What are the symptoms of acute gastroenteritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 14, 2024
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Acute gastroenteritis is one of the common diseases in gastroenterology, especially prevalent in the summer and autumn seasons. It is usually caused by exposure to cold or contaminated food. The main symptoms include abdominal pain, vomiting, and diarrhea. Depending on the cause, symptoms can vary; for instance, a viral infection causing gastroenteric flu often accompanies symptoms such as dizziness, headache, fatigue, body aches, sore throat, or fever. Infections caused by contaminated food often lead to abdominal pain and diarrhea, with stools frequently appearing mucous or containing blood and pus. Lab tests often show an elevated white blood cell count.

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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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Where to massage for acute gastroenteritis?

Acute gastroenteritis is a common clinical symptom, and we can usually alleviate this clinical symptom through massage. For the massage, we can choose some acupoints on the abdomen, such as Zhongwan, Xiawan, Liangqiu, and the Tianshu points beside the navel for massage. The massage technique should go from light to heavy. If it’s difficult to massage on the stomach, we can choose some acupoints on the distal limbs, including Zusanli, Liangqiu, Shang Juxu, and Xia Juxu, which are very good for relieving acute gastroenteritis. The duration for the massage at each acupoint is about 2-3 minutes. After the massage, we can further choose other acupoints based on differentiation; for example, if the person has excessive liver heat, the Taichong acupoint can be selected for massage to relieve some of the clinical symptoms of acute gastroenteritis.

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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 Feng Ying Shuai
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Where to massage for gastroenteritis?

The acupoints commonly massaged for gastroenteritis mainly include those on the limbs and some local to the gastrointestinal tract. For the limbs, we can select acupoints on the lower limbs such as Liangqiu, Xuehai, Yinlingquan, Yanglingquan, Shangjuxu, Xiajuxu, and Gongsun for massage. It's sufficient to massage each acupoint for one to two minutes. In the abdominal area, we usually choose some frequently used acupoints, such as the Zhongwan, then Tianshu, as well as Daheng, Shangqu, or Liangmen for massage. For the upper limbs, we can select the acupoints like Shousanli and Neiguan to help alleviate gastrointestinal symptoms. Generally, we continue massaging each acupoint for one to two minutes and the massage technique progresses from light to heavy. We stop only when the symptoms of gastroenteritis, such as the pain, have eased. This is generally how it is done.

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What to avoid eating with gastroenteritis

Patients with gastroenteritis need to pay special attention to their diet, especially avoiding spicy, greasy, and irritating foods. They should also avoid strong tea and coffee, as these are necessary to abstain from. It is advisable to consume more bland or easily digestible foods, such as noodles, egg custard, and rice soup. Under strict dietary control, if symptoms do not improve, medication may be necessary. Common medications include those that suppress gastric acid secretion and protect the gastric mucosa, as well as antibiotics. (Please use medication under the guidance of a doctor.)