Viral gastroenteritis

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Diagnosis

Healthcare providers often can diagnose stomach flu from your symptoms. But your provider may want to rule out other illnesses with some tests:


Stool samples: Tests look for bacteria, viruses or parasites in your stool

Sigmoidoscopy: A doctor inserts a thin, flexible tube with a tiny camera from the anus into the lower large intestine to look for signs of inflammatory bowel disease. The sigmoidoscopy is a 15-minute procedure that doesn’t usually require sedation.

Treatment

Most of the time, your medical history and physical exam are the basis for diagnosis, especially if there’s evidence that the virus is spreading through your community.

Your doctor may also order a stool sample to test for the type of virus, or to find out if your illness is caused by a parasitic or bacterial infection.

The main focus of treatment is to prevent dehydration by drinking plenty of fluids. In severe cases, hospitalization and intravenous fluids may be necessary.

Over-the-counter oral rehydration solutions (OHS), such as Pedialyte, can be helpful in mild cases. These solutions are easy on your child’s stomach, and contain a balanced mixture of water and salts to replenish essential fluids and electrolytes.

These solutions are available at local pharmacies and don’t require a prescription. However, you should follow the instructions carefully.

Antibiotics have no effect on viruses. Check with your physician before taking any over-the-counter medications.

Shop online for oral rehydration solutions such as Pedialyte and oral electrolyte products.

Treating diarrhea and vomiting

Diarrhea can be treated in adults with over-the-counter medications such as loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol).

Your doctor may also prescribe probiotics to replace the healthy bacteria that’s lost during diarrhea or they may prescribe medications to treat severe vomiting.

What to eat and what to avoid

As you start to feel better and reintroduce foods into your diet, it’s best to opt for bland foods, such as:

rice

potatoes

toast

bananas

applesauce

These foods are easier to digest and less likely to cause further stomach upset. Until you’re feeling better, you may want to avoid some types of foods, such as:

fatty or fried foods

caffeine

alcohol

sugary foods

dairy products

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