Acute gastroenteritis anti-inflammatory drugs

Written by Ren Zheng Xin
Gastroenterology
Updated on September 09, 2024
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For acute gastroenteritis, if there is a bacterial infection, antibiotics can be used. Empirical use primarily involves quinolones or cephalosporins. If stool bacterial culture is possible, antibiotics sensitive to the results of the test should be chosen.

However, it is important to note that if acute gastroenteritis is caused by a viral infection, the effectiveness of anti-inflammatory drugs is very limited. Therefore, it is advisable to diagnose which bacteria are more sensitive based on the stool sample, and then select the appropriate antibiotic. This approach is more targeted, and also less harmful to the body. The specific medication should still be primarily based on the diagnosis of the clinical doctor.

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Written by Ren Zheng Xin
Gastroenterology
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Does acute gastroenteritis cause stomach pain?

Acute gastroenteritis, due to inflammation of the gastrointestinal tract, can cause gastric colic. Clinically, it may manifest as upper abdominal pain, nausea, vomiting, and diarrhea. It often occurs in the summer and is directly related to improper diet. It can cause not only stomach pain but also electrolyte imbalance, intestinal perforation, and sepsis. Active use of medications should be undertaken for treatment, with attention to prevent dehydration. During the treatment period, eat a light diet, avoid spicy food, rest well, and keep the abdominal area warm.

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Written by Zhu Dan Hua
Gastroenterology
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Symptoms of gastroenteritis and cold

Gastroenteritis and the common cold generally manifest as two types of symptoms in clinical settings. The first type includes symptoms caused by upper respiratory tract infections. The second type involves gastrointestinal symptoms. Common symptoms of upper gastrointestinal tract infections include fever, fatigue, dry cough, coughing, sore throat, runny nose, and itchy throat, etc., typically lasting about a week. These symptoms are usually nonspecific and similar to those of a typical upper respiratory tract infection. The second type of symptoms generally involves gastrointestinal issues, presenting as abdominal discomfort, bloating, leg pain, and abnormal stool. Clinically, abnormal stools are often looser and more frequent, but typically do not involve bloody stools. These symptoms are generally not severe and can be observed.

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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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Written by Yan Xin Liang
Pediatrics
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What to do if a child has gastroenteritis?

For children with gastroenteritis, we first treat the gut with probiotics, such as oral bifidobacterium or lactobacillus acidophilus. Then, we can provide gastrointestinal mucosal protectants, such as montmorillonite powder. At the same time, since gastroenteritis may cause dehydration and electrolyte disorders, it is necessary to replenish fluids and electrolytes, commonly using oral rehydration salts. If the gastroenteritis is suspected to be caused by a viral infection, some antiviral medications should be taken orally. If it is considered to be caused by a bacterial infection, oral antibiotics for anti-infection treatment, such as cephalosporins or penicillins, should be administered.

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Written by Si Li Li
Gastroenterology
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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.