How to treat acute gastroenteritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on December 30, 2024
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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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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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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 Zhu Dan Hua
Gastroenterology
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How many days does acute gastroenteritis last?

The course of acute gastroenteritis generally lasts about 7 to 10 days. Patients typically have an acute onset, presenting with abdominal discomfort, nausea, vomiting, and abnormal stools. The abdominal discomfort is usually centered around the navel or the lower abdomen, predominantly characterized by intermittent cramping pain. Vomiting usually occurs more severely after eating and generally involves expelling stomach contents, without accompanying hematemesis or bile, and recurs frequently. Abnormal stools commonly involve more frequent bowel movements, colloquially known as diarrhea. Along with an increase in stool frequency, the stool tends to be looser in texture, and some patients may have watery stools, thus typically it presents as an acute episode. General treatment involves diet adjustment and, when necessary, the addition of some oral medications. Generally, conditions gradually improve over about 7 to 10 days. (Please take medication under the guidance of a professional physician.)

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Written by Zhai Guo Dong
Gastroenterology
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What is acute gastroenteritis?

Acute gastroenteritis often has a history of consuming unclean food, with an incubation period that usually ranges from several hours to several days, most commonly one to two days. The onset of acute gastroenteritis is typically characterized by abdominal pain, diarrhea, urgent and increased bowel movements, nausea, vomiting, fever, and even convulsions. The frequency of bowel movements may increase to 10-30 times a day, and the patient may experience mild fever among other symptoms. Severe diarrhea can be accompanied by stools containing pus and blood, along with vomiting. In severe cases, patients may also experience dehydration and even shock. Therefore, patients with acute gastroenteritis should try to replenish energy, avoid exacerbation of the illness due to electrolyte imbalance, and prevent severe dehydration.