Complicated gastroenteritis

Medium urgency
CommonModerately severe

It is an inflammation of the inner layer or mucosa of the intestine caused by an infection.

It is usually caused by a virus (norovirus, rotavirus, adenovirus and astrovirus) although it can be bacterial (Salmonella, Vibrio cholerae and E. coli) or parasitic. The germs are contracted after ingesting contaminated food or water.

It manifests with nausea and vomiting, diarrhea, abdominal pain, headache, general malaise, fever and chills. It is considered "complicated" when it presents with high fever, mucus or blood in the stool, hypotension, low level of consciousness and/or the patient has an underlying disease that may decompensate as a result of gastroenteritis.

Diagnosis is obtained by questioning and physical examination; blood and stool tests may be necessary to study the severity and causative agent of the clinical picture.

It is a medical emergency that requires immediate treatment, hospital admission being necessary in most cases. Treatment is based on correcting the triggering cause and ensuring proper hydration. 

Bibliographic references
  1. Neil R Blacklow. Epidemiology and pathogenesis of viral gastroenteritis in adults. UpToDate. Feb 04, 2016.
  2. Blacklow NR, Greenberg HB. Viral gastroenteritis. N Engl J Med 1991; 325:252.
  3. Musher DM, Musher BL. Contagious acute gastrointestinal infections. N Engl J Med 2004; 351:2417.
  4. Umesh D. Parashar, Roger I. Glass. Gastroenteritis vírica. Harrison. Principios de Medicina Interna. 16ª Edición. Volumen I. 1265:1269.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Abdomen is rigid as a board


    Fever / Feel very hot


    Stools with fresh blood


    Severe vomiting


    Diarrhea

Pre-hospital care recommendations

Maintain hydration of half a gallon per day. Avoid soft drinks and fruit juices with high sugar content.
The first 3 days follow an astringent diet (eat pasta, rice, baked or boiled potato, chicken, boiled skinless turkey, white fish, egg, yogurt) and then continue with an unrestricted diet.
Washing your hands is an effective way to prevent infections from spreading.