CholeraSymptoms, Doctors, Treatments, Advances & More
Learn About Cholera
Cholera is a bacterial infection of the small intestine that causes a large amount of watery diarrhea.
Cholera is caused by the bacterium Vibrio cholerae. These bacteria release a toxin that causes an increased amount of water to be released from cells that line the intestines. This increase in water produces severe diarrhea.
People develop the infection from eating or drinking food or water that contains the cholera germ. Living in or traveling to areas where cholera is present raises the risk of getting it.
Cholera occurs in places with a lack of water treatment or sewage treatment, or crowding, war, and famine. Common locations for cholera include:
- Africa
- Some parts of Asia
- India
- Bangladesh
- Mexico
- South and Central America
Symptoms of cholera can be mild to severe. They include:
- Abdominal cramps
- Dry mucous membranes or dry mouth
- Dry skin
- Excessive thirst
- Glassy or sunken eyes
- Lack of tears
- Lethargy
- Low urine output
- Nausea
- Rapid dehydration
- Rapid pulse (heart rate)
- Sunken soft spots (fontanelles) in infants
- Unusual sleepiness or tiredness
- Vomiting
- Watery diarrhea that starts suddenly and has a fishy odor
The goal of treatment is to replace fluid and salts that are lost through diarrhea. Diarrhea and fluid loss can be fast and extreme. It can be hard to replace large amounts of lost fluids.
Depending on your condition, you may be given fluids by mouth or through a vein (intravenous, or IV). Antibiotics may shorten the time you feel ill.
The World Health Organization (WHO) has developed packets of salts that are mixed with clean water to help restore bodily fluids. These are cheaper and easier to use than the typical IV fluid. These packets are now being used around the world.
Lincoln Medical Office
Christine George is a primary care provider, practicing in Family Medicine in Lincoln, California. She has been practicing medicine for over 10 years. Dr. George is rated as an Elite provider by MediFind in the treatment of Cholera. She is also highly rated in 3 other conditions, according to our data. Her clinical expertise encompasses Diarrhea, Cholera, Malnutrition, and Pica.
Firdausi Qadri practices practicing medicine in Dhaka, Bangladesh. Qadri is rated as an Elite expert by MediFind in the treatment of Cholera. They are also highly rated in 16 other conditions, according to our data. Their clinical expertise encompasses Cholera, Salmonella Enterocolitis, Typhoid Fever, and Diarrhea.
Ashraful Khan practices practicing medicine in Dhaka, Bangladesh. Khan is rated as an Elite expert by MediFind in the treatment of Cholera. They are also highly rated in 6 other conditions, according to our data. Their clinical expertise encompasses Cholera, Diarrhea, Shigellosis, and Typhoid Fever.
Severe dehydration can cause death. Supportive care is critical. Most people will make a full recovery when they are given enough fluids.
Complications may include:
- Severe dehydration
- Death
Contact your health care provider if you develop severe watery diarrhea. Also contact your provider if you have signs of dehydration, including:
- Dry mouth
- Dry skin
- Glassy eyes
- No tears
- Rapid pulse
- Reduced or no urine
- Sunken eyes
- Thirst
- Unusual sleepiness or tiredness
There is a cholera vaccine available for adults ages 2 to 64 who are traveling to an area with an active cholera outbreak. The Centers for Disease Control and Prevention (CDC) does not recommend the cholera vaccine for most travelers because most people do not travel to areas where cholera is present.
Travelers should always be careful when eating food and drinking water, even if they are vaccinated.
When outbreaks of cholera occur, efforts should be made to establish clean water, food, and sanitation. Vaccination is not very effective in managing outbreaks.
Summary: This is an open-label, non-randomized study. The purpose of this study is to better understand how vaccines against typhoid fever and cholera affect the normal immune system and bacteria in the intestine. Patients having standard-of-care endoscopies (colonoscopy and/or esophagogastroduodenoscopy (EGD)) will be divided into 3 groups: Group 1: Vivotif typhoid vaccination and/or Vaxchora cholera vacc...
Summary: Cholera is a serious diarrheal disease that can be fatal within hours of onset. The current available cholera vaccines to prevent the disease are not very effective. Panchol is a new oral cholera vaccine that may be an improvement over the currently available vaccines in use. The goal of this study is to learn safety of this new oral cholera vaccine and the body's immune response to the vaccine. T...
Published Date: March 01, 2026
Published By: Jatin M. Vyas, MD, PhD, Roy and Diana Vagelos Professor in Medicine, Columbia University Vagelos College of Physicians and Surgeons, Division of Infectious Diseases, Department of Medicine, New York, NY. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Centers for Disease Control and Prevention website. Cholera. www.cdc.gov/cholera/about/index.html. Updated May 29, 2025. Accessed April 15, 2026.
Fleckenstein JM. Approach to the patient with suspected enteric infection. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 262.
Gotuzzo E, Seas C. Cholera and other vibrio infections. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 278.
Waldor MK, Ryan ET. Vibrio cholerae. In: Blaser MJ, Cohen JI, Holland SM, et al, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 10th ed. Philadelphia, PA: Elsevier; 2026:chap 219.