Gastroenteritis

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Written by Ren Zheng Xin
Gastroenterology
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Does acute gastroenteritis cause stomach pain?

Acute gastroenteritis, due to inflammation of the gastrointestinal tract, can cause gastric colic. Clinically, it may manifest as upper abdominal pain, nausea, vomiting, and diarrhea. It often occurs in the summer and is directly related to improper diet. It can cause not only stomach pain but also electrolyte imbalance, intestinal perforation, and sepsis. Active use of medications should be undertaken for treatment, with attention to prevent dehydration. During the treatment period, eat a light diet, avoid spicy food, rest well, and keep the abdominal area warm.

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Written by Li Ying
Gastroenterology
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Where does acute gastroenteritis come from?

Acute gastroenteritis is primarily an acute inflammation of the gastrointestinal mucosa. It is mainly characterized by symptoms such as nausea, vomiting, diarrhea, and fever, and is commonly seen in the summer and autumn seasons. It is primarily caused by improper diet, overeating, or consumption of raw, spoiled, or unclean food. The condition is mainly due to bacterial or toxin infection, often seen in group outbreaks or family clusters. It can be caused by the consumption of infected fish, meat, poultry, or seafood, or by leftovers contaminated with Staphylococcus aureus, among others. Moreover, accidental ingestion of strong acids, strong alkalis, or certain pesticides can also cause this disease.

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Written by Li Ying
Gastroenterology
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How is acute gastroenteritis caused?

Acute gastroenteritis primarily has two main causes. The first is infection by bacteria and toxins, with Salmonella and Vibrio parahaemolyticus being the most common infections, and staphylococcal toxins, especially from Staphylococcus aureus, being frequently seen. Viruses can also cause outbreaks, often occurring in groups or within families. Additionally, consuming contaminated meat from poultry, fish, or other livestock, as well as seafood like snails grown in the wild, can trigger the disease. Contaminated leftovers infected by Staphylococcus aureus can also induce illness. The second cause involves physical and chemical factors, such as eating cold foods, some antibiotics, or accidentally consuming strong acids, alkalis, or pesticides, all of which can lead to this disease.

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Written by Zhai Guo Dong
Gastroenterology
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How to alleviate gastroenteritis?

If the patient has gastroenteritis, we recommend that the patient should rest in bed as much as possible. For patients with mild conditions, we can advise oral intake of glucose and electrolytes to replenish the loss of body fluids. If there is persistent vomiting or evident dehydration, intravenous rehydration with glucose saline and other relevant electrolytes is necessary. We encourage the intake of light liquid or semi-liquid diet to prevent or treat mild dehydration. Additionally, injections of pain relievers, antispasmodic drugs, and antidiarrheal medications can be administered for symptomatic treatment. For infectious diarrhea, targeted antibiotics can be used, but it is advised to avoid their misuse.

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Written by Yan Xin Liang
Pediatrics
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What to do if a child has gastroenteritis?

For children with gastroenteritis, we first treat the gut with probiotics, such as oral bifidobacterium or lactobacillus acidophilus. Then, we can provide gastrointestinal mucosal protectants, such as montmorillonite powder. At the same time, since gastroenteritis may cause dehydration and electrolyte disorders, it is necessary to replenish fluids and electrolytes, commonly using oral rehydration salts. If the gastroenteritis is suspected to be caused by a viral infection, some antiviral medications should be taken orally. If it is considered to be caused by a bacterial infection, oral antibiotics for anti-infection treatment, such as cephalosporins or penicillins, should be administered.

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Written by Huang Gang
Gastroenterology
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Can you smoke with gastroenteritis?

If suffering from gastroenteritis, the main clinical symptoms usually include abdominal pain, diarrhea, nausea, vomiting, or fever. If these symptoms occur, it is best to test the stool and blood to determine whether the infection is bacterial or viral, and then treat accordingly. It is not recommended for patients with gastroenteritis to smoke, as smoking primarily harms the lungs, easily causing chronic bronchitis, asthma, or even allergies. Furthermore, smoking can affect the blood concentration of medications, thus during the treatment of gastroenteritis with oral medications or intravenous infusions, smoking can affect the efficacy of the treatment. Therefore, patients with gastroenteritis should not smoke.

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Written by Huang Gang
Gastroenterology
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Does acute gastroenteritis hurt?

When suffering from acute gastroenteritis, the inflammation can cause irregular and accelerated intestinal peristalsis, which may lead to intestinal spasms and colic. In such cases, the first step should be proactive anti-inflammatory symptomatic treatment. Then, applying a heat pack on the stomach and drinking more hot water can help alleviate the symptoms. If the pain is severe, and the patient is sweating profusely, looks pale, and has cold hands and feet, going to the hospital for an intramuscular injection of Scopolamine Butylbromide can relieve smooth muscle spasms and relax the muscles, thereby easing the pain. Therefore, it is important to pay attention to dietary hygiene. It is crucial to thoroughly heat or cook food taken out from the refrigerator before eating, as prevention is more important than treatment.

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Written by Ren Zheng Xin
Gastroenterology
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Acute gastroenteritis anti-inflammatory drugs

For acute gastroenteritis, if there is a bacterial infection, antibiotics can be used. Empirical use primarily involves quinolones or cephalosporins. If stool bacterial culture is possible, antibiotics sensitive to the results of the test should be chosen. However, it is important to note that if acute gastroenteritis is caused by a viral infection, the effectiveness of anti-inflammatory drugs is very limited. Therefore, it is advisable to diagnose which bacteria are more sensitive based on the stool sample, and then select the appropriate antibiotic. This approach is more targeted, and also less harmful to the body. The specific medication should still be primarily based on the diagnosis of the clinical doctor.

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Written by Li Ying
Gastroenterology
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How to deal with acute gastroenteritis

When diagnosing acute gastroenteritis, we generally assess whether the symptoms match those of acute gastroenteritis. This typically involves examining the frequency of bowel movements, often more than ten times, with stool colors usually yellow-green. Some may appear like egg drop soup, while others have watery stools, and severe cases might include mucus, nausea, vomiting, reduced appetite, and complications like hypokalemia due to severe vomiting. Other symptoms include abdominal bloating and fever, and in severe cases, it may even lead to unconsciousness. Thus, it is important to conduct routine stool tests and check for white blood cell counts to aid in diagnosis followed by subsequent treatment. In terms of treatment, it principally includes bed rest and symptomatic relief, alongside possible antibiotic therapy. Maintaining hygiene, proper management of drinking water, and stool are essential preventive measures for such conditions.

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Written by Ren Zheng Xin
Gastroenterology
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How long does acute gastroenteritis hurt?

Acute gastroenteritis, due to spasms in the gastrointestinal tract, involves significant pain. If the intestinal inflammation is minor, the symptoms of abdominal pain usually improve noticeably after defecation. However, if the inflammation is severe, the abdominal pain can be intense, with more frequent episodes of diarrhea, and the pain lasts for a longer duration. Medical treatment involves using medication to relieve spasms and pain, using antibiotics to eliminate the inflammation, and appropriately supplementing fluids to maintain the balance of water and electrolytes. If necessary, spasm-relieving medication can be administered by injection. At the same time, it is important to maintain a reasonable routine, ensure plenty of rest, and observe a good prognosis with active treatment. (Note: Medications should be used under the guidance of a doctor based on the specific condition.)