acute gastroenteritis symptoms

Written by Jiang Guo Ming
Gastroenterology
Updated on April 13, 2025
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The symptoms of acute gastroenteritis can vary depending on the cause. Both gastroenteritis and infectious diarrhea exhibit symptoms such as abdominal pain, diarrhea, and vomiting. However, there are distinctions; the abdominal pain in gastroenteritis is often less severe than in infectious diarrhea, and the stools in gastroenteritis are typically watery. In infectious diarrhea, the stools can also be watery, but more often they are mucoid or even contain mucus and blood. Additionally, the stool volume in infectious diarrhea is usually not large and is accompanied by symptoms of tenesmus. Gastroenteritis often also involves symptoms of upper respiratory infection, including fever, chills, dizziness, headache, fatigue, general body ache, and sore throat. Differentiating between the two can be achieved through examinations and tests like stool routine, blood routine, and C-reactive protein levels.

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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 Jiang Guo Ming
Gastroenterology
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How to stop diarrhea caused by gastroenteritis

Acute gastroenteritis is one of the common diseases of the digestive system, usually prevalent in the summer and autumn seasons. It may be caused by exposure to cold or improper diet and typically presents with symptoms such as intermittent abdominal pain, diarrhea, vomiting, bloating, and sometimes fever and chills. The stool can be watery, mucous, or even bloody. As for how to stop diarrhea, it depends on the specific cause. If it is gastroenteritis caused by a virus, appropriate antiviral medications can be used in combination with antidiarrheal drugs, such as smectite powder. For bacterial enteritis, treatment primarily involves antibacterial therapy, such as cephalosporins or quinolone medications, combined with antidiarrheal drugs, which often can achieve satisfactory results. Also, a light diet should be maintained, avoiding raw, greasy, spicy, and irritating foods. (Specific medications should be used under the guidance of a doctor.)

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Written by Huang Gang
Gastroenterology
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How many days to rest for acute gastroenteritis?

Patients with acute gastroenteritis experience rapid onset of symptoms but can recover quickly with proper and standard treatment after diagnosis. Acute gastroenteritis generally involves simultaneous infection of the intestinal and gastric mucosa by bacteria or viruses. With appropriate treatment, using anti-inflammatory medications or probiotics, the disease can be rapidly resolved without any problems, typically healing within two to three days. Therefore, when suffering from acute gastroenteritis, it is important to rest, preferably by staying in bed without engaging in strenuous activities to avoid exacerbating the condition. Usually, taking two to three days off from work is completely sufficient.

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Written by Yan Xin Liang
Pediatrics
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What to do if a child has gastroenteritis?

For children with gastroenteritis, we first treat the gut with probiotics, such as oral bifidobacterium or lactobacillus acidophilus. Then, we can provide gastrointestinal mucosal protectants, such as montmorillonite powder. At the same time, since gastroenteritis may cause dehydration and electrolyte disorders, it is necessary to replenish fluids and electrolytes, commonly using oral rehydration salts. If the gastroenteritis is suspected to be caused by a viral infection, some antiviral medications should be taken orally. If it is considered to be caused by a bacterial infection, oral antibiotics for anti-infection treatment, such as cephalosporins or penicillins, should be administered.

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Written by Ren Zheng Xin
Gastroenterology
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How to reduce fever in acute gastroenteritis

Acute gastroenteritis generally manifests as fever, abdominal pain, and diarrhea. If the fever does not exceed 38.5°C, antipyretic medications can be used, along with physical cooling methods such as wiping the patient's forehead, palms, and soles with a warm towel to facilitate heat dissipation through evaporation. If the fever exceeds 38.5°C, muscular injection of antipyretic drugs should be chosen, along with combined infusion therapy to prevent signs of physical collapse caused by high temperatures. At the same time, active use of antibiotics and antidiarrheal medications is advised. During treatment, a regular diet should be maintained, adopting the principle of eating small and frequent meals. Rest is important, and excessive fatigue should be avoided. (The use of medications should be under the guidance of a doctor.)