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Gastroenteritis
Stomach Flu

Images

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Presentation

We sought to determine the frequency of gastroenteritis-like presentations and delayed or missed diagnoses among patients with spontaneous cerebellar hemorrhage. [ncbi.nlm.nih.gov]

Abstract: Viral gastroenteritis presents a major public health concern worldwide. It is mostly a disease of young children. However, acquired immunity may wane and symptomatic infection can also occur in adults. [doi.org]

It disrupts the mucosa, causing bloody diarrhea, abdominal pain, and fever, and fecal leukocytes are present. [contemporaryclinic.pharmacytimes.com]

Entire Body System

  • Pain

    When a patient complains of abdominal pain, the various causes of an acute abdomen or referred pain should be considered. Upper abdominal pain could be acute cholecystitis, pancreatitis, or a perforated ulcer. [contemporaryclinic.pharmacytimes.com]

    Children with significant abdominal pain. Replace deficit over first 6 hours and then give daily maintenance over the next 18 hours. [rch.org.au]

    […] coli (VTEC) including O157 Can vary, from a mild illness with little or no symptoms, to moderate or severe bloody diarrhoea, with abdominal pain (haemorrhagic colitis). [hpsc.ie]

    It is diagnosed in the biopsies taken during endoscopic examination to the patients with abdominal pain and chronic diarrhea. A 40-year-old woman was admitted with abdominal pain and chronic diarrhea. [ncbi.nlm.nih.gov]

  • Fatigue

    Cryptosporidium Drinking contaminated water Person-to-person contact Recreational water exposure People with impaired immune systems are particularly susceptible Watery diarrhea, crampy abdominal pain, nausea, fatigue, and vomiting Usually lasts about [msdmanuals.com]

    Keywords: Failure to thrive, fatigue, genotypes, Giardia, irritable bowel syndrome, neglected diseases, post-infectious therapeutics, giardiasis, Giardia duodenalis, nitazoxanide, USEPA Method, IgG1, Cryptosporidium, immunomagnetic separation, immunofluorescence [doi.org]

    This inflammation leads to diarrhea and/or vomiting, as well as complications from these symptoms, such as abdominal pain, dehydration, and fatigue. [badgut.org]

    Dizziness, headache, and fatigue may develop, and the person may feel sleepy or be unable to concentrate. [merck.com]

  • Sudden Infant Death Syndrome

    Cytokine gene polymorphisms and sudden infant death syndrome. Acta Paediatr 2010 ;99: 384 – 8 Google Scholar | Crossref | Medline | ISI 23. Leiter, JC, Bohm, I. Mechanisms of pathogenesis in the sudden infant death syndrome. [dx.doi.org]

    Byard RW, Krous HF Sudden infant death syndrome – a change in philosophy. : Byard RW, Krous HF, Sudden Infant Death Syndrome: Problems, progress and possibilities. London: Arnold, Hodder Headline Group, 2001:1–4 [ Google Scholar ] 19. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Vomiting

    Intravenous ondansetron and metoclopramide reduced the number of episodes of vomiting and hospital admission, and dimenhydrinate as a suppository reduced the duration of vomiting. [scielo.br]

    The vomiting center, which controls and integrates the act of vomiting, is located close to other centers which regulate respiration, vasomotor, and other autonomic functions and that may play an additional role in vomiting. [doi.org]

  • Diarrhea

    Viral gastroenteritis, or viral diarrhea, is perhaps the most common type of diarrhea worldwide; rotaviruses, caliciviruses, Norwalk viruses, and adenoviruses are the most common causes. [britannica.com]

    […] on acute diarrhea in a 6 - 24 month-old hospitalized infants Turkisk J Paediatr 2006;48:115-8 [web.archive.org]

    If diarrhea is very severe or you have a weak immune system, antibiotics may be needed. You can buy medicines at the drugstore that can help stop or slow diarrhea. [nlm.nih.gov]

