How long to rehydrate for acute gastroenteritis

Written by Zhu Dan Hua
Gastroenterology
Updated on January 28, 2025
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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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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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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 Ren Zheng Xin
Gastroenterology
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Acute gastroenteritis causes and symptoms

Acute gastroenteritis is common in summer and autumn, often caused by consuming unclean food. Consuming chilled watermelon or cola straight from the refrigerator can also trigger acute gastroenteritis. The primary symptoms include abdominal pain, diarrhea, nausea, and vomiting. Frequent diarrhea can lead to signs of dehydration in the body, such as sunken eyeballs and pale lips. For acute gastroenteritis, immediate fluid replacement therapy should be administered, and antibiotics should be used to control the infection along with medications to stop diarrhea and firm up the stools. (Please take medication under the guidance of a doctor)

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Written by Jiang Guo Ming
Gastroenterology
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What causes acute gastroenteritis?

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

The acupoints commonly massaged for gastroenteritis mainly include those on the limbs and some local to the gastrointestinal tract. For the limbs, we can select acupoints on the lower limbs such as Liangqiu, Xuehai, Yinlingquan, Yanglingquan, Shangjuxu, Xiajuxu, and Gongsun for massage. It's sufficient to massage each acupoint for one to two minutes. In the abdominal area, we usually choose some frequently used acupoints, such as the Zhongwan, then Tianshu, as well as Daheng, Shangqu, or Liangmen for massage. For the upper limbs, we can select the acupoints like Shousanli and Neiguan to help alleviate gastrointestinal symptoms. Generally, we continue massaging each acupoint for one to two minutes and the massage technique progresses from light to heavy. We stop only when the symptoms of gastroenteritis, such as the pain, have eased. This is generally how it is done.