Symptoms of acute gastroenteritis caused by Norovirus

Written by Peng Miao Yun
Internal Medicine
Updated on September 28, 2024
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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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Written by Ren Zheng Xin
Gastroenterology
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Can acute gastroenteritis cause shock?

Acute gastroenteritis, if it causes severe vomiting and frequent diarrhea, can lead to obvious dehydration and may cause shock. During shock, symptoms such as a drop in blood pressure, pale complexion, lethargy, and physical weakness appear, and timely fluid replenishment therapy is necessary. Additionally, proactive use of anti-inflammatory and anti-infection medications, as well as drugs that stabilize the intestines and stop diarrhea, can reduce symptoms of diarrhea. Moreover, during treatment, it is important to adjust the diet, eat smaller and more frequent meals, and consume more vegetables and fruits to supplement plant-based fibers.

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Written by Huang Gang
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Gastroenteritis dehydration symptoms

Gastroenteritis, also known as stomach flu, mainly occurs due to simultaneous infections in the stomach and intestinal mucosa by bacteria or viruses. The primary clinical symptoms are nausea, vomiting, abdominal pain, diarrhea, and watery stools—some experience it five or six times a day, and others more than ten times a day. Increased frequency of stools can lead to symptoms of dehydration. Excessive loss of body fluids can cause electrolyte imbalance and dehydration, presenting symptoms such as pale complexion, cold limbs, fever, and decreased blood pressure. In such cases, it is essential to go to the hospital for intravenous fluids as soon as possible. Oral rehydration solutions can also be used, but if the patient experiences severe nausea and vomiting, intravenous administration of glucose, saline, and potassium chloride is necessary. (Please rehydrate under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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How long does acute gastroenteritis take to get better?

Acute gastroenteritis is one of the common diseases of the digestive system, and occurs more frequently in the summer and autumn seasons. During these seasons, the hot weather can lead to food spoilage. Additionally, people often like to eat cold drinks and use air conditioning, which can easily trigger acute gastroenteritis. It usually presents with symptoms such as intermittent abdominal pain, diarrhea, vomiting, and bloating, and sometimes symptoms like fever and chills may also appear. In such cases, examinations like routine blood tests, stool tests, and C-reactive protein tests can be conducted to determine whether it is infectious diarrhea or a gastrointestinal type of cold, and then targeted treatment can be applied. How long it will take to recover depends on specific symptoms and the patient's medical history among other factors. Generally, for a gastrointestinal cold, symptoms typically alleviate in about 2-3 days; for bacterial gastroenteritis, recovery might take a bit longer, generally about 3-5 days. If the patient is elderly, frail, or has underlying conditions such as chronic bronchitis, heart failure, or diabetes, the recovery might take slightly longer, but generally it can still be cured.

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Written by Feng Ying Shuai
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Where to apply moxibustion for acute gastroenteritis?

Acute enteritis can be caused either by exposure to pathogenic wind, cold, and dampness, or by unclean diet and excessive consumption of raw and cold food. At this time, we would choose some acupoints with good effects, such as the Liangqiu point on our feet, for moxibustion. The Liangqiu point is mainly used to treat some acute conditions and is considered an Xi (cleft) point. During moxibustion, we can use either suspended moxibustion or ginger-separated moxibustion, both of which are effective. Additionally, we can also choose the Tianshu point on our abdomen. The Tianshu point is located on the abdomen and is the Mu (alarm) point of the large intestine; it can regulate acute gastroenteritis. Typically, we use suspended moxibustion for the Tianshu point. If the cold is particularly severe, we can also slice a thin piece of ginger, place it on top, and perform ginger-separated moxibustion. This helps to warm the meridians, dispel cold, relieve pain, and regulate gastroenteritis.

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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.