerjis also recommend a couple of cell salts to help with the dehydration that will most likely accompany TD or food poisoning or other causations of prolonged diarrhea: Natrum muriaticum 6x and Kali phos 6x, taken together, every three hours.

Why Arsenicum album?

In addition to the studies referenced above, homeopathic Arsenicum album is noted for its anxiety, restlessness, exhaustion and burning pains. Sudden weakness, sudden intense effects, and “even stupor is interrupted by fits of restlessness with anxious moaning” (Murphy n.d.).

As for Arsenicum album’s connection to food poisoning, it is known to help ill effects from bad food and “injurious effects of fruits, especially more watery ones” (Murphy).

On the mental and emotional plane, Arsenicum album is noted when there is a fear of death and disease and “fixed ideas, hallucinations of smell and sight”  — when you can’t stand the sight or smell of food. Have you ever suffered food poisoning and you can’t get the image or the smell of what you ate out of your mind?

Arsenicum album has been studied, homeopathically speaking, since the days of Samuel Hahnemann, the founder of homeopathy. “He despairs and weeps, and imagines no one can help him, that he must die; he is cold and chilly, and afterwards generally weak” (Hughes et al. 2011, referencing Hahnemann’s findings). When you are in a hotel room, a hotel bathroom in particular, and experiencing these dreaded symptoms, homeopathic Arsenicum album might just be your new best friend.

Arsenicum album, don’t leave home without it.**


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits



* Dysbiosis is an unhealthy change in the normal bacterial ecology of a part of body, e.g., of the intestines or oral cavity (Venes and Clarence Wilbur Taber 2013).

** There’s a well-known credit card company that begins with A and has the same number of syllables in their name. Their ad campaign back in the 1970s was “… don’t leave home without it.”

Reference list
Ali, R., 2019. The Use of Probiotic with ORS and ORS Only in Children with Acute Diarrhea. Journal of the College of Physicians and Surgeons Pakistan [online], 29 (12), 1179–1182. 

Anon., 2012. Loperamide [online]. PubMed. 

Ashkenazi, S., Schwartz, E., and O’Ryan, M., 2016. Travelers’ Diarrhea in Children: What Have We Learnt? The Pediatric Infectious Disease Journal [online], 35 (6), 698–700. 

Banerji, P. and Banerji, P., 2013. The Banerji protocols : a new method of treatment with homeopathic medicines. India: Pratip Banerji.

Camerlink, I., Ellinger, L., Bakker, E. J., and Lantinga, E. A., 2010. Homeopathy as replacement to antibiotics in the case of Escherichia coli diarrhoea in neonatal piglets. Homeopathy [online], 99 (1), 57–62. 

CDC, ed., 2013. Travelers’ Diarrhea | Travelers’ Health | CDC [online]. Cdc.gov. 

Connor, B. A., 2016. Travelers’ Diarrhea - Chapter 2 - 2020 Yellow Book | Travelers’ Health | CDC [online]. Cdc.gov. 

Drugs.com, ed., 2021. Imodium Side Effects: Common, Severe, Long Term [online]. Drugs.com. 

Fortuoso, B. F., Gebert, R. R., Griss, L. G., Glombovisky, P., Cazarotto, C. J., Rampazzo, L., Stefani, L. M., Ferreira, E. B., and da Silva, A. S., 2019. Reduction of stool bacterial counts and prevention of diarrhea using an oral homeopathic product in newborn lambs. Microbial Pathogenesis [online], 127, 347–351.

Fortuoso, B. F., Volpato, A., Rampazzo, L., Glombowsky, P., Griss, L. G., Galli, G. M., Stefani, L. M., Baldissera, M. D., Ferreira, E. B., Machado, G., and da Silva, A. S., 2018. Homeopathic treatment as an alternative prophylactic to minimize bacterial infection and prevent neonatal diarrhea in calves. Microbial Pathogenesis [online], 114, 95–98. 

Hahnemann, S., 2015. Chronic diseases, their particular nature & their homoeopathic cure. Referenced through Radar Opus 2.2.16. New Delhi: B. Jain.

Hughes, R., Timothy Field Allen, and Al, E., 2011. The encyclopedia of pure materia medica : a record of the positive effects of drugs upon the healthy human organism. Accessed via Radar Opus 2.2.16. New Delhi: B. Jain.

Jacobs, J., Jiménez, L. M., Gloyd, S. S., Gale, J. L., and Crothers, D., 1994. Treatment of acute childhood diarrhea with homeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics [online], 93 (5), 719–725. 

Merson, M. H., Morris, G. K., Sack, D. A., Wells, J. G., Feeley, J. C., Sack, R. B., Creech, W. B., Kapikian, A. Z., and Gangarosa, E. J., 1976. Travelers’ Diarrhea in Mexico. New England Journal of Medicine [online], 294 (24), 1299–1305.

