Acute gastroenteritis treatment

Written by Jiang Guo Ming
Gastroenterology
Updated on September 30, 2024
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The treatment of acute gastroenteritis should be based on the specific cause. For those cases caused by exposure to the cold or other reasons leading to gastrointestinal flu, the main treatment is antiviral and antidiarrheal. For infectious diarrhea caused by improper diet and other reasons, the treatment generally focuses on antibacterial and antidiarrheal measures. Generally, patients with mild acute gastroenteritis can still eat on their own, and other symptoms are not very severe, so they can be treated by taking oral medications. In more severe cases, such as significant vomiting and diarrhea, where the patient cannot eat, intravenous therapy may be necessary. In cases with severe symptoms such as dehydration, dry mouth, reduced urine output, and poor skin elasticity, hospitalization may be required.

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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 Jiang Guo Ming
Gastroenterology
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How to stop diarrhea in acute gastroenteritis

First of all, start with diet and daily habits by paying attention to keeping warm and avoiding catching a cold, especially for patients with gastrointestinal-type colds. The diet should consist of light and easy-to-digest foods, such as porridge and soft noodles, with some salt added to replenish electrolytes. Avoid eating foods that are too cold or greasy and spicy. Regarding medication, different treatments should be adopted according to different causes of the disease. For patients with gastrointestinal-type colds caused by viral infections, antiviral and astringent antidiarrheal medications are generally used. If the infection is caused by improper diet, the main treatment involves anti-inflammatory medications to achieve hemostasis.

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Written by Ren Zheng Xin
Gastroenterology
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How long does acute gastroenteritis hurt?

Acute gastroenteritis, due to spasms in the gastrointestinal tract, involves significant pain. If the intestinal inflammation is minor, the symptoms of abdominal pain usually improve noticeably after defecation. However, if the inflammation is severe, the abdominal pain can be intense, with more frequent episodes of diarrhea, and the pain lasts for a longer duration. Medical treatment involves using medication to relieve spasms and pain, using antibiotics to eliminate the inflammation, and appropriately supplementing fluids to maintain the balance of water and electrolytes. If necessary, spasm-relieving medication can be administered by injection. At the same time, it is important to maintain a reasonable routine, ensure plenty of rest, and observe a good prognosis with active treatment. (Note: Medications should be used under the guidance of a doctor based on the specific condition.)

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Written by Ren Zheng Xin
Gastroenterology
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Manifestations of chronic gastroenteritis

Chronic gastroenteritis primarily manifests as chronic inflammation of the stomach and intestines, which can include chronic abdominal pain, diarrhea, and decreased appetite. Due to poor appetite and impaired digestive absorption, symptoms such as physical emaciation, fatigue, and lethargy can occur, making one more susceptible to catching colds. For chronic gastroenteritis, it is important to adjust the imbalance of gut flora and use antibiotics to control infections. Attention should be paid to a light, regular diet, eating three meals at fixed times and amounts, avoiding greasy and spicy foods, and consuming more light vegetables and fruits. (Please use medications under the guidance of a doctor)

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Written by Jiang Guo Ming
Gastroenterology
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Symptoms of acute gastroenteritis

The symptoms of acute gastroenteritis depend on the cause, including gastroenteritis caused by a stomach flu or bacterial infection. The symptoms of gastroenteritis from a stomach flu usually include fever, chills, dizziness, fatigue, body aches, stomach pain, diarrhea with watery stools, sometimes accompanied by vomiting and bloating. Routine stool tests often show no significant abnormalities. Acute gastroenteritis caused by bacterial infection typically manifests as stomach pain and diarrhea, accompanied by fever and chills, with stools that are mucous in nature. Routine stool tests often reveal the presence of white blood cells, pus cells, or phagocytes, and a routine blood test may indicate an increased white blood cell count. Treatment methods vary and generally involve symptomatic treatment, which usually leads to gradual relief.