Does acute gastroenteritis cause constipation?

Written by Ren Zheng Xin
Gastroenterology
Updated on January 30, 2025
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Acute gastroenteritis refers to acute inflammation of the gastrointestinal tract, characterized by abdominal pain, nausea, and vomiting. This condition does not involve constipation. In cases of mild diarrhea caused by acute gastroenteritis, the general condition is good, with fewer than ten bowel movements, and the stool sometimes appears like egg drop soup. For more severe diarrhea, there might be more than ten bowel movements per day, and treatment should primarily focus on antidiarrheal, pain relief, and antiemetic medications. It is also important to rest adequately, hydrate promptly, and follow a diet of eating small, frequent meals. If the condition is severe, treatment might involve gastrointestinal decompression and parenteral nutrition.

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Symptoms of acute gastroenteritis caused by Norovirus

Symptoms of acute gastroenteritis due to norovirus infection primarily involve gastrointestinal dysfunction and infection. The onset is usually sudden and often occurs in crowded places and communal dining settings. Symptoms include nausea, vomiting, abdominal pain, and diarrhea, with diarrhea being a common symptom. Children frequently exhibit vomiting, while adults are more likely to experience abdominal pain and diarrhea. Severe diarrhea can lead to dehydration, thus it is important to promptly replenish fluids and electrolytes to correct gastrointestinal dysfunction.

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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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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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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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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.