GASTROENTERITIS

When you have diarrhea and vomiting, you may say you have the “stomach flu.” What it’s really called is gastroenteritis.  One can contract stomach flu by way of direct contact with a person who has it, or by ingesting contaminated food and water.

Healthy individuals can recover from gastroenteritis without complications, but for infants and for immunocompromised individuals, it can be deadly.  There is no treatment for gastroenteritis, that is why prevention is best.  Hygiene is also important in the prevention of this disease.

A number of viruses can cause gastroenteritis, including:

  • Both children and adults are affected by noroviruses, the most common cause of foodborne illness worldwide.
  • Worldwide, this is the most common cause of viral gastroenteritis in children, who are usually infected when they put their fingers or other objects contaminated with the virus into their mouths.

Some shellfish, especially raw or undercooked oysters, also can make you sick. Although contaminated drinking water is a cause of viral diarrhea, in many cases the virus is passed through the fecal-oral route — that is, someone with a virus handles food you eat without washing his or her hands after using the toilet.

With gastroenteritis, the main symptoms you probably have:

  • Watery, usually nonbloody diarrhea — bloody diarrhea usually means you have a different, more severe infection
  • Abdominal cramps and pain
  • Nausea, vomiting or both
  • Occasional muscle aches or headache
  • Low-grade fever

For children, they may show:

  • Has a fever of 102 F (38.9 C) or higher
  • Seems lethargic or very irritable
  • Is in a lot of discomfort or pain
  • Has bloody diarrhea
  • Seems dehydrated — watch for signs of dehydration in sick infants and children by comparing how much they drink and urinate with how much is normal for them

Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you’re infected and can range from mild to severe. Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days.

DIAGNOSIS

Your doctor may diagnose gastroenteritis by its symptoms, physical exam and in the presence of similar cases in the community.

 

RECOMMENDED MEDICATIONS

There’s often no specific medical treatment for viral gastroenteritis. Antibiotics aren’t effective against viruses, and overusing them can contribute to the development of antibiotic-resistant strains of bacteria. Treatment initially consists of self-care measures.

What should you do at home?

  • Drink plenty of fluids. Choose water and other caffeine-free clear liquids until you feel better.
  • Drink fluids slowly, in frequent, small amounts. Drinking too much too fast can cause vomiting.
  • Electrolytes should also be replaced, especially if vomiting or diarrhea lasts longer than 24 hours. Electrolytes are minerals in your blood that keep many systems in your body working smoothly. If you have a long period of vomiting and diarrhea, you can lose minerals.
  • When you feel like eating, start with mild foods, such as dry toast, yogurt, applesauce, bananas, and rice. Avoid spicy, hot, or high-fat foods, and do not drink alcohol or caffeine for a day or two. Do not drink milk or eat ice cream or other dairy foods until you are feeling better.

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