Gastroenteritis

Very low urgency
Very common-

It is an inflammation of the internal or mucosal layer of the intestine caused by an infection.

It is commonly caused by a virus (norovirus, rotavirus, adenovirus and astrovirus) but it can also be bacterial or parasitic. It is contracted after consuming contaminated water or foods.

It manifests as nausea, vomiting, diarrhoea, abdominal pain, headache, general discomfort, fever and chills.

Diagnosis is obtained through questioning and a physical examination; it may be necessary to perform blood and stool tests to study the severity and the causal agent of the clinical picture.

Generally it is a disease which passes without any need for treatment. If necessary, symptomatic treatment should be performed and correct hydration ensured. Antiemetics may be added in the case of vomiting.

Bibliographic references
  1. Irene Alexandraki, Gerald W Smetana. Acute viral gastroenteritis in adults. UpToDate. Aug 01, 2016.
  2. Bresee JS, Marcus R, Venezia RA, et al. The etiology of severe acute gastroenteritis among adults visiting emergency departments in the United States. J Infect Dis 2012; 205:1374.
  3. Guerrant RL, Van Gilder T, Steiner TS, et al. Practice guidelines for the management of infectious diarrhea. Clin Infect Dis 2001; 32:331.
  4. Thielman NM, Guerrant RL. Clinical practice. Acute infectious diarrhea. N Engl J Med 2004; 350:38.
  5. Jones R, Rubin G. Acute diarrhoea in adults. BMJ 2009; 338:b1877.
  6. Umesh D. Parashar, Roger I. Glass. Gastroenteritis viral. Harrison. Principios de Medicina Interna. Volumen 2. 19ª Edición. 1285:1289.
  7. A. Moreno Camacho. Enfermedades infecciosas del intestino. Gastroenteritis infecciosa. Farreras Rozman. Medicina Interna. Volumen II. Duodécima edición. 136:142.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Diarrhoea


    Vomiting


    Nausea


    Fever / Feel very hot


    Abdominal pain increases with pressure

Symptoms to watch out for

Pregnancy
Vomits that persist for more than 3 days.
If the symptomatology persists for more than a week.
Fever (temperature higher than 38 ºC)
10% weight loss in a week
If in the diarrhoea there is snot, blood or pus.
Antibiotics use during the last 3 months
Dehydration signs: more fatigued than usual, dizziness, dry mouth and tongue.
History of immunodeficiency (HIV, diabetes mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Maintain hydration of 2L 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 potatoes, chicken, skinless boiled turkey, white fish, eggs, yogurts) and then continue with your diet without restrictions.
Washing your hands is an effective way to prevent the spread of infections.