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General Practice

Cholera: symptoms, causes & treatment in Nigeria

Also known as severe watery diarrhoea, rice-water stool illness.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Cholera is an acute diarrhoeal infection caught from contaminated water or food, and outbreaks still occur in parts of Nigeria, especially in the rainy season. It can cause such heavy, watery diarrhoea that a person becomes dangerously dehydrated within hours. Rapid rehydration saves lives.

Symptoms

  • Sudden, profuse watery diarrhoea (often like rice water)
  • Vomiting
  • Intense thirst
  • Muscle cramps
  • Sunken eyes and dry mouth
  • Weakness or collapse
  • Very little or no urine

Causes & risk factors

  • Drinking water contaminated with Vibrio cholerae
  • Eating contaminated or poorly cooked food
  • Poor sanitation and unsafe water sources
  • Outbreak conditions such as flooding

Treatment & self-care

Start oral rehydration solution (ORS) immediately and keep replacing every stool lost — rehydration is the core of treatment. Severe cases need a clinic or hospital for intravenous fluids, and doctors may add antibiotics. Use safe water and good hand hygiene to protect the rest of the household.

See a doctor urgently if

  • Diarrhoea so frequent the person cannot keep up with drinking
  • Sunken eyes, dry tongue or skin that stays pinched
  • Drowsiness, confusion or fainting
  • No urine for many hours
  • Watery diarrhoea in a young child, elderly or pregnant person

This condition can be an emergency. If any of the signs above are severe or getting worse, go to the nearest emergency room now or call 112 or 199 — do not wait for an online consultation.

Frequently asked questions

What are the first signs of Cholera?
Early signs often include sudden, profuse watery diarrhoea (often like rice water), vomiting, intense thirst. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Cholera be treated?
Start oral rehydration solution (ORS) immediately and keep replacing every stool lost — rehydration is the core of treatment. Severe cases need a clinic or hospital for intravenous fluids, and doctors may add antibiotics. Use safe water and good hand hygiene to protect the rest of the household.
When should I see a doctor about Cholera?
See a doctor promptly if you notice: diarrhoea so frequent the person cannot keep up with drinking; sunken eyes, dry tongue or skin that stays pinched; drowsiness, confusion or fainting; no urine for many hours; watery diarrhoea in a young child, elderly or pregnant person. These can be signs of an emergency — if severe, go to the nearest emergency room or call 112 or 199.

Talk to the right specialist

Cholera is usually handled by general practice. See an online general practice doctor in minutes on GoDoctor.

Related conditions

Lab tests that may help