  • Nausea

    Foods to try include: Cereals, bread, potatoes, lean meats Plain yogurt, bananas, fresh apples Vegetables If you have diarrhea and are unable to drink or keep down fluids because of nausea or vomiting, you may need fluids through a vein (IV). [nlm.nih.gov]

    Other types of Vibrio Shellfish Watery diarrhea, often with little nausea or vomiting Antibiotics are given (for example, ciprofloxacin, doxycycline, or trimethoprim/sulfamethoxazole). [msdmanuals.com]

    Symptoms include: nausea, vomiting, diarrhea, and abdominal pain. It is sometimes referred to as the "stomach flu" or food poisoning, though it usually is neither. [medicinenet.com]

  • Abdominal Pain

    When a patient complains of abdominal pain, the various causes of an acute abdomen or referred pain should be considered. Upper abdominal pain could be acute cholecystitis, pancreatitis, or a perforated ulcer. [contemporaryclinic.pharmacytimes.com]

    Children with significant abdominal pain. Replace deficit over first 6 hours and then give daily maintenance over the next 18 hours. [rch.org.au]

    […] fever, headache, cough, constipation followed by diarrhoea, characteristic skin rash (rose spots), abdominal pain and confusion. [hpsc.ie]

    It is diagnosed in the biopsies taken during endoscopic examination to the patients with abdominal pain and chronic diarrhea. A 40-year-old woman was admitted with abdominal pain and chronic diarrhea. [ncbi.nlm.nih.gov]

  • Abdominal Cramps

    Salmonella Eating contaminated food Contact with reptiles (for instance, iguanas, snakes, and turtles), birds, or amphibians (for instance, frogs and salamanders) High fever, exhaustion, abdominal cramps, nausea, vomiting, diarrhea that may or may not [msdmanuals.com]

    Abstract Abdominal cramping and pain is a frequent problem in the adult population of Western countries, with an estimated prevalence of < or =30%. [ncbi.nlm.nih.gov]

    Other symptoms include headache, fever, and abdominal cramps. In general, the symptoms begin 1 – 2 days following infection with a virus that causes gastroenteritis. [chp.gov.hk]

    It is characterized by diarrhea, vomiting, and abdominal cramps. Other symptoms can include nausea, fever, and chills. [britannica.com]

Psychiatrical

  • Denial

    People diagnosed with kidney failure usually go through shock, grief and denial before they accept their condition. [nhsinform.scot]

Neurologic

  • Headache

    […] fever, headache, cough, constipation followed by diarrhoea, characteristic skin rash (rose spots), abdominal pain and confusion. [hpsc.ie]

    Other symptoms include headache, fever, and abdominal cramps. In general, the symptoms begin 1 – 2 days following infection with a virus that causes gastroenteritis. [chp.gov.hk]

    Symptoms of gastroenteritis include diarrhea, abdominal pain, vomiting, headache, fever, and chills. Most people recover with no treatment. The most common problem with gastroenteritis is dehydration. [medlineplus.gov]

    The common symptoms are: Nausea Vomiting Diarrhoea Stomach pain Other symptoms may include fever, headache and body aches. [moh.gov.sg]

    […] hours of infection and may include: Vomiting Nausea or feeling ill Metallic taste in the mouth Three or more episodes of diarrhea every 24 hours Stool may contain blood and mucus Fever Chills, shivering and fever Muscle and body ache Stomach cramps Headache [news-medical.net]

  • Confusion

    […] not urinated in 12 hours You are vomiting frequently, and it does not slow down after 4 to 6 hours There is stool or blood (red in colour or ground coffee-like) in your vomit Your general health is deteriorating (weakness, drowsiness, irritability, confusion [quebec.ca]

    You should also contact your provider if you or your child has these symptoms: Blood in the stool Confusion Dizziness Dry mouth Feeling faint Nausea No tears when crying No urine for 8 hours or more Sunken appearance to the eyes Sunken soft spot on an [nlm.nih.gov]

