How is Bill the parrot doing? Has it yet learn how to say "bigphatt, when are you gonna Western Union Sreymom."bigphatt wrote:Sorry to go off track but I had to let ya's all know that I'm a bird watcher and I love it.
I own a Parrot (crazy little fucker that he is).
I live in the Australian tropics where i enjoy watching many variety of birds big and small, doing their thing in my yard.
Sitting outside on my verandah sucking on an ale or three each afternoon with my little Parrot "Bill" is fantastic and oh so very relaxing, IMO.
you guys thought i was about to waffle on about the other "birds"..
Fair dinkum, Harold, you are a boring old geezer
Why you maybe shouldn't eat street food in Cambodia
-
- I need professional help
- Reactions: 0
- Posts: 1140
- Joined: Thu Jul 28, 2016 8:48 am
EVERYONE BOW DOWN TO HIS MAJESTIES phat kunthea™
Bill is only 5 months old so he doesn't yet talk engrish at all but does understand a few words/commands already.phat kunthea wrote:How is Bill the parrot doing? Has it yet learn how to say "bigphatt, when are you gonna Western Union Sreymom."bigphatt wrote:Sorry to go off track but I had to let ya's all know that I'm a bird watcher and I love it.
I own a Parrot (crazy little fucker that he is).
I live in the Australian tropics where i enjoy watching many variety of birds big and small, doing their thing in my yard.
Sitting outside on my verandah sucking on an ale or three each afternoon with my little Parrot "Bill" is fantastic and oh so very relaxing, IMO.
you guys thought i was about to waffle on about the other "birds"..
Fair dinkum, Harold, you are a boring old geezer
He sure knows the sound of a can of beer being cracked.
At the sound of my first can being cracked, he will screech like a slut on heat and run like the wind to join me on the verandah each afternoon.
My Three Mothers Tell Me I'm An Attention Whore.. I Love My Mums
It depends a bit on your lifestyle, I guess. Albendazole is a pretty safe medicine, it's hardly absorbed in the intestine:Barang_doa_slae wrote:Do you guys really take anti worms pills every 6 months ? Last time I took some must be about 10 years ago when I was greated by a worm in the bowl after my morning affairs.
I guess there must be a middle ground in between such extremely opposite treatment schedule.
Also aren't these molecules kind of poisonous ? I would imagine in a similar way to the iodine pills to treat unsafe water or anti malaria treatments can be.
<cut>
A serious worm infection, on the other hand can be a real pain in the ass, and dangerouw, esp. for children. Some worms live of your feces, you will hardly notice it besides an itchy bum at night, but some worms feed on blood by sucking it from the intestine. That's the ones usually entering through the skin ending up in your intestine through the lungs and stomach. Those can be pretty nasty and leave you with some fever, low energy levels, upset intestine etc. Once took a 13YO child to a GP with this problem, I thought it was dengue, but it was a worm infection. His intestines were so badly infected/inflamed he needed antibiotics through IV for several days because oral medication wasn't strong enough, and was really ill. Fever well over 40 degrees for over a week. The whole treatment took nearly three weeks and cost me over 300 USD. He's on a strict albendazole schedule now. He never played the flip-flop game (barefoot) again afterwards (which is a good thing).Albendazole is poorly absorbed from the gastrointestinal tract due to its low aqueous solubility. Albendazole concentrations are negligible or undetectable in plasma as it is rapidly converted to the sulfoxide metabolite prior to reaching the systemic circulation.
- Miguelito
- Ordinary Schmo
- Reactions: 219
- Posts: 7053
- Joined: Tue Jan 13, 2015 11:19 pm
- Location: Penh's Hill
I just watched someone from a street food cart walk over to the fountain in Wat Bottom Park, fill up a container of water from the fountain, and walk back and put the container under his cart. Presumably, this is the water he will use to "wash" any vegetables with
Let's hope he doesn't wash his hands in the same bucket. In Thailand, they use the three bucket system which has been proved to clean stuff well. Keep the food cool. Don't use old oil. Throw bad food away. And wash your hands with soap. If only high comparative prices meant high comparative quality.Miguelito wrote:I just watched someone from a street food cart walk over to the fountain in Wat Bottom Park, fill up a container of water from the fountain, and walk back and put the container under his cart. Presumably, this is the water he will use to "wash" any vegetables with
Just so you know, the most common parasites in Cambodia are hookworm and Strongyloides. Neither of which come from eating street food. You get them by walking around barefoot on ground that's been contaminated with faeces containing the parasite. The parasite burrows into the skin of your foot and enters the blood stream eventually making its way to the lungs from where it gets coughed up and swallowed, finally entering the intestines.
