What should I do about acute gastroenteritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 03, 2024
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Acute gastroenteritis typically presents with symptoms such as abdominal pain, diarrhea, and vomiting, and sometimes accompanied by fever and chills. In such cases, it is important to rest, keep warm, avoid cold, and follow a diet that is light and easy to digest, such as rice porridge, soft noodles, etc. It is advisable to avoid raw, greasy, spicy, and alcoholic foods. Treatment should be based on the specific cause. For viral infections causing gastroenteric flu, antiviral and antidiarrheal astringents are commonly used. For bacterial infections causing infectious diarrhea, antibacterial and antidiarrheal treatments are needed, typically involving cephalosporins or quinolones. Generally, symptoms will gradually ease.

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Written by Jiang Guo Ming
Gastroenterology
1min 2sec home-news-image

How to rehydrate for gastroenteritis

Acute gastroenteritis is primarily characterized by symptoms such as abdominal pain, diarrhea or vomiting, abdominal distension, fever, chills, etc. For fluid administration in such cases, the treatment varies based on the specific cause. If it is gastroenteritis caused by a viral infection, antiviral medications and astringents are typically used to stop diarrhea, along with rehydration. If it is bacterial enteritis, the type of fluid administered should primarily be anti-inflammatory. Moreover, if the patient experiences severe vomiting and diarrhea, accompanied by significant weakness, dizziness, poor skin turgor, and scanty urine, these are signs of dehydration. In such cases, the doctor will determine the severity of dehydration—whether it is mild, moderate, or severe—based on the patient's weight loss and will adjust the volume of fluids and electrolytes replenished accordingly.

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Written by Huang Gang
Gastroenterology
1min 13sec home-news-image

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 Ren Zheng Xin
Gastroenterology
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What foods should not be eaten with acute gastroenteritis?

There are also quite a few foods that should not be eaten during acute gastroenteritis. Firstly, spicy foods should be avoided, as the digestive function of the intestines is somewhat limited during gastroenteritis, and spicy foods can easily irritate the gastrointestinal tract, worsening the symptoms of gastroenteritis. Additionally, foods that are too cold or too hot should not be consumed. It is also advisable to avoid the stimulation of strong tea, coffee, and hard liquor. Instead, eat soft, easily digestible foods, consume less greasy food, and make sure to drink plenty of water. This helps to replenish fluids and prevent dehydration symptoms that might arise from gastroenteritis.

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

Acute gastroenteritis is quite urgent and is characterized by significant nausea, vomiting, and diarrhea. The treatment principle involves bed rest and symptomatic use of antiemetic, antispasmodic, antidiarrheal, and rehydrating medications. For milder cases, oral rehydration solutions can be consumed. If persistent vomiting occurs with obvious dehydration, it is timely to administer intravenous fluids to replenish relevant electrolytes, and, if necessary, inject drugs for antispasmodic and antiemetic purposes; For infectious diarrhea, sensitive antibiotics can be chosen. During treatment, it is important to drink water properly, eat vegetables, stay hydrated, eat smaller and more frequent meals, and avoid spicy and greasy foods.

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Written by Zhu Dan Hua
Gastroenterology
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How many days does acute gastroenteritis last?

The course of acute gastroenteritis generally lasts about 7 to 10 days. Patients typically have an acute onset, presenting with abdominal discomfort, nausea, vomiting, and abnormal stools. The abdominal discomfort is usually centered around the navel or the lower abdomen, predominantly characterized by intermittent cramping pain. Vomiting usually occurs more severely after eating and generally involves expelling stomach contents, without accompanying hematemesis or bile, and recurs frequently. Abnormal stools commonly involve more frequent bowel movements, colloquially known as diarrhea. Along with an increase in stool frequency, the stool tends to be looser in texture, and some patients may have watery stools, thus typically it presents as an acute episode. General treatment involves diet adjustment and, when necessary, the addition of some oral medications. Generally, conditions gradually improve over about 7 to 10 days. (Please take medication under the guidance of a professional physician.)