Signs and Symptoms


The Clinical Features of Moderate to Severe Cases of Cholera are the following

  • Acute onset
  • Severe painless watery diarrhoea with or without vomiting
  • Signs of dehydration and electrolyte imbalance & shock, majority cases are in the form of mild diarrhoea.

Diarrhoea causes fluid and electrolyte losses. It may be mild, moderate or sever. depending on the severity of losses.

Following Signs & Symptoms are Observed Signs of Dehydration (Moderate dehydration)

  • Increased thirst
  • Restlessness irritability
  • Loss of skin elasticity.
  • Dry mouth

Signs of Severe Dehydration

  • All above signs, and
  • Lethargic look.
  • Flabby hypotonia
  • Unable to drink
  • Decreased urine output.
  • Increased heart rate.
  • Unconsciousness
  • Fall in Blood Pressure
  • Depression of Anterior frontanalae in infants.
Signs of Hypokalemia/Electrolyte imbalance
  • Hypotonia
  • Cardiac arrhythmia
  • Paralytic ileus
  • Cardiorespiratory failure

More than 90% of sporadict cases are mild and 9% cases require Oral rehydration therapy. And 1% cases require hospitalization & IV therapy.