Understanding Diarrhoea and Vomiting

A Comprehensive Guide to Gastroenteritis Management

Gastroenterology

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Last updated: Mar 24, 2025

What is Gastroenteritis?

Gastroenteritis is an infection or inflammation of the digestive system that commonly causes diarrhoea and vomiting. It's usually caused by a virus, bacteria, or parasites.

Common Causes

  • Viral infections (most common)
    • Norovirus
    • Rotavirus
  • Bacterial infections
    • E. coli
    • Salmonella
  • Food intolerances
  • Medication side effects

Key Symptoms

  • Frequent loose, watery stools
  • Nausea and vomiting
  • Stomach cramps
  • Mild fever
  • Headache
  • Loss of appetite

Warning Signs - Seek Medical Help If:

  • Blood in stool or vomit
  • Severe abdominal pain
  • High fever (>39°C/102.2°F)
  • Signs of dehydration:
    • Dark urine
    • Dizziness
    • Dry mouth
    • Reduced urination

Treatment

Self-Care Measures

  1. Stay hydrated
  2. Rest adequately
  3. Eat small, light meals
  4. Avoid dairy and fatty foods

Medication

  • Oral rehydration solutions
  • Anti-diarrheal medication (if advised)
  • Anti-emetics for vomiting

Prevention

  • Regular hand washing
  • Safe food handling
  • Clean drinking water
  • Proper food storage

Recovery Timeline

Most cases improve within 2-3 days and resolve completely within a week.

When to Return to Work/School

Wait at least 48 hours after symptoms have stopped before returning to normal activities.

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