A person who has cholera needs to replace what is lost due to the diarrhea. This includes both fluids and salts, also called electrolytes. Liquid salt solutions can be used if the person is able to drink. Otherwise, fluids and salt can be given through an intravenous line, called an IV. An IV is a thin tube that is inserted through the skin and into a person's vein, usually in the hand or forearm. This is often the only treatment that is needed, as the diarrhea goes away in a few days.
Antibiotics such as doxycycline and ciprofloxacin can be used to treat cholera. Though antibiotics are not needed, they are commonly used in the U.S. to shorten the length of time it takes for symptoms to go away. They also help clear the bacteria from the bowel, which reduces the chance of spreading the disease to others.
All antibiotics have possible side effects, including allergic reactions and stomach upset.
In most cholera cases in the U.S., the diarrhea goes away and the person starts to feel better within a few days. If treatment is delayed, dehydration can cause complications. These include:
In these cases, the person is usually treated and monitored in a hospital for a short time.
Any new or worsening symptoms should be reported to the doctor.