What causes acute gastroenteritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on February 03, 2025
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Acute gastroenteritis is a common and frequently occurring disease during the summer and autumn seasons, because the temperature is very high during this period, making food easily spoil. Additionally, consuming cold drinks and using air conditioning can easily lead to catching a cold. Therefore, the most common causes of acute gastroenteritis are likely due to catching cold or improper diet. Abdominal pain and diarrhea are the main symptoms, and they vary slightly. If the acute gastroenteritis is caused by bacterial infection, the abdominal pain and diarrhea can be quite severe. The diarrhea can be watery, or it can be mucous-like or even dysenteric. For gastroenteric flu, the abdominal pain is generally not so severe, and the stools are mostly loose watery stools.

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How long to rehydrate for acute gastroenteritis

Acute gastroenteritis is relatively common in clinical settings. Generally, if patients receive fluid therapy, it may be appropriate for about five to seven days. For treating acute gastroenteritis with fluid therapy, symptomatic treatment is typically chosen, including drugs that protect the intestinal mucosa, stop diarrhea, and regulate the intestinal flora. Of course, if the patient develops a fever, a small dose of anti-infection treatment may be appropriately added, but the treatment course should not be too long, generally three to five days would be suitable. Of course, we generally consider acute gastroenteritis to be a self-limiting disease. Patients can exhibit symptoms such as abdominal pain, bloating, nausea, vomiting, and diarrhea, typically frequent watery stools, but without bloody stools. Therefore, treatment is mainly symptomatic, so patients should not worry too much. (Use of medications should be under the guidance of a doctor.)

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Can acute gastroenteritis cause shock?

Acute gastroenteritis, if it causes severe vomiting and frequent diarrhea, can lead to obvious dehydration and may cause shock. During shock, symptoms such as a drop in blood pressure, pale complexion, lethargy, and physical weakness appear, and timely fluid replenishment therapy is necessary. Additionally, proactive use of anti-inflammatory and anti-infection medications, as well as drugs that stabilize the intestines and stop diarrhea, can reduce symptoms of diarrhea. Moreover, during treatment, it is important to adjust the diet, eat smaller and more frequent meals, and consume more vegetables and fruits to supplement plant-based fibers.

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Written by Ren Zheng Xin
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What foods should not be eaten with acute gastroenteritis?

There are also quite a few foods that should not be eaten during acute gastroenteritis. Firstly, spicy foods should be avoided, as the digestive function of the intestines is somewhat limited during gastroenteritis, and spicy foods can easily irritate the gastrointestinal tract, worsening the symptoms of gastroenteritis. Additionally, foods that are too cold or too hot should not be consumed. It is also advisable to avoid the stimulation of strong tea, coffee, and hard liquor. Instead, eat soft, easily digestible foods, consume less greasy food, and make sure to drink plenty of water. This helps to replenish fluids and prevent dehydration symptoms that might arise from 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.

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Why does acute gastroenteritis cause dizziness?

Acute gastroenteritis is characterized by symptoms such as vomiting, nausea, or diarrhea. If the diarrhea is severe, there can be significant bodily dehydration, manifesting as fatigue or dizziness. It is important to promptly replenish body fluids and undergo infusion therapy. At the same time, proactive use of antibiotics and antidiarrheal medications is advised. The general treatment period lasts 3-5 days. After recovery, attention should be given to dietary adjustments, incorporating fresh green vegetables. It is advisable to eat some fruit and have meals regularly and in controlled quantities, while reducing consumption of spicy, greasy, and irritating foods. Appropriate outdoor exercises should be performed to help regulate gastrointestinal function. (Please follow the doctor's advice regarding medication use.)