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You should seek medical advice if diarrhoea continues for more than five days or if there is blood mixed up in the faeces, in which case you could be suffering from giardiasis or amoebic dysentery.

Such diarrhoea is also often accompanied by cramps, nausea and vomiting, and fever in more severe cases.

If you have persistent diarrhoea, you may be suffering from giardiasis or amoebic dysentery.

With giardiasis you may suffer stomach cramps, nausea and a bloated stomach.

If stuck, any reputable hotel or guesthouse should be able to put you in touch with a local English-speaking doctor.

There is more on Ayurveda, Sri Lanka’s remarkable home-grown system of holistic medical care, in our Beruwala account. Although it’s generally chlorinated and safe to drink, the unfamiliar micro-organisms it contains (compared with what you’re used to at home) can easily precipitate a stomach upset.

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