Why is fasting recommended for acute gastroenteritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on December 06, 2024
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Acute gastroenteritis is an acute inflammation of the gastric and intestinal mucosa, which can manifest as nausea, vomiting, and diarrhea. On the first day of the illness, it is necessary to abstain from food and drink, as any stimulation from food or water can aggravate the inflammation of the gastrointestinal tract and increase the burden on the intestines. Therefore, at the onset of the illness, it is crucial to abstain from food and drink and to actively treat with medication, such as anti-diarrheal agents and antibiotics. As the condition progresses and treatment continues, it is appropriate to gradually reintroduce food, starting with easily digestible foods such as rice porridge, millet porridge, vegetable soup, and rice soup. It is still advisable to avoid hard, raw, cold, and spicy foods.

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Written by Ren Zheng Xin
Gastroenterology
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Which department should I go to for acute gastroenteritis?

Acute gastroenteritis should be treated in the gastroenterology department of the hospital. Acute gastroenteritis is mostly caused by unclean food or excessive fatigue, with the main symptoms being abdominal pain and diarrhea, accompanied by signs of dehydration in the body. Treatment mainly involves the use of antibiotics to control the infection and antidiarrheal medications to treat diarrhea. It is important to promptly replenish fluids and water if there is significant dehydration. During treatment, a light diet should be maintained, eating small meals frequently, and avoiding spicy, stimulating, and greasy foods. (Medication should be used under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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What causes acute gastroenteritis?

Acute gastroenteritis is a common and frequently occurring disease during the summer and autumn seasons, because the temperature is very high during this period, making food easily spoil. Additionally, consuming cold drinks and using air conditioning can easily lead to catching a cold. Therefore, the most common causes of acute gastroenteritis are likely due to catching cold or improper diet. Abdominal pain and diarrhea are the main symptoms, and they vary slightly. If the acute gastroenteritis is caused by bacterial infection, the abdominal pain and diarrhea can be quite severe. The diarrhea can be watery, or it can be mucous-like or even dysenteric. For gastroenteric flu, the abdominal pain is generally not so severe, and the stools are mostly loose watery stools.

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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 Jiang Guo Ming
Gastroenterology
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Symptoms and Treatment of Acute Gastroenteritis

Acute gastroenteritis is usually caused by exposure to cold or improper diet, also known as gastroenteric cold or bacterial enteritis, with common symptoms including abdominal pain and diarrhea. The abdominal pain caused by gastroenteric cold is usually not very severe, and diarrhea is mainly watery. It often accompanies symptoms of upper respiratory tract infections, such as fever, chills, sore throat, and general body aches. Treatment mainly focuses on antiviral medications, combined with astringent hemostatic drugs, and a light diet is recommended. Bacterial enteritis caused by improper diet often leads to severe abdominal pain, and stools can be watery or mucous, and may even include pus and blood. The treatment for this condition primarily involves antibacterial therapy, such as cephalosporins or quinolones, and it is also important to maintain a light diet. (The use of medications should be under the guidance of a doctor.)

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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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.