Acute gastroenteritis anti-inflammatory drugs

Written by Ren Zheng Xin
Gastroenterology
Updated on September 09, 2024
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For acute gastroenteritis, if there is a bacterial infection, antibiotics can be used. Empirical use primarily involves quinolones or cephalosporins. If stool bacterial culture is possible, antibiotics sensitive to the results of the test should be chosen.

However, it is important to note that if acute gastroenteritis is caused by a viral infection, the effectiveness of anti-inflammatory drugs is very limited. Therefore, it is advisable to diagnose which bacteria are more sensitive based on the stool sample, and then select the appropriate antibiotic. This approach is more targeted, and also less harmful to the body. The specific medication should still be primarily based on the diagnosis of the clinical doctor.

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What department should I go to for gastroenteritis?

Gastritis and gastroenteritis are commonly treated in the gastroenterology department in a clinical setting, as this department is well-equipped to diagnose and treat gastrointestinal diseases and possesses significant clinical experience. In smaller hospitals or those without a gastroenterology department, it’s typical to visit the internal medicine department instead. However, in formal hospitals, gastroenterology is the preferred choice; if unavailable, then internal medicine should be considered. Additionally, it is essential to be fasting for examinations of gastritis and gastroenteritis, as blood tests and ultrasound scans, both requiring fasting, are needed.

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acute gastroenteritis dehydration symptoms

Minor dehydration from acute gastroenteritis can manifest as dry mouth, sunken eye sockets, headache, dizziness, general fatigue, decreased appetite, and loss of skin elasticity. If symptoms worsen, signs of shock may appear, including reduced total blood volume, renal dysfunction, rapid weak pulse, low blood pressure, cold and wet limbs, and reduced or absent urine output. It is important to seek medical attention promptly if dehydration symptoms occur and treat according to the type of dehydration, while actively treating the acute gastroenteritis.

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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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Symptoms of acute gastroenteritis

The symptoms of acute gastroenteritis depend on the cause, including gastroenteritis caused by a stomach flu or bacterial infection. The symptoms of gastroenteritis from a stomach flu usually include fever, chills, dizziness, fatigue, body aches, stomach pain, diarrhea with watery stools, sometimes accompanied by vomiting and bloating. Routine stool tests often show no significant abnormalities. Acute gastroenteritis caused by bacterial infection typically manifests as stomach pain and diarrhea, accompanied by fever and chills, with stools that are mucous in nature. Routine stool tests often reveal the presence of white blood cells, pus cells, or phagocytes, and a routine blood test may indicate an increased white blood cell count. Treatment methods vary and generally involve symptomatic treatment, which usually leads to gradual relief.

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How to completely cure acute gastroenteritis?

Acute gastroenteritis generally occurs more frequently in the summer and autumn seasons, possibly due to exposure to cold or improper diet, typically presenting with symptoms such as abdominal pain, diarrhea, vomiting, bloating, and even fever and chills. Relevant tests, such as a complete blood count, C-reactive protein, and stool examination, can usually confirm the diagnosis. As for treatment, it depends on the cause, such as anti-inflammatory, antiviral, antidiarrheal, and rehydration measures. Most cases of acute gastroenteritis can be completely cured. During treatment, it's necessary to control the diet by consuming light, easily digestible foods, such as porridge and soft noodles, and to avoid raw, greasy, or spicy foods that might provoke recurring episodes. (Specific medications should be used under the guidance of a doctor.)