How to rehydrate for gastroenteritis

Written by Jiang Guo Ming
Gastroenterology
Updated on June 14, 2025
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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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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.

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Symptoms of acute gastroenteritis caused by Norovirus

Symptoms of acute gastroenteritis due to norovirus infection primarily involve gastrointestinal dysfunction and infection. The onset is usually sudden and often occurs in crowded places and communal dining settings. Symptoms include nausea, vomiting, abdominal pain, and diarrhea, with diarrhea being a common symptom. Children frequently exhibit vomiting, while adults are more likely to experience abdominal pain and diarrhea. Severe diarrhea can lead to dehydration, thus it is important to promptly replenish fluids and electrolytes to correct gastrointestinal dysfunction.

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Why is fasting recommended for acute gastroenteritis?

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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Is gastroenteritis contagious?

There are many causes of gastroenteritis, and whether it can be contagious depends mainly on the pathogen involved. For example, if gastroenteritis is caused by an infection with bacterial dysentery leading to gastrointestinal symptoms, this situation can be spread via the digestive tract and is contagious. However, if the gastroenteritis symptoms arise from exposure to air conditioning and getting a chill, this situation is not contagious. Therefore, patients with gastroenteritis must undergo routine blood and stool tests to identify the cause of the infection.

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Is acute gastroenteritis a stomach disease?

Acute gastroenteritis is generally considered an infectious disease, not merely a stomach ailment. Clinically, acute gastroenteritis is commonly thought to be caused by viruses or bacteria, especially due to insufficient hygiene. The typical clinical manifestations include abdominal pain, bloating, nausea, vomiting, diarrhea, etc. Of course, some patients may also experience fever. Diarrhea and vomiting are the most common symptoms observed clinically, with vomiting generally involving stomach contents without blood. Diarrhea is characterized by an increased frequency of bowel movements, with stools being loose and watery, particularly frequent at night, making the symptoms of diarrhea especially prominent in patients seeking medical attention. Treatment for patients generally focuses on symptomatic relief, although in cases of recurrent fever, the cautious use of antibiotics may be considered. (Please use medications under the guidance of a professional physician.)