nagpur city gastroenterologists and other specialists have sounded a note of caution regarding the consumption of roadside sugarcane and other juices whose sales jump with rise in temperature threats from unhygienic food and beverages include hepatitis a e and other gastrointestinal complications which become common in summers and get aggravated during the monsoongastroenterologist dr samir patil said diseases like hepatitis a e viral diarrhea typhoid and fever are transmitted through orofecal route pathogens in fecal particles pass from one person to the mouth of another person sugarcane and fruit juices prepared with contaminated water or ice may lead to serious health issues he added patil said hepatitis a and e are more common in rains but they may surface earlier too there is a spike in viral diarrhea cases in the last two weeks with the onset of summer eating street foods prepared in an unhygienic manner is not advisable he addedanother gastroenterologist dr rachit agrawal said he treated a patient of acute hepatitis a earlier this year viral hepatitis can lead to acute liver failure in rare cases and may become lifethreatening too hepatitis a or e can sometimes require liver transplant too he said agrawal added it is better to pay extra and eat at hygienic places than to risk catching water and foodborne diseases one can also contract acute gastroenteritis from such food in the summer it is triggered by bacterial infections which are commonly termed as diarrhea or dysentery he saidinfectious diseases specialist dr nitin shinde said roadside vendors seldom follow sound hygiene standards it is better to eat fruits washed well with clean water than to drink their juices homemade juices are a good option too he saidpaediatrician dr sandeep mogre said food poisoninglike symptoms start among children in summers and stretch till the rainy season the common complaint among children is gastroenteritis and sometimes typhoid contaminated food and water are the main causes of childrens healthrelated issues in the summer and monsoon he said adding sore throat due to ice candy or ice gola is another nuisance posing health hazards to the paediatric populationgastroenterologist dr prashant bhandarkar said one must also ward off dehydration in the sweltering summer avoid continuous toil under the sun and stepping into a cold room immediately after an outdoor visit said bhandarkar adding that liver and stomach ailments which can be triggered through viral and bacterial infections are very prevalent during summers and afterwards