What should I do about acute gastroenteritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 03, 2024
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Acute gastroenteritis typically presents with symptoms such as abdominal pain, diarrhea, and vomiting, and sometimes accompanied by fever and chills. In such cases, it is important to rest, keep warm, avoid cold, and follow a diet that is light and easy to digest, such as rice porridge, soft noodles, etc. It is advisable to avoid raw, greasy, spicy, and alcoholic foods. Treatment should be based on the specific cause. For viral infections causing gastroenteric flu, antiviral and antidiarrheal astringents are commonly used. For bacterial infections causing infectious diarrhea, antibacterial and antidiarrheal treatments are needed, typically involving cephalosporins or quinolones. Generally, symptoms will gradually ease.

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Written by Jiang Guo Ming
Gastroenterology
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Can acute gastroenteritis cause shock?

Acute gastroenteritis often manifests as symptoms such as vomiting, abdominal pain, and diarrhea, sometimes accompanied by fever, dizziness, fatigue, etc., often caused by factors such as exposure to cold or improper diet. These include what we refer to as viral enteritis and bacterial enteritis. In most cases, symptoms gradually alleviate after symptomatic treatment, and some may improve without treatment. However, a few patients, such as those with uncontrollable vomiting and diarrhea, coupled with an inability to eat, may experience worsening dizziness, significant fatigue, dry mouth, poor skin elasticity, and reduced urine output. These symptoms indicate the development of hypovolemic shock, which requires attention.

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Written by Zhu Dan Hua
Gastroenterology
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Is acute gastroenteritis contagious?

Acute gastroenteritis is generally considered a self-limiting disease that is not contagious. The course of the disease is about a week, after which patients will gradually recover. Most patients with acute gastroenteritis have a history of unhygienic dietary practices, and the condition is caused by viral or bacterial infections. From a symptomatic perspective, the most obvious reasons for seeking medical advice are abdominal discomfort or abnormal stools. Abdominal discomfort can manifest as abdominal pain and bloating, with paroxysmal colic being relatively common in clinical practice. Of course, some patients also experience nausea and vomiting, with the vomit consisting of gastric contents and not accompanied by hematemesis, among other symptoms. Abnormal stools are often characterized by diarrhea, typically with an increased frequency of bowel movements, watery in nature, and possibly accompanied by bloody stools. The treatment of acute gastroenteritis generally focuses on symptomatic relief, including the consumption of easily digestible and clean foods. Treatment may include the use of gastroprotective agents, antispasmodics, and modifiers of the intestinal flora. Of course, if the patient has significant diarrhea, antidiarrheal medications may be added for symptomatic treatment.

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Written by Ren Zheng Xin
Gastroenterology
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Can I drink soy milk with acute gastroenteritis?

Patients with acute gastroenteritis should drink less soy milk during the onset of the disease. Although soy milk is rich in protein, it is not easy to digest and can aggravate the symptoms of gastroenteritis. The patient's diet should consist of eating smaller meals more frequently, focusing on foods that are easy to digest and low in fat. They can appropriately consume rice soup, noodles, and porridge. It is especially important to pay attention to food hygiene, washing hands before meals and after using the bathroom, and thoroughly heating up overnight food before eating. Avoid consuming raw, cold, spicy, or stimulating foods. Regular physical exercise should be maintained, and appropriate changes in clothing should be made on time with the change of seasons.

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Written by Jiang Guo Ming
Gastroenterology
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How long does acute gastroenteritis take to get better?

Acute gastroenteritis is one of the common diseases of the digestive system, and occurs more frequently in the summer and autumn seasons. During these seasons, the hot weather can lead to food spoilage. Additionally, people often like to eat cold drinks and use air conditioning, which can easily trigger acute gastroenteritis. It usually presents with symptoms such as intermittent abdominal pain, diarrhea, vomiting, and bloating, and sometimes symptoms like fever and chills may also appear. In such cases, examinations like routine blood tests, stool tests, and C-reactive protein tests can be conducted to determine whether it is infectious diarrhea or a gastrointestinal type of cold, and then targeted treatment can be applied. How long it will take to recover depends on specific symptoms and the patient's medical history among other factors. Generally, for a gastrointestinal cold, symptoms typically alleviate in about 2-3 days; for bacterial gastroenteritis, recovery might take a bit longer, generally about 3-5 days. If the patient is elderly, frail, or has underlying conditions such as chronic bronchitis, heart failure, or diabetes, the recovery might take slightly longer, but generally it can still be cured.

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Written by Huang Gang
Gastroenterology
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Gastroenteritis dehydration symptoms

Gastroenteritis, also known as stomach flu, mainly occurs due to simultaneous infections in the stomach and intestinal mucosa by bacteria or viruses. The primary clinical symptoms are nausea, vomiting, abdominal pain, diarrhea, and watery stools—some experience it five or six times a day, and others more than ten times a day. Increased frequency of stools can lead to symptoms of dehydration. Excessive loss of body fluids can cause electrolyte imbalance and dehydration, presenting symptoms such as pale complexion, cold limbs, fever, and decreased blood pressure. In such cases, it is essential to go to the hospital for intravenous fluids as soon as possible. Oral rehydration solutions can also be used, but if the patient experiences severe nausea and vomiting, intravenous administration of glucose, saline, and potassium chloride is necessary. (Please rehydrate under the guidance of a doctor.)