Gastroenteritis

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Written by Huang Gang
Gastroenterology
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Acute gastroenteritis pain level

The level of pain in acute gastroenteritis is generally divided into ten levels clinically: levels one to three are mild, four to six are moderate, and seven to ten are severe. This classification is mainly based on the patient's expression and self-perceived intensity of pain. In cases of acute gastroenteritis, there is often the possibility of experiencing spasms, or pain stimuli might trigger inflammatory infections. Generally, the pain is often above level eight. However, if there is mild pain, or it does not accompany fever, it is usually around level one to three. Therefore, once a patient experiences abdominal pain, an intramuscular injection of scopolamine butylbromide can be used to relieve the pain and help the patient stabilize.

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Written by Si Li Li
Gastroenterology
1min 5sec home-news-image

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.

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Written by Yang Chun Guang
Gastroenterology
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Is gastroenteritis contagious?

Whether gastroenteritis is contagious depends on the cause of the inflammation. For example, if a person develops abdominal pain and diarrhea from getting cold, this type of gastroenteritis, caused by chilling, is not contagious, so it will not spread from person to person. However, if the gastroenteritis is caused by bacterial dysentery (commonly known as bacillary dysentery), it can be spread through food. Therefore, whether gastroenteritis is contagious depends on the infecting pathogen and the cause; it cannot be generalized.

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Written by Ren Zheng Xin
Gastroenterology
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What tests are done for chronic gastritis?

Chronic gastroenteritis is a chronic inflammation that occurs in the mucous membrane of the gastrointestinal tract. The basic pathological change is the infiltration of a large number of neutrophils or lymphocytes in the mucosa. Examinations mainly include endoscopy and routine stool tests. Gastroscope and colonoscopy can be used to assess the extent of mucosal lesions in the gastrointestinal tract, and routine stool tests can determine the presence of occult blood positivity. If there is blood in the stool, a routine blood test can also be conducted to check for chronic blood loss anemia. Based on the results of these examinations, the severity of the lesions can be understood, and appropriate medications can be actively chosen for symptomatic treatment.

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Written by Ren Zheng Xin
Gastroenterology
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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 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 Du Rui Xia
Obstetrics
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What should pregnant women do about gastroenteritis?

During pregnancy, if a pregnant woman experiences gastrointestinal inflammation, it can cause abdominal pain and diarrhea, mostly due to unhygienic dietary habits during pregnancy. For example, aside from avoiding raw, hard, or moldy foods, attention should be paid to adjusting the diet to include foods that are bland and easier to digest and absorb. For instance, consuming porridge such as millet porridge, soft noodles, etc., and moderately increasing the intake of fresh vegetables and fruits to enhance physical health. If the gastrointestinal inflammation leads to severe abdominal pain or diarrhea, it is necessary to go to the hospital promptly. After examination by a doctor, guided medication treatment should be carried out.

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Written by Ren Zheng Xin
Gastroenterology
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precursor of acute gastroenteritis

Acute gastroenteritis typically strikes suddenly, usually without specific early warning signs. By the time such premonitions occur, symptoms of acute gastroenteritis become quite evident, including abdominal pain, nausea, vomiting, and diarrhea. Generally, acute gastroenteritis is caused by consuming unclean food or food poisoning, leading to significant diarrhea. Frequent diarrhea can result in dehydration. Current treatment primarily focuses on symptomatic fluid and nutritional support, as well as antispasmodic pain relief. During the acute phase, it is advisable to abstain from food as much as possible. After symptoms subside, one can gradually consume some soft foods. Regular meals, adequate rest, and avoiding spicy, stimulating, greasy foods, as well as strong tea, coffee, and strong alcohol are recommended.

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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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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.