Can acute gastroenteritis cause shock?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 06, 2024
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Acute gastroenteritis often manifests as symptoms such as vomiting, abdominal pain, and diarrhea, sometimes accompanied by fever, dizziness, fatigue, etc., often caused by factors such as exposure to cold or improper diet. These include what we refer to as viral enteritis and bacterial enteritis. In most cases, symptoms gradually alleviate after symptomatic treatment, and some may improve without treatment. However, a few patients, such as those with uncontrollable vomiting and diarrhea, coupled with an inability to eat, may experience worsening dizziness, significant fatigue, dry mouth, poor skin elasticity, and reduced urine output. These symptoms indicate the development of hypovolemic shock, which requires attention.

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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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What to eat for acute gastroenteritis

Acute gastroenteritis is particularly common in clinical practice, and its treatment in gastroenterology and emergency departments generally involves two steps. The first step is general treatment, where patients are advised to rest, eat easily digestible, liquid foods such as thin porridge and rice soup, and avoid spicy and irritating foods, such as chili peppers. The second step, if dietary treatment is not effective, involves the use of specific medications. For abdominal pain, pain relievers can be used, and for diarrhea, medications to stop diarrhea and regulate the intestinal flora can be used. Of course, the symptoms of acute gastroenteritis are varied, including abdominal pain, diarrhea, nausea, vomiting, and even fever. Therefore, if there is fever, it is generally recommended to take some antibiotics orally. If there is only diarrhea, it is only necessary to take medications to stop the bleeding and regulate the intestinal flora, and there is no need for anti-inflammatory drugs. Thus, the treatment plans vary depending on the different diseases and symptoms, but all medications should be used under the guidance of a doctor.

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Written by Yang Chun Guang
Gastroenterology
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What department should I go to for acute gastroenteritis?

Symptoms such as abdominal pain, diarrhea, nausea, vomiting, and fever may indicate acute gastroenteritis. It is recommended to register for the Department of Gastroenterology, as acute gastroenteritis is primarily treated within this specialty. However, if the hospital does not have a Department of Gastroenterology, you can register for the Department of Internal Medicine for further examination and treatment. But if a large number of red blood cells, white blood cells, and pus cells are found in the stool, it is likely not acute gastroenteritis but bacterial dysentery, and it is advisable to register with the Department of Infectious Diseases or proceed to an infectious disease hospital for formal treatment.

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What to do about acute gastroenteritis?

Acute gastroenteritis is considered to be caused by unclean food or bacterial and viral infections. It is important to actively provide symptomatic treatment. For nausea and vomiting, use antispasmodic and antiemetic medications; for repeated diarrhea and dehydration, use intestinal firming and antidiarrheal medications; for obvious bacterial infections, antibiotics should be used, preferably quinolones. Be sure to drink plenty of water and replenish fluids in a timely manner. During the acute phase, do not eat anything to avoid overburdening the gastrointestinal tract. After recovery, increase the consumption of vegetables to enhance nutrition and improve the body's resistance. (Please use medication under the guidance of a doctor.)

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What foods are good for acute gastroenteritis?

For patients with acute gastroenteritis, it is mainly important to prevent very strong irritation to the entire mucosa of the digestive tract, otherwise symptoms such as abdominal pain and diarrhea may occur. For patients with acute gastroenteritis, in terms of diet, it is mainly important not to consume spicy and stimulating foods, to eat easily digestible foods as much as possible, and not to eat too much coarse dietary fiber, as this may be beneficial for alleviating the disease.