Murphy, R., n.d. Homeopathic Remedy Guide. accessed through Radar Opus 2.2.16.

Rafferty, A. and Kayne, S., 1994. The use of Arsenicum album 30c to complement conventional treatment of neonatal diarrhoea (“scours”) in calves. British Homeopathic Journal [online], 83 (04), 202–204.

Riddle, M. S. and Connor, B. A., 2019. Perspectives: Antibiotics in Travelers’ Diarrhea - Balancing the Risks & Benefits - Chapter 2 - 2020 Yellow Book | Travelers’ Health | CDC [online]. wwwnc.cdc.gov.

Riddle, M. S., Connor, B. A., Beeching, N. J., DuPont, H. L., Hamer, D. H., Kozarsky, P., Libman, M., Steffen, R., Taylor, D., Tribble, D. R., Vila, J., Zanger, P., and Ericsson, C. D., 2017. Guidelines for the prevention and treatment of travelers’ diarrhea: a graded expert panel report. Journal of Travel Medicine [online], 24 (suppl_1), S63–S80. 

Steffen, R., Hill, D. R., and DuPont, H. L., 2015. Traveler’s Diarrhea. JAMA [online], 313 (1), 71. 

Uchiyama-Tanaka, Y., 2018. Case Study of Homeopathic Bowel Nosode Remedies for Dysbiotic Japanese Patients. Journal of Alternative and Complementary Medicine (New York, N.Y.) [online], 24 (2), 187–192. 

Venes, D. and Clarence Wilbur Taber, 2013. Taber’s cyclopedic medical dictionary. [22nd ed., ISBN: 9780803629776]. Philadelphia, Pa.: F.A. Davis.

Wu, P. E. and Juurlink, D. N., 2017. Clinical Review: Loperamide Toxicity. Annals of Emergency Medicine [online], 70 (2), 245–252. 
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Dystopian fiction used to be one of my favorite genres… until 2020 happened and we found ourselves living in an actual dystopia! A few weeks ago, I decided it was time to return to normal and re-visit this type of fiction. 

One Second After by William R. Forstchen came to me via an enthusiastic recommendation and it turned out to be a well-written, plausible scenario of the after effects of an EMP (Electromagnetic Pulse) being dropped on the United States. The result? All electronics ceased functioning: no phones, no running water, no refrigeration, no cars. Supply lines stopped. Stores looted and emptied in the first days. Medical help was dependent on the knowledge of the local doctors, nurses and veterinarians and whatever supplies they happened to have on hand.

You know what was missing in this scenario? Somebody with some homeopathic knowledge! Homeopathy is an essential skill to have if you are living off the grid, whether by choice … or through a fictional EMP being dropped.

The main character got a life-threatening infection after cutting his hand.  A number of remedies come to mind for a really bad infection*: Calendula (Parente et al. 2012; Givol et al. 2019; Preethi and Kuttan 2009), Gunpowder (Casey 2011) or, the  Banerji protocol of Hypericum 200c mixed with Arsenicum album 200c (Banerji and Banerji 2013). 

*This article is based on a fictional situation. If you find yourself in any of these situations in real life, seek medical attention immediately!

His daughter had Type 1 diabetes (NOT a good thing to have when the supply lines are cut and there is no more insulin to be found) and though homeopathy may help control some of the symptoms, it isn’t going to do much to help that situation. There are certainly medical conditions for which pharmaceutical drugs are absolutely necessary to keep people alive. But, this dystopian novel made me think about all the people dependent on pharmaceutical meds for non-life-threatening conditions. You don’t want to be dependent on these things when this fictional EMP is dropped (or even if there is a breakdown of the supply chain)!

The coming to grips with their new reality? Ignatia could certainly help with that. It is so good at addressing emotional shocks and for those suffering ill effects from hearing bad news or from fright and "disorders of the mind, particularly if actuated by grief, sadness, hopelessness, hysterical variableness, fantastic illusions" (Murphy 2006, p. 973).

The diarrhea that spread through town? Arsenicum album (Rafferty and Kayne 1994), Veratrum album (Banerji and Banerji 2013) or Camphor ​(Banerji and Banerji 2013; Leary 1997; Perko 2005). [An interesting read on the use of homeopathy in cholera epidemics.]

The psychiatric patients in town who no longer had their meds… Homeopathy has a good track record for helping mental and emotional conditions of all sorts and certainly could have helped to keep some of these conditions at bay, but these are better suited to an individualized classical homeopathic remedy. (Check out Homeopathy and Mental Health Care by C. K. Johannes for a place to start.)