Here's a diagram of the life cycle of hookworm: https://www.cdc.gov/parasites/hookworm/biology.html
The life cycle of Strongyloides is a little more complicated but the mode of transmission is essentially the same.
Here's a diagram of the life cycle of hookworm: https://www.cdc.gov/parasites/hookworm/biology.html
The life cycle of Strongyloides is a little more complicated but the mode of transmission is essentially the same.
Not in PP they're not. In PP it's amoebiasis that's more common, from contact with feces - either direct contact (from a plate or cup for example) or from infected water/ water that has been used to wash the plates etc.Angelino wrote:Just so you know, the most common parasites in Cambodia are hookworm and Strongyloides. Neither of which come from eating street food. You get them by walking around barefoot on ground that's been contaminated with faeces containing the parasite. The parasite burrows into the skin of your foot and enters the blood stream eventually making its way to the lungs from where it gets coughed up and swallowed, finally entering the intestines.
Here's a diagram of the life cycle of hookworm: https://www.cdc.gov/parasites/hookworm/biology.html
The life cycle of Strongyloides is a little more complicated but the mode of transmission is essentially the same.
Ah yes jiggers I think they're called in Africa.
Had amoebiasis 3 times in PP- lasted approx a year. But not for the last 4 years as I have been in Vietnam/ SNVL, and now that i'm back in PP, I do all my eating at home. Some people are lucky and it just sticks in the gut without attaching it self to the lining. Lucky them.
Anyway, there are 4 major types of food poisoning. You can catch them all in one meal.
Last edited by Abou-Gor on Wed Feb 08, 2017 5:48 pm, edited 1 time in total.
Amoebiasis is actually very uncommon in Cambodia. There are many species of amoeba in stools and most of them are non-pathogenic. The main pathogenic one is Entamoeba histolytica and its very uncommon in Cambodia. In fact I don't think there's a lab in Cambodia that can correctly identify this species. It usually requires molecular diagnosis (PCR) to identify as its morphologically identical to the non-pathogenic species so I'd like to know where you got your diagnosis. I'm saying this as someone who has worked in labs in Cambodia diagnosing these parasites and training Cambodian lab staff.
In any case,the cysts of Entamoeba histolytica are easily killed by heat and cold so unless the street food you're eating is raw then it shouldn't be a problem.
In any case,the cysts of Entamoeba histolytica are easily killed by heat and cold so unless the street food you're eating is raw then it shouldn't be a problem.
- Lucky Lucan
- K440 Knight Captain
- Reactions: 761
- Posts: 22525
- Joined: Fri Mar 04, 2011 12:24 pm
- Location: The Pearl of the Orient
Yeah, I looked at a few sites and it seems Hookworm, Strongyloidiasis and Giardia are the most common parasites here. I've never heard of anyone getting Amoebiasis here.
Romantic Cambodia is dead and gone. It's with McKinley in the grave.
Well it was a big problem . Lack of appetite, no energy, blood and snot coming out of my anus.Angelino wrote:Amoebiasis is actually very uncommon in Cambodia. There are many species of amoeba in stools and most of them are non-pathogenic. The main pathogenic one is Entamoeba histolytica and its very uncommon in Cambodia. In fact I don't think there's a lab in Cambodia that can correctly identify this species. It usually requires molecular diagnosis (PCR) to identify as its morphologically identical to the non-pathogenic species so I'd like to know where you got your diagnosis. I'm saying this as someone who has worked in labs in Cambodia diagnosing these parasites and training Cambodian lab staff.
In any case,the cysts of Entamoeba histolytica are easily killed by heat and cold so unless the street food you're eating is raw then it shouldn't be a problem.
I got my diagnosis done at the London hospital of tropical medicine on one of those expensive machines.
From what I've read, it is not impossible to check by stool, and that blood test (iirc) but much more definitive with the big expensive machine. I don't eat raw food - unless you mean tomatoes and onions. It's not the food anyway as far as amoebiasis is concerned, but the plates and cups etc as I mentioned above. What you are telling me goes against all that I have researched and experienced here appart from that the infections are caused by Entamoeba Histolytica. Stool samples should be checked up to five times apparently. The lab I went to here tested it once and said no problem (blood and snot still lol), and absolutely refused to take anymore tests. probably the only time I have had a business refusing to take my money here.
