Watery diarrhea after eating fresh produce

Watery diarrhea that starts 5–14 days after eating fresh berries, bagged salad, basil, cilantro, or snow peas — and drags on for weeks with cramping, gas, bloating, low-grade fever, and marked fatigue — is a classic pattern for cyclosporiasis, the parasite behind the ongoing U.S. produce-linked outbreak. Unlike typical food poisoning that clears in a few days, Cyclospora often relapses if untreated. Clindle evaluates suspected cyclosporiasis over a same-day video visit, orders a stool ova-and-parasite test with Cyclospora PCR at a lab near you, and prescribes Bactrim (trimethoprim-sulfamethoxazole) — the first-line treatment — when the picture fits.