Another beautiful aspect of homeopathy is it doesn’t require much of a supply chain. It is completely possible to make your own homeopathic remedies as long as you have either the raw materials or the homeopathic remedy itself. If you have blank pellets, you can create more pellets as needed, or, you can make essentially limitless liquid remedies from a couple of pellets and treat the whole town at once!

What else could these people have used? A good First Aid Kit** and the knowledge of how to use it.  When your local hospitals and clinics are no longer of any use to you, a medium-sized accident can leave you in a world of hurt. Remember, in this fictional account, there was no electricity, no internet, no phones to help you figure out how to use your first aid kit. It does you no good to have something downloaded on your now defunct tablet; you need to have good, old-fashioned books to guide you, like US Army First Aid Manual or Herbal medic : a green beret’s guide to emergency medical preparedness and natural first aid.

I know some people find these catastrophic topics disturbing. I like the problem solving that comes along with reading these kinds of books; to think about the worst case scenario and figure out ways to tackle the problems — being prepared (in my mind, at least) brings me a sense of calm.

I’m happy to have this genre back in my life. I wonder what the next dystopian scenario coming my way will be? Regardless of what it is, I bet homeopathy would be a useful skill to have!


Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits

** I have no affiliation with this company or any products listed here, I just like their products.

REFERENCES

Anon., 2020. Instructions For Turning Pills Into Liquid Remedies [online]. Homeopathy Plus. 

Banerji, P. and Banerji, P., 2013. The Banerji protocols : a new method of treatment with homeopathic medicines. India: Pratip Banerji.
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Camerlink, I., Ellinger, L., Bakker, E. J., and Lantinga, E. A., 2010. Homeopathy as replacement to antibiotics in the case of Escherichia coli diarrhoea in neonatal piglets. Homeopathy [online], 99 (1), 57–62.
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Casey, S., 2011. Gunpowder! Little-Known Remedy Packs a Wallop Against Wounds - Shirley Casey [online]. Hpathy. 

Coyte, J., 2021. Homeopathic potency briefly explained [online]. CLASSICALLYPRACTICAL.COM. 

Givol, O., Kornhaber, R., Visentin, D., Cleary, M., Haik, J., and Harats, M., 2019. A systematic review of Calendula officinalis extract for wound healing. Wound Repair and Regeneration [online], 27 (5), 548–561.

Jacobs, J., Jiménez, L. M., Gloyd, S. S., Gale, J. L., and Crothers, D., 1994. Treatment of acute childhood diarrhea with homeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics [online], 93 (5), 719–725.

Johannes, C. K., 2010. Homeopathy and Mental Health Care. The Netherlands: Homeolinks Publishers.

Leary, B., 1997. The homoepathic management of cholera in the nineteenty century with special reference to the epidemic in London, 1854. Medizin, Gesellschaft, Und Geschichte: Jahrbuch Des Instituts Fur Geschichte Der Medizin Der Robert Bosch Stiftung [online], 16, 125–144.
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Murphy, R., 2006. Nature’s materia medica : 1,400 homeopathic and herbal remedies. Blackburg, Va.: Lotus Health Institute, November.

Parente, L. M. L., Lino Júnior, R. de S., Tresvenzol, L. M. F., Vinaud, M. C., de Paula, J. R., and Paulo, N. M., 2012. Wound Healing and Anti-Inflammatory Effect in Animal Models of Calendula officinalis L. Growing in Brazil [online]. Evidence-Based Complementary and Alternative Medicine. 

Perko, S. J., 2005. The homeopathic treatment of influenza : surviving influenza epidemics and pandemics past, present and future with homeopathy. San Antonio, Tx: Benchmark Homeopathic Publications.

Preethi, K. C. and Kuttan, R., 2009. Wound healing activity of flower extract of Calendula offlcinalis. Journal of Basic and Clinical Physiology and Pharmacology[online], 20 (1).

Rafferty, A. and Kayne, S., 1994. The use of Arsenicum album 30c to complement conventional treatment of neonatal diarrhoea (“scours”) in calves. British Homeopathic Journal [online], 83 (04), 202–204.
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FIRST AID BOOKS

Coffman, S., 2021. Herbal medic : a green beret’s guide to emergency medical preparedness and natural first aid. North Adams, Ma: Storey Publishing.
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Pareek, R. S. and Pareek, A., 2012. Homeopathy for Acutes and Emergencies. Kandern, Germany: Narayana Publishers.

Ratera, Dr. M. M., 2016. First Aid with Homeopathy.

Schmukler, A. V., 2006. Homeopathy : an A to Z home handbook. Woodbury, Minn.: Llewellyn Publications.
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United States. Department Of The Army, 2009. U.S. Army first aid manual. New York: Skyhorse Pub.

Wiseman, J. and Britain., G., 2014. SAS survival handbook : the ultimate guide to surviving anywhere. New York: William Morrow, An Imprint Of Harpercollins Publishers.
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