Gastroenteritis

9 min read

Gastroenteritis is an inflammation of the stomach and intestines caused by a virus, bacteria, or parasites. It is also known as the stomach flu, although it is not related to influenza. Gastroenteritis can cause diarrhea, vomiting, and abdominal pain. It is usually a mild illness that resolves on its own, but it can be serious in young children, the elderly, and people with weakened immune systems.

Causes of Gastroenteritis

Gastroenteritis is usually caused by a virus, such as norovirus, rotavirus, or adenovirus. Bacteria, such as Salmonella, Campylobacter, and E. coli, can also cause gastroenteritis. Parasites, such as Giardia, can also cause the condition. In some cases, the cause of gastroenteritis is unknown.

Risk Factors for Gastroenteritis

Gastroenteritis is more common in young children and the elderly. People with weakened immune systems, such as those with HIV or cancer, are also at higher risk. Eating contaminated food or drinking contaminated water can also increase the risk of gastroenteritis.

Prevention of Gastroenteritis

The best way to prevent gastroenteritis is to practice good hygiene. Wash your hands often, especially after using the bathroom and before preparing food. Avoid drinking contaminated water, and cook food thoroughly. If you are traveling, make sure to drink bottled water and avoid eating food from street vendors.

Take the Gastroenteritis Assessment

Symptoms

  • Diarrhea
  • Nausea
  • Vomiting
  • Stomach cramps
  • Fever
  • Headache
  • Loss of appetite
  • Dehydration

If you experience any of these symptoms, it is important to seek medical attention. Your doctor can diagnose the cause of your symptoms and provide treatment to help you feel better.

Causes

Viral Gastroenteritis

Viral gastroenteritis is the most common cause of gastroenteritis. It is caused by a virus, such as rotavirus, norovirus, adenovirus, and astrovirus. These viruses can be spread through contact with an infected person, contaminated food or water, or even through contact with contaminated surfaces. Symptoms of viral gastroenteritis usually last for a few days and can include diarrhea, vomiting, abdominal pain, and fever.

Bacterial Gastroenteritis

Bacterial gastroenteritis is caused by bacteria, such as Salmonella, Shigella, Campylobacter, and E. coli. These bacteria can be spread through contact with an infected person, contaminated food or water, or contact with contaminated surfaces. Symptoms of bacterial gastroenteritis usually last for a few days and can include diarrhea, vomiting, abdominal pain, and fever.

Parasitic Gastroenteritis

Parasitic gastroenteritis is caused by parasites, such as Giardia lamblia and Cryptosporidium. These parasites can be spread through contact with an infected person, contaminated food or water, or contact with contaminated surfaces. Symptoms of parasitic gastroenteritis usually last for a few days and can include diarrhea, vomiting, abdominal pain, and fever.

Medication-Induced Gastroenteritis

Medication-induced gastroenteritis is caused by certain medications, such as antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), and chemotherapy drugs. These medications can cause irritation and inflammation of the stomach and intestines, leading to symptoms of gastroenteritis. Symptoms of medication-induced gastroenteritis usually last for a few days and can include diarrhea, vomiting, abdominal pain, and fever.

Conclusion

Gastroenteritis can be caused by a variety of factors, including viruses, bacteria, parasites, and certain medications. It is important to be aware of the potential causes of gastroenteritis and to take steps to prevent it, such as washing your hands regularly and avoiding contact with people who are sick.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will ask about the patient's medical history and symptoms. The doctor may also perform a physical examination to check for signs of dehydration, such as dry skin, sunken eyes, and low blood pressure.

Laboratory Tests

Laboratory tests are used to identify the cause of gastroenteritis. Stool samples may be tested for the presence of bacteria, viruses, or parasites. Blood tests may also be used to check for signs of infection.

Imaging Tests

Imaging tests, such as X-rays or CT scans, may be used to check for signs of inflammation or obstruction in the intestines.

Endoscopy

An endoscopy is a procedure in which a thin, flexible tube with a camera is inserted into the stomach and intestines. This allows the doctor to view the inside of the digestive tract and look for signs of inflammation or infection.

Questions for Your Doctor

Medical History

Your doctor will want to know your medical history, including any recent illnesses, medications, and allergies. This information will help them determine the cause of your symptoms and the best course of treatment.

Symptoms

Your doctor will want to know the specifics of your symptoms, such as how long you have been experiencing them, how severe they are, and if there are any other symptoms that accompany them. This information will help them determine the cause of your symptoms and the best course of treatment.

Diagnostic Tests

Your doctor may recommend certain diagnostic tests to help diagnose the cause of your symptoms. These tests may include blood tests, stool tests, and imaging tests. Your doctor will explain the purpose of each test and the results.

