Do you have a fever with gastroenteritis?

Written by Zhai Guo Dong
Gastroenterology
Updated on September 21, 2024
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Gastroenteritis mainly presents symptoms of abdominal pain and diarrhea, with an increased frequency of bowel movements, ten times or even more than ten times, accompanied by nausea, vomiting, and decreased appetite. There may be irregular fevers, such as low-grade fever, and severe cases can develop high fever. Subsequently, the symptoms of the patient become more severe, manifesting restlessness and lethargy, even confusion or coma. Therefore, we must pay special attention and not take it lightly.

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Written by Ren Zheng Xin
Gastroenterology
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How to treat acute gastroenteritis?

The main principles of treating acute gastroenteritis clinically are to stop vomiting, stop diarrhea, relieve spasms, replenish fluids, and rest in bed symptomatically. For mild cases, oral intake of dilute salt water can be used to replenish lost body fluids. If there is frequent vomiting or obvious dehydration, intravenous fluids are necessary to maintain water and electrolyte balance. Sensitive antibiotics should be used to treat intestinal inflammation, but it is important to prevent antibiotic abuse. With active treatment, the prognosis for acute gastroenteritis is generally good. After treatment, attention should also be paid to diet; avoid eating unclean food, and consume less raw, cold, and spicy foods, while also paying attention to personal prevention.

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How to reduce fever in acute gastroenteritis

Acute gastroenteritis generally manifests as fever, abdominal pain, and diarrhea. If the fever does not exceed 38.5°C, antipyretic medications can be used, along with physical cooling methods such as wiping the patient's forehead, palms, and soles with a warm towel to facilitate heat dissipation through evaporation. If the fever exceeds 38.5°C, muscular injection of antipyretic drugs should be chosen, along with combined infusion therapy to prevent signs of physical collapse caused by high temperatures. At the same time, active use of antibiotics and antidiarrheal medications is advised. During treatment, a regular diet should be maintained, adopting the principle of eating small and frequent meals. Rest is important, and excessive fatigue should be avoided. (The use of medications should be under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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Acute gastroenteritis requires medication.

The drug treatment for acute gastroenteritis should be based on the specific cause. If it is a viral infection that causes gastroenteritis, it can generally be treated with oral antiviral drugs and astringent antidiarrheal drugs to achieve good therapeutic effects. If it is caused by improper food intake and bacterial infection, it usually requires the use of antibacterial drugs, such as cephalosporins or quinolones for anti-inflammatory purposes. If diarrhea is severe, appropriate antidiarrheal drugs can be taken for symptomatic treatment. At the same time, attention should be paid to a light and easily digestible diet, avoiding raw, greasy, spicy food and alcohol, which can generally relieve symptoms gradually.

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Written by Huang Gang
Gastroenterology
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Can you eat rice with gastroenteritis?

If you have gastroenteritis, it is best to eat foods that are easy to digest. You can drink some millet porridge. It is best not to eat rice, as rice is not easily digestible, but you can drink some rice porridge, which is still a soft food and relatively easy to digest. Additionally, you should avoid greasy foods and it's best not to drink milk because dairy products can also easily lead to diarrhea. Moreover, patients who are lactose intolerant may experience worsened symptoms of gastroenteritis after consuming milk. When suffering from gastroenteritis, it is important to maintain a light diet and, if necessary, take some anti-inflammatory drugs or probiotics. Generally, recovery can be achieved in about two to three days. Also, make sure to rest in bed and avoid eating fruits, as fruits contain rough fiber that can exacerbate symptoms of diarrhea.

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How to deal with acute gastroenteritis?

Acute gastroenteritis is primarily caused by unsanitary eating habits or exposure to cold, spicy, and other irritants, leading to acute inflammation. The main symptoms include abdominal pain, diarrhea, nausea, vomiting, or fever, and a routine blood test may show elevated white blood cells and neutrophils. If these symptoms appear, it is advisable to visit a hospital promptly for a routine blood test. Once a diagnosis is confirmed, doctors will treat with anti-inflammatory fluids, antiemetics, antidiarrheals, etc. Generally, mild acute gastroenteritis can be cured within two to three days of treatment. However, some patients may experience severe vomiting and diarrhea, leading to dehydration, electrolyte disorders, and even shock, which would extend the required treatment duration.