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 Ren Zheng Xin
Gastroenterology
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How to treat acute gastroenteritis?

The main principles of treating acute gastroenteritis clinically are to stop vomiting, stop diarrhea, relieve spasms, replenish fluids, and rest in bed symptomatically. For mild cases, oral intake of dilute salt water can be used to replenish lost body fluids. If there is frequent vomiting or obvious dehydration, intravenous fluids are necessary to maintain water and electrolyte balance. Sensitive antibiotics should be used to treat intestinal inflammation, but it is important to prevent antibiotic abuse. With active treatment, the prognosis for acute gastroenteritis is generally good. After treatment, attention should also be paid to diet; avoid eating unclean food, and consume less raw, cold, and spicy foods, while also paying attention to personal prevention.

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Written by Zhai Guo Dong
Gastroenterology
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How to alleviate gastroenteritis pain

Gastritis pain often falls into the category of spasmodic pain. We can provide patients with appropriate gastrointestinal antispasmodics, such as Atropine tablets, which can have a symptomatic effect. Additionally, we advise patients to avoid using painkillers, as common analgesics may mask the symptoms. Therefore, we only provide symptomatic treatment for spasms. If the symptoms do not improve and the pain intensifies, we still recommend that patients undergo further examinations to rule out conditions such as gastrointestinal obstruction or other complications like perforations.

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Written by Li Ying
Gastroenterology
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Where does acute gastroenteritis come from?

Acute gastroenteritis is primarily an acute inflammation of the gastrointestinal mucosa. It is mainly characterized by symptoms such as nausea, vomiting, diarrhea, and fever, and is commonly seen in the summer and autumn seasons. It is primarily caused by improper diet, overeating, or consumption of raw, spoiled, or unclean food. The condition is mainly due to bacterial or toxin infection, often seen in group outbreaks or family clusters. It can be caused by the consumption of infected fish, meat, poultry, or seafood, or by leftovers contaminated with Staphylococcus aureus, among others. Moreover, accidental ingestion of strong acids, strong alkalis, or certain pesticides can also cause this disease.

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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 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.)