Quick Answer
Diarrhea can be a serious issue during a wilderness trip if it persists for more than 3 days, exceeds 10 bowel movements per day, or is accompanied by fever, blood in stool, or severe abdominal pain.
Signs of Dehydration
During a wilderness trip, diarrhea can quickly lead to dehydration if not managed properly. Signs of dehydration include excessive thirst, dark urine, decreased urine output, dizziness, and headaches. To assess dehydration, pinch the skin on the back of the hand - if it takes more than 2 seconds to return to its original position, dehydration is likely present. In this case, rehydrate with oral rehydration solutions or electrolyte-rich fluids, such as coconut water or sports drinks.
Blood in Stool
If diarrhea is accompanied by blood in the stool, it may indicate a more serious condition, such as dysentery or a gastrointestinal infection. In this case, seek medical attention as soon as possible. In the meantime, continue to rehydrate with electrolyte-rich fluids and consider using antibiotics if prescribed by a medical professional.
Abdominal Pain and Fever
Severe abdominal pain or fever above 101.5°F (38.6°C) can be a sign of a more serious infection, such as typhoid or salmonella. In this case, seek medical attention immediately and continue to rehydrate with electrolyte-rich fluids. Antipyretics, such as acetaminophen or ibuprofen, may also be necessary to manage fever.
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