Escherichia coli (E. coli) bacteria normally live in the intestines of healthy people and animals. Most varieties are harmless or cause brief diarrhea.
However, nasty strains like E. coli O157:H7 can cause severe abdominal cramps, bloody diarrhea, and vomiting.
You may be exposed to these dangerous strains through contaminated water or food—especially raw vegetables and undercooked ground beef.
Symptoms
Signs typically begin 3 or 4 days after exposure to the bacteria. They include:
- Diarrhea: Ranges from mild/watery to severe/bloody.
- Abdominal Cramping: Severe pain or tenderness.
- Nausea and vomiting.
Contact your doctor immediately if your diarrhea is persistent, severe, or bloody.
Causes & Sources
You develop an infection when you ingest this specific strain of bacteria. Common sources include:
1. Contaminated Food
- Ground Beef: Bacteria from cattle intestines can get on the meat during processing. Undercooked burgers are a major risk.
- Fresh Produce: Runoff from cattle farms can contaminate fields where spinach or lettuce grows.
- Unpasteurized Milk: Raw milk can carry bacteria from the cow's udder.
2. Water & Contact
- Contaminated Water: Swallowing lake or pool water contaminated with feces.
- Person-to-Person: Easily spread if infected adults or children don't wash hands properly (common in daycares).
Complications: HUS
Most healthy adults recover within a week. However, young children and older adults are at risk for Hemolytic Uremic Syndrome (HUS).
This is a life-threatening condition where red blood cells are destroyed and the kidneys fail. It requires intensive care.
Diagnosis
Doctors diagnose the infection by sending a stool sample to a laboratory to test for the presence of E. coli bacteria and identify specific toxins.
Treatment
There is no "cure" or specific medication to kill the bacteria once infected. Antibiotics are generally not recommended as they can increase the risk of HUS.
Management Steps
- Rest: Allow your body to fight the infection.
- Hydration: Drink plenty of water or electrolyte solutions to prevent dehydration from diarrhea.
- Avoid Anti-Diarrheals: Do not take medications like Imodium. They slow your digestive system, preventing your body from flushing out the toxins.
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