Archive for diarrhea
Diet
Posted by: | CommentsI naively assumed when we moved here that people maintained good diets because of the abundance of fresh fruits and vegetables, a coast within a few hours’ drive providing access to lots of fresh seafood, and a lack of processed, artificially sweetened and prepared foods.
Little did I know how wrong I was. First, people are so poor that even fruits and vegetables are luxuries for

Beer requires the same quantity of sugar and is healthier for you.
many. The diet of rice, beans and tortillas is common. Sometimes they add a little queso or eggs. This is not a bad breakfast or snack occasionally, but let me tell you, I can only do this once every few weeks before I’m willing to skip a meal rather than have it. Yes, I’m quite aware that these people often eat this meal every day, week after week. I’ll take my useless calories in liquid form, thank you.
More than one expat has commented to me that this diet, lacking in vitamins and proteins, might be a contributing factor to some of the, shall we say, unusual ‘reasoning’ behavior noted often on this blog and by other truth-telling foreigners. (Save the trouble of writing; I know I’m an a$$, but that doesn’t stop me from observing gravity and other truths among my daily observations about life here.)
I’ve also noticed that obesity is a problem here, and it seems particularly acute among middle-aged women. All I know about nutrition is that you’re supposed to eat lots of vegetables, some fish and meat, and even less of the tasty breads, and it seems to me the native diet here is upside down. As sodas and other processed calories have become widely available here, many locals are turning to this ‘easy’ food, much as we have in the states. Instead of hitting a McDonalds for a combo deal (McDonalds is expensive here, relatively speaking), they pick up a soda and a bag of chips.
David and Regina have pointed out in a post just how much sugar is in some of these drinks. It is true that the soda here (or rather, the Coca-Cola), is still made with sugar cane rather than the corn syrup that has been used in the US in recent decades. I don’t drink much Coke, unless it is well-balanced with whiskey, but I do appreciate the far-superior taste of the original recipe.
Anyway, I’m thinking about diet because we’ve been long-suffering for a lack of safe, leafy greens (I don’t trust local spinach and lettuce due to the well-founded concerns regarding bacteria), and certain persons in our household have been struggling with their weight.
Okay…let’s say it’s yours truly and one other, unnamed person who appreciate salads but haven’t had many in the last eight months. However, I was given the name of a guy who runs a local organic farm and who goes to great lengths to grow lettuce, spinach and other vegetables in a sanitary way. If it’s good for the environment as well, great.
We’ll try it out over the next few weeks and, absent any bouts of explosive diarrhea, will share the details with you.
If You’ve Had the Runs for 5 Days…
Posted by: | CommentsMy 13 year-old had suffered from diarrhea for 5 days but was not vomiting and otherwise felt fine. In the absence of other serious symptoms, 5 days is my trigger point for making a visit to the Doctor’s office.
We arrived at Dr. Bonilla’s office inside Privado Hospital Hermano San Pedro and waited about 10 minutes. In that time Dr. Bonilla saw four patients ahead of us, apparently just refilling prescriptions. He smiled broadly when we were shown in, no doubt happy to see a patient he could bill at the gringo price (170Q per consult).
He asked a few questions and then made an examination of the kid, pushing on the abdomen (apparently it hurt), listening to the abdomen, the heart, lungs and looking in his mouth. He then said he needed a stool sample and so would do an enema.
I had anticipated this and prepared for it, knowing my 13 year-old would likely be traumatized by the experience, complete with having the pretty young Latina standing by to interpret, if necessary, so I had prepared a sanitized tupperware container at home and collected the sample. The Doctor was truly surprised; perhaps he had never had a patient anticipate his diagnosis in this way.
He gave us a referral to the laboratory, which is 10 meters away in the same building. The woman working in the laboratory took the sample and told us to return in 30 minutes. We did, and found a report, which indicated no parasites were present but an ‘abundance’ of bacteria and yeast.
We were then told to wait for the doctor, whom we saw 5 minutes later. He looked at the report and immediately diagnosed a bacterial infection of the intestine and proscribed Floxtat, a generic version of Flaxin/Ofloxacin. Looking it up later on the internet I learned it is an alternative to Cyproflaxin, which is what they use to treat Anthrax. Yikes. The Doctor said contaminated water was the likely cause.
We got the drugs at the pharmacy in the hospital, and the bill for the consult, the laboratory and the drugs came to about 500Q. We spent a total of about 15 minutes waiting for the Doctor, 10 minutes with the Doctor, and 30 minutes wandering around the mercado to get the lab results. Pretty efficient, eh?













