Can acute gastroenteritis cause shock?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 06, 2024
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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 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 Ren Zheng Xin
Gastroenterology
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How to treat acute gastroenteritis?

Acute gastroenteritis is quite urgent and is characterized by significant nausea, vomiting, and diarrhea. The treatment principle involves bed rest and symptomatic use of antiemetic, antispasmodic, antidiarrheal, and rehydrating medications. For milder cases, oral rehydration solutions can be consumed. If persistent vomiting occurs with obvious dehydration, it is timely to administer intravenous fluids to replenish relevant electrolytes, and, if necessary, inject drugs for antispasmodic and antiemetic purposes; For infectious diarrhea, sensitive antibiotics can be chosen. During treatment, it is important to drink water properly, eat vegetables, stay hydrated, eat smaller and more frequent meals, and avoid spicy and greasy foods.

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Written by Ren Zheng Xin
Gastroenterology
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Why is fasting recommended for acute gastroenteritis?

Acute gastroenteritis is an acute inflammation of the gastric and intestinal mucosa, which can manifest as nausea, vomiting, and diarrhea. On the first day of the illness, it is necessary to abstain from food and drink, as any stimulation from food or water can aggravate the inflammation of the gastrointestinal tract and increase the burden on the intestines. Therefore, at the onset of the illness, it is crucial to abstain from food and drink and to actively treat with medication, such as anti-diarrheal agents and antibiotics. As the condition progresses and treatment continues, it is appropriate to gradually reintroduce food, starting with easily digestible foods such as rice porridge, millet porridge, vegetable soup, and rice soup. It is still advisable to avoid hard, raw, cold, and spicy foods.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Where to massage for acute gastroenteritis?

Acute gastroenteritis is a common clinical symptom, and we can usually alleviate this clinical symptom through massage. For the massage, we can choose some acupoints on the abdomen, such as Zhongwan, Xiawan, Liangqiu, and the Tianshu points beside the navel for massage. The massage technique should go from light to heavy. If it’s difficult to massage on the stomach, we can choose some acupoints on the distal limbs, including Zusanli, Liangqiu, Shang Juxu, and Xia Juxu, which are very good for relieving acute gastroenteritis. The duration for the massage at each acupoint is about 2-3 minutes. After the massage, we can further choose other acupoints based on differentiation; for example, if the person has excessive liver heat, the Taichong acupoint can be selected for massage to relieve some of the clinical symptoms of acute gastroenteritis.

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Written by Jiang Guo Ming
Gastroenterology
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How to treat gastroenteritis?

The treatment of gastroenteritis primarily depends on the cause and specific symptoms to determine the treatment plan. Exposure to cold or improper diet may cause acute gastroenteritis. In such cases, it is recommended to first check routine blood tests, C-reactive protein, stool routine, etc., to identify the cause. Gastroenteric flu can be treated with antiviral drugs and astringent antidiarrheal medications to achieve satisfactory results. Infectious diarrhea caused by bacterial infection generally uses antimicrobial drugs combined with antidiarrheal medications to also achieve satisfactory effects. Commonly used drugs include cephalosporins or quinolones anti-inflammatory. At the same time, it is important to pay attention to a light and easily digestible diet, and if diarrhea is severe, infusion treatment may be necessary to prevent dehydration.