Also, PP used to be known as amoeba city or something by UNTAC employees.
Here's a thread from a few years ago;
http://www.khmer440.com/chat_forum/view ... w=viewpoll
I had a look at the thread that you linked to. I don't for a moment believe there's any accuracy in the poll at the start of that thread.
One of the problems as I said is that Entamoeba histolytica is morphologically identical to the non-pathogenic Entamoeba dispar. This was only recognised in the 1990s. There's also another non-pathogenic amoeba called Entamoeba coli which is fairly common. A lot of times I think people are told that they have an amoeba in their stool specimen and it's probably one of the more common non-pathogenic forms.
I've looked at quite a few specimens in Cambodia. Never saw a single Entamoeba histolytica but saw plenty of hookworm and Strongyloides.
You're correct about the recommendation for several specimens (usually at least 3 is preferable) to diagnose parasites in a stool specimens if it's being done by microscopic examination but this is not commonly done (at least not in Cambodia). If testing by other methods like PCR which don't require actually seeing the parasite in the specimen then collecting a number of specimens is not important.
Don't know much about UNTAC times but the technology to correctly diagnose Entamoeba histolytica wouldn't have been around then and possibly a lot of incorrect diagnoses were made.
Lastly, there are some very nasty parasites that you can get from eating raw/undercooked fish. They are associated with certain cancers and are actually classified as carcinogens so I'd certainly avoid eating raw fish in Cambodia. https://en.m.wikipedia.org/wiki/Opisthorchis_viverrini
One of the problems as I said is that Entamoeba histolytica is morphologically identical to the non-pathogenic Entamoeba dispar. This was only recognised in the 1990s. There's also another non-pathogenic amoeba called Entamoeba coli which is fairly common. A lot of times I think people are told that they have an amoeba in their stool specimen and it's probably one of the more common non-pathogenic forms.
I've looked at quite a few specimens in Cambodia. Never saw a single Entamoeba histolytica but saw plenty of hookworm and Strongyloides.
You're correct about the recommendation for several specimens (usually at least 3 is preferable) to diagnose parasites in a stool specimens if it's being done by microscopic examination but this is not commonly done (at least not in Cambodia). If testing by other methods like PCR which don't require actually seeing the parasite in the specimen then collecting a number of specimens is not important.
Don't know much about UNTAC times but the technology to correctly diagnose Entamoeba histolytica wouldn't have been around then and possibly a lot of incorrect diagnoses were made.
Lastly, there are some very nasty parasites that you can get from eating raw/undercooked fish. They are associated with certain cancers and are actually classified as carcinogens so I'd certainly avoid eating raw fish in Cambodia. https://en.m.wikipedia.org/wiki/Opisthorchis_viverrini
Ha! Yes, I just make polls like the HE vs Trump one. It's KH440.Angelino wrote:I had a look at the thread that you linked to. I don't for a moment believe there's any accuracy in the poll at the start of that thread.
Interesting the info you provided on the pathogenic vs non-pathogenic amoeba. That has allowed for further research.One of the problems as I said is that Entamoeba histolytica is morphologically identical to the non-pathogenic Entamoeba dispar. This was only recognised in the 1990s. There's also another non-pathogenic amoeba called Entamoeba coli which is fairly common. A lot of times I think people are told that they have an amoeba in their stool specimen and it's probably one of the more common non-pathogenic forms.
I've looked at quite a few specimens in Cambodia. Never saw a single Entamoeba histolytica but saw plenty of hookworm and Strongyloides.
You're correct about the recommendation for several specimens (usually at least 3 is preferable) to diagnose parasites in a stool specimens if it's being done by microscopic examination but this is not commonly done (at least not in Cambodia). If testing by other methods like PCR which don't require actually seeing the parasite in the specimen then collecting a number of specimens is not important.
Don't know much about UNTAC times but the technology to correctly diagnose Entamoeba histolytica wouldn't have been around then and possibly a lot of incorrect diagnoses were made.
