How is acute gastroenteritis caused?

Written by Li Ying
Gastroenterology
Updated on September 14, 2024
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Acute gastroenteritis primarily has two main causes. The first is infection by bacteria and toxins, with Salmonella and Vibrio parahaemolyticus being the most common infections, and staphylococcal toxins, especially from Staphylococcus aureus, being frequently seen. Viruses can also cause outbreaks, often occurring in groups or within families. Additionally, consuming contaminated meat from poultry, fish, or other livestock, as well as seafood like snails grown in the wild, can trigger the disease. Contaminated leftovers infected by Staphylococcus aureus can also induce illness. The second cause involves physical and chemical factors, such as eating cold foods, some antibiotics, or accidentally consuming strong acids, alkalis, or pesticides, all of which can lead to this disease.

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Written by Li Ying
Gastroenterology
1min 18sec home-news-image

How to thoroughly treat acute gastroenteritis?

The main treatment methods for acute gastroenteritis are as follows. Firstly, the patient should rest in bed. If the patient has persistent vomiting, or shows signs of dehydration caused by vomiting, it is necessary to promptly rehydrate the patient. Regarding the diet, it is advisable for the patient to consume liquid or semi-liquid foods, such as porridge and rice soup, to prevent dehydration. Secondly, it is crucial to treat the symptoms. If the patient has uncontrollable vomiting, we can administer antiemetic medications to alleviate this symptom. Thirdly, in the case of antimicrobial treatment, common gastroenteritis may involve bacterial infections, which require antibiotics for targeted treatment of infectious diarrhea. However, it is important to avoid overuse or misuse of these antimicrobial drugs. Furthermore, attention must be paid to dietary habits. It is essential to wash hands before meals and after using the toilet, and to properly disinfect raw vegetables, fruits, and meats, which should be thoroughly cooked before consumption, to effectively prevent the occurrence of gastroenteritis.

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Written by Huang Gang
Gastroenterology
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Acute gastroenteritis pain level

The level of pain in acute gastroenteritis is generally divided into ten levels clinically: levels one to three are mild, four to six are moderate, and seven to ten are severe. This classification is mainly based on the patient's expression and self-perceived intensity of pain. In cases of acute gastroenteritis, there is often the possibility of experiencing spasms, or pain stimuli might trigger inflammatory infections. Generally, the pain is often above level eight. However, if there is mild pain, or it does not accompany fever, it is usually around level one to three. Therefore, once a patient experiences abdominal pain, an intramuscular injection of scopolamine butylbromide can be used to relieve the pain and help the patient stabilize.

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Written by Li Jian Wu
Pulmonology
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The difference between a stomach cold and gastroenteritis

Gastrointestinal colds and gastroenteritis generally have similar symptoms. Gastrointestinal colds are caused by viral infections or heatstroke, causing mild fever, runny nose, mild nausea, diarrhea, etc., typically without substantive white blood cells or pathogens in the stool. Gastroenteritis, on the other hand, involves actual pathological changes in the gastrointestinal tract, such as from Helicobacter pylori or E. coli infections, and usually does not cause fever, runny nose, or other complications. Typical symptoms include intermittent abdominal pain, diarrhea, nausea, vomiting, and other digestive system symptoms.

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Written by Li Ying
Gastroenterology
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How to deal with acute gastroenteritis

When diagnosing acute gastroenteritis, we generally assess whether the symptoms match those of acute gastroenteritis. This typically involves examining the frequency of bowel movements, often more than ten times, with stool colors usually yellow-green. Some may appear like egg drop soup, while others have watery stools, and severe cases might include mucus, nausea, vomiting, reduced appetite, and complications like hypokalemia due to severe vomiting. Other symptoms include abdominal bloating and fever, and in severe cases, it may even lead to unconsciousness. Thus, it is important to conduct routine stool tests and check for white blood cell counts to aid in diagnosis followed by subsequent treatment. In terms of treatment, it principally includes bed rest and symptomatic relief, alongside possible antibiotic therapy. Maintaining hygiene, proper management of drinking water, and stool are essential preventive measures for such conditions.

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Written by Zhai Guo Dong
Gastroenterology
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How to alleviate gastroenteritis?

If the patient has gastroenteritis, we recommend that the patient should rest in bed as much as possible. For patients with mild conditions, we can advise oral intake of glucose and electrolytes to replenish the loss of body fluids. If there is persistent vomiting or evident dehydration, intravenous rehydration with glucose saline and other relevant electrolytes is necessary. We encourage the intake of light liquid or semi-liquid diet to prevent or treat mild dehydration. Additionally, injections of pain relievers, antispasmodic drugs, and antidiarrheal medications can be administered for symptomatic treatment. For infectious diarrhea, targeted antibiotics can be used, but it is advised to avoid their misuse.