    […] hours 3-7 days Salmonella Typhi and Paratyphi (Typhoid and Paratyphoid; Enteric Fever) Typhoid enteric fever is a severe illness with fever, headache, cough, constipation followed by diarrhoea, characteristic skin rash (rose spots), abdominal pain and confusion [hpsc.ie]

Workup

In the second group (starting from April 2014, except for specimens in which the amount of reagent was insufficient) testing for norovirus was added to the routine diagnostic workup. [analesdepediatria.org]

The initial workup of persistent travelers’ diarrhea should always include a C. difficile stool toxin assay. [wwwnc.cdc.gov]

Treatment

Nitazoxanide may be considered as an option for the treatment of intractable norovirus gastroenteritis in pediatric transplant patients when reduced immunosuppression is not feasible or other treatment options have failed. [ncbi.nlm.nih.gov]

Assuming treatment failure rate to be an extremely conservative proxy for dysentery deaths not preventable with prompt antibiotic treatment, it can be estimated that treatment of dysentery with ciprofloxacin, ceftriaxone or pivmecillinam will reduce diarrhoea [doi.org]

Prognosis

Outlook (Prognosis) For most people, the illness goes away in a few days without treatment. Possible Complications Severe dehydration can occur in infants and young children. [ufhealth.org]

What Is the Prognosis for Gastritis? Most people with gastritis improve quickly once treatment has begun. [webmd.com]

Studies have found that post-infectious IBS affects between 5-32% of those who experience gastroenteritis.3 However, the prognosis is good for this type of IBS, with symptoms typically gone soon after developing, without need for treatment. [badgut.org]

Prognosis For most people, gastroenteritis is not a serious illness. It typically resolves within two to three days and there are usually no long-term effects. If dehydration occurs, recovery is extended by a few days. [healthofchildren.com]

Etiology

Bacteriologic and parasitologic advances made during the past century led to the discovery of the etiology of some of the diarrheal illnesses, but the etiology of the major portion remained unknown. [ncbi.nlm.nih.gov]

Several enteric viruses have been recognized as important etiologic agents of acute infectious gastroenteritis (Table 227-1, Fig. 227-1). [accessmedicine.mhmedical.com]

Epidemiology

This review covers the four most common causes of adult viral gastroenteritis, Calicivirirdae (predominantly noroviruses), astroviruses, enteric adenoviruses and rotaviruses focussing on their epidemiologic, structural, pathogenic and clinical aspects [doi.org]

Owing to the severity of the symptoms, an epidemiological investigation was conducted in two states of Brazil. [ncbi.nlm.nih.gov]

Pathophysiology

Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 16. Updated by: Michael M. [nlm.nih.gov]

No classification scheme matches perfectly with the pathophysiology; a large degree of overlap exists. Some forms of gastritis involve acid-peptic and H. pylori disease (see also Overview of Acid Secretion). [merckmanuals.com]

[citation needed] Pathophysiology Receptors on the floor of the fourth ventricle of the brain represent a chemoreceptor trigger zone, known as the area postrema, stimulation of which can lead to vomiting. [en.wikipedia.org]

Prevention

Moreover, these probiotics and prebiotics have been related to shorter duration and severity of rotavirus diarrhea, to the prevention of infection and reduced incidence of reinfections. [ncbi.nlm.nih.gov]

Prevention Exclude people with viral gastroenteritis from childcare, preschool, school and work until there has been no diarrhoea or vomiting for 24 hours. [sahealth.sa.gov.au]

In addition, current and future prevention and treatment options are discussed, including recent patents. [doi.org]

A randomized, double-blind, placebo-controlled trial of rifaximin to prevent travelers' diarrhea. Ann Intern Med. 2005 May 17. 142(10):805-12. [Medline]. [medscape.com]

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