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What is Acute gastroenteritis ?

Acute gastroenteritis (commonly called food poisoning or stomach flu) is a condition where the stomach and intestines become irritated or inflamed, often due to infection. This condition is usually sudden (hence acute) and causes symptoms like vomiting, diarrhea, and stomach cramps.

Causes of Acute Gastroenteritis

  • Viruses:
    • The norovirus is one of the most common viruses that causes gastroenteritis. It’s highly contagious and spreads easily from person to person through contaminated food, water, or surfaces.
    • Another virus, the rotavirus, mainly affects young children but can also cause illness in adults.
  • Bacteria:
    • Salmonella, E. coli, and Campylobacter are some of the bacteria that can cause gastroenteritis. These often come from contaminated food, like undercooked meat, raw vegetables, or unpasteurized dairy products.
  • Parasites:
    • Giardia and Entamoeba histolytica are examples of parasites that can cause gastroenteritis. These are usually spread through contaminated water or food.
  • Contaminated Water:
    • Drinking water that is contaminated with bacteria, viruses, or parasites can also lead to acute gastroenteritis.

How is Acute Gastroenteritis Spread?

  • Eating contaminated food: This could be food that hasn’t been cooked properly or has been handled by someone who has the infection.
  • Drinking contaminated water: This is common in areas where water sanitation is poor.
  • Touching contaminated surfaces: Viruses or bacteria can spread from person to person through touching surfaces or objects (like door handles, phones, or countertops) that have been contaminated.
  • Close contact: Being around someone who is sick or caring for them can also lead to infection.

Symptoms of Acute Gastroenteritis

Symptoms can appear anywhere from hours to a few days after exposure to the cause of the infection

Diarrhea:

Frequent, loose stools are one of the hallmark signs. This can also include bloody diarrhea, especially if caused by bacteria.

Vomiting:

Many people experience nausea and vomiting, which can cause dehydration if not managed well.

Stomach cramps:

Painful stomach cramps or bloating are common due to inflammation of the stomach and intestines.

Fever:

Some people develop a low-grade fever, especially if the cause is bacterial or viral.

Dehydration:

Because of the loss of fluids from vomiting and diarrhea, dehydration is a serious risk. Signs of dehydration include dry mouth, excessive thirst, dizziness, and dark-colored urine.

Fatigue:

You may feel extremely tired and weak due to the loss of fluids and nutrients.

Treatment of Acute Gastroenteritis

  • Hydration:
    • The most important treatment is to replace lost fluids. Drink plenty of water, and oral rehydration solutions (ORS), which contain a mix of water, salt, and sugar, are often recommended to prevent dehydration. Sports drinks can also help replenish electrolytes lost in vomiting or diarrhea.
  • Rest: It’s important to rest while your body is fighting off the infection.
  • Diet: Eat light foods, such as plain rice, bananas, or toast (known as the BRAT diet), while avoiding fatty, spicy, or hard-to-digest foods. Avoid dairy products as well, as they may make symptoms worse temporarily.
  • Over-the-counter medications:
    • Anti-nausea medications: If you’re feeling very sick, medications like ondansetron (prescribed by a doctor) can help reduce nausea.
    • Anti-diarrheal medications: Medications like loperamide (Imodium) can slow down diarrhea, but they should be used with caution, as they can sometimes worsen bacterial infections.
  • Antibiotics: If the infection is caused by a bacterial infection, such as Salmonella or E. coli, the doctor might prescribe antibiotics. However, most cases of gastroenteritis are viral, in which case antibiotics are not effective.
  • Hospitalization: In severe cases, especially if dehydration becomes serious, you may need to be treated in the hospital with intravenous fluids.

When to See a Doctor

Prevention of Acute Gastroenteritis

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Seek medical care if:

  • Severe Dehydration: Symptoms like dry mouth, reduced urination, dizziness, or confusion.
  • Prolonged Symptoms: Diarrhea or vomiting lasting more than 48-72 hours.
  • Blood in Stool or Vomit: This may indicate a more serious bacterial infection.
  • High Fever: Especially if it is persistent or above 39°C (102°F).
  • Severe Abdominal Pain: Pain that is localized or worsening.
  • Immunocompromised Individuals: Elderly, infants, pregnant women, or people with weakened immune systems should seek medical advice more quickly.
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