Treatment Options

Your doctor will discuss the various treatment options available to you. These may include medications, dietary changes, and lifestyle modifications. Your doctor will explain the benefits and risks of each option and help you decide which one is best for you.

Follow-Up Care

Your doctor will discuss the need for follow-up care and any lifestyle changes that may be necessary to prevent future episodes of gastroenteritis. They may also recommend that you see a specialist if your symptoms do not improve with treatment.

Treatment

Fluids and Electrolytes

One of the most important treatments for gastroenteritis is to replace lost fluids and electrolytes. This is especially important for young children and the elderly, who are more prone to dehydration. Oral rehydration solutions, such as Pedialyte, are available over the counter and can help replace lost fluids and electrolytes. It is also important to drink plenty of water to stay hydrated.

Dietary Changes

It is important to eat a balanced diet when recovering from gastroenteritis. Eating small, frequent meals can help reduce nausea and vomiting. Bland foods, such as crackers, toast, and bananas, can help settle the stomach. Avoiding dairy, spicy foods, and fatty foods can also help reduce symptoms. It is also important to avoid caffeine and alcohol.

Medications

Over-the-counter medications, such as antidiarrheal medications and antiemetics, can help reduce symptoms. It is important to talk to a doctor before taking any medications, as some medications can interact with other medications or worsen symptoms. Prescription medications may also be necessary in some cases.

Rest

Getting plenty of rest is important when recovering from gastroenteritis. Resting can help the body heal and reduce symptoms. It is also important to avoid strenuous activities until symptoms have subsided.

Drugs & Medications

Antibiotics

Antibiotics are medications used to treat bacterial infections. They are not effective against viral infections, such as gastroenteritis. However, if a bacterial infection is suspected, antibiotics may be prescribed. Common antibiotics used to treat gastroenteritis include amoxicillin, ciprofloxacin, and metronidazole.

Anti-Diarrheal Medications

Anti-diarrheal medications are used to reduce the frequency and severity of diarrhea. Common medications used to treat diarrhea include loperamide (Imodium) and bismuth subsalicylate (Pepto-Bismol). These medications should not be used in children under the age of 12.

Pain Relievers

Pain relievers, such as acetaminophen (Tylenol) and ibuprofen (Advil), can be used to reduce abdominal cramps and fever associated with gastroenteritis. Aspirin should not be used in children or teenagers.

Probiotics

Probiotics are live microorganisms that can help restore the balance of bacteria in the gut. They may be beneficial in reducing the symptoms of gastroenteritis. Probiotics are available in supplement form or in certain foods, such as yogurt and kefir.

Conclusion

Gastroenteritis is a common condition that can be treated with rest, hydration, and medications. Antibiotics may be prescribed if a bacterial infection is suspected. Anti-diarrheal medications, pain relievers, and probiotics may also be used to reduce symptoms. It is important to speak to a doctor before taking any medications.

Diet

What to Eat

When you have gastroenteritis, it is important to eat foods that are easy to digest and provide essential nutrients. The following foods are recommended:

  • Bananas
  • Rice
  • Applesauce
  • Toast
  • Boiled potatoes
  • Cooked carrots
  • Baked chicken
  • Plain oatmeal
  • Plain yogurt
  • Broth
  • Crackers
  • Gelatin

What to Avoid

It is important to avoid certain foods when you have gastroenteritis. These include:

  • Dairy products
  • Caffeinated beverages
  • Alcohol
  • Spicy foods
  • Fatty or fried foods
  • Raw vegetables
  • Citrus fruits
  • Sugar-free candy or gum

It is also important to drink plenty of fluids to prevent dehydration. Water, sports drinks, and clear soups are all good choices. Avoid caffeinated and alcoholic beverages.

Lifestyle

Stay Hydrated

One of the most important things you can do to manage your gastroenteritis is to stay hydrated. Drink plenty of fluids, such as water, clear broth, and electrolyte-containing beverages. Avoid caffeine and alcohol, as these can worsen your symptoms. If you are having trouble keeping fluids down, try sipping them slowly or sucking on ice chips.

Eat Bland Foods

When you are feeling better, try to eat bland foods such as toast, crackers, bananas, rice, applesauce, and boiled potatoes. Avoid spicy, greasy, and fatty foods, as these can worsen your symptoms. You should also avoid dairy products, as they can be difficult to digest when you have gastroenteritis.

Get Plenty of Rest

Rest is important for your body to heal. Try to get plenty of sleep and take it easy. Avoid strenuous activities and exercise until you are feeling better.

See Your Doctor

If your symptoms persist or worsen, it is important to see your doctor. Your doctor can diagnose the cause of your gastroenteritis and provide treatment if necessary.