How to treat acute gastroenteritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on December 30, 2024
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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 Jiang Guo Ming
Gastroenterology
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What are the symptoms of acute gastroenteritis?

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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Written by Ren Zheng Xin
Gastroenterology
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Is acute gastroenteritis a serious danger?

Acute gastroenteritis is quite common in everyday life. If the symptoms are mild, the harm is not particularly great, and symptoms can include abdominal pain, diarrhea, and physical weakness. By using medication, recovery can generally be gradual over 2-3 days. If the symptoms are more severe, such as long-term recurrent diarrhea, it can lead to body dehydration, sunken eye sockets, dizziness, and headaches. Further dehydration can cause shock symptoms, such as decreased blood pressure and a thin pulse. It is necessary to visit a hospital in a timely manner, hydrate according to the type of dehydration, and treat with intestinal solidifiers, antidiarrheal, and antibiotic medications. (Please follow medical advice when using medications.)

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Written by Ren Zheng Xin
Gastroenterology
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Causes of Acute Gastroenteritis

Acute gastroenteritis mostly occurs in summer and autumn, due to unhygienic eating habits and consumption of spoiled food. Additionally, a weak immune system or excessive fatigue can gradually lead to acute gastroenteritis. Therefore, it is important to prevent acute gastroenteritis by adopting a healthy lifestyle. This includes having meals regularly and in proper amounts, avoiding spoiled food, drinking plenty of water (preferably boiled water), ensuring the water is thoroughly boiled, maintaining a reasonable work-rest schedule, avoiding excessive fatigue, and eating less greasy and spicy food.

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Written by Zhu Dan Hua
Gastroenterology
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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.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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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.