Lastly, there are some very nasty parasites that you can get from eating raw/undercooked fish. They are associated with certain cancers and are actually classified as carcinogens so I'd certainly avoid eating raw fish in Cambodia. https://en.m.wikipedia.org/wiki/Opisthorchis_viverrini
What I was doing of course was researching my symptoms. Small dark plasticine like stools, blood and mucous and localized abdominal pain. It kept showing up in many reports as Entamoeba and crazily as Entamoeba histolytica. Which it advised treatment with metro or tinidazole - both anti-biotics - which apparently don't kill the Entamoeba histolytica protozoa. Can you confirm this?
What is the prevalence of the PCR test in Cambodian health clinics now? There are hundreds of these little places around - how many are not doing their diagnosis by microscope?
With the symptoms mentioned above, would you have put that down to a worm infection?
After taking the metro which didn't work, I then preceded to take deworming medicine.
It was after these had failed that I looked for another remedy. I used Tinidazole which worked well on one application.
However, two-to three weeks later, the symptoms reemerged, with localized pain in a different area. It wasn't until I left PP and had gone to SNVL that the reinfections stopped. Just before I left PP I was struck by a strong bout of dysentery. Which I put down to not just unsafe food practices, but also the fact that I had been taking so many anti-biotics, Of course, I didn't need to take anything for the dysentery.
I think you are being a bit misleading to suggest there is no Entamoeba histolytica in Cambodia, as it is very similar to Entamoeba dispar- and although there may be little, the initial symptoms appear to be the same except for the seriousness of the infection if not treated - you may have led people to believe that ameobiasis is not common in Cambodia.
Also, as you mention, it is a fairly recent discovery that has identified the different types. There seems to be some indication that the other Entamoeba types could lead to invasive conditions as well as Entamoeba histolytica.
How many cases of the other entamoebas did you find in your PP work? What was the apprx sample size of the tests ?
Thanks for the extra info.
Can't really advise on treatment. Metronidazole and tinidazole are both active against Entamoeba but I think metronidazole is usually followed up with other drugs to eradicate the protozoa from the intestine.
I'm not aware of any labs in Cambodia that are using PCR testing for stool samples. Its expensive.
I didn't say that Entamoeba histolytica doesn't exist in Cambodia. But I think there's a tendency for people to say they have it with little supporting evidence and its not very frequent.
I often saw Entamoeba coli in stool specimens. Its not a pathogen but its an indicator that the person who has it has been eating/drinking something that's got faecal contamination.
There's a pretty comprehensive review of Entamoeba histolytica in Malaysia here which also talks about the difficulty of identifying it from other species if you can be bothered reading it: http://www.msptm.org/files/194_-_222_Norhayati_M.pdf
Most studies find that E.histolytica is much less common that other morphologically similar species.
Interesting quote from that paper I cited : "Within the last few decades,
many studies have reported the occurrence
of this infection (E. histolytica) in homosexual men usually
as the result of oral-anal and oral-genital
sexual contact"
Perhaps this route of infection should be just as much a cause of concern as eating street food.
I'm not aware of any labs in Cambodia that are using PCR testing for stool samples. Its expensive.
I didn't say that Entamoeba histolytica doesn't exist in Cambodia. But I think there's a tendency for people to say they have it with little supporting evidence and its not very frequent.
I often saw Entamoeba coli in stool specimens. Its not a pathogen but its an indicator that the person who has it has been eating/drinking something that's got faecal contamination.
There's a pretty comprehensive review of Entamoeba histolytica in Malaysia here which also talks about the difficulty of identifying it from other species if you can be bothered reading it: http://www.msptm.org/files/194_-_222_Norhayati_M.pdf
Most studies find that E.histolytica is much less common that other morphologically similar species.
Interesting quote from that paper I cited : "Within the last few decades,
many studies have reported the occurrence
of this infection (E. histolytica) in homosexual men usually
as the result of oral-anal and oral-genital
sexual contact"
Perhaps this route of infection should be just as much a cause of concern as eating street food.
Last edited by Angelino on Thu Feb 09, 2017 4:05 pm, edited 1 time in total.
- Lucky Lucan
- K440 Knight Captain
- Reactions: 761
- Posts: 22525
- Joined: Fri Mar 04, 2011 12:24 pm
- Location: The Pearl of the Orient
Yeah, or something....Abou-Gor wrote:
Also, PP used to be known as amoeba city or something by UNTAC employees.
What a lame attempt to back up your assumption.
Romantic Cambodia is dead and gone. It's with McKinley in the grave.
-
- Similar Topics
- Replies
- Views
- Last post