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

• Acute onset
• Severe painless watery diarrhea 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.