Managing Severe Gastroenteritis: Tips for Relieving Stomach Discomfort - Gastroenterology and Hepatology

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I have severe gastroenteritis, and my stomach feels very strange right now?


Hello doctor, I have severe gastroenteritis (my weight hasn't noticeably decreased).
I visited a major hospital on the 26th, and the doctor said my inflammation index is 7, with a white blood cell count around 15,000.
Since the evening of the 23rd until today, the 29th, many of my symptoms have alleviated, but now I have discomfort in my stomach, feeling bloated (I have taken medication for bloating and gastritis prescribed by the clinic).
I also feel a strong urge to burp, but it doesn't come out easily, and my stomach hurts a bit; however, I feel better after burping.
A couple of days ago, I had diarrhea, which was watery (more than ten times a day).
I have hardly eaten anything because I feel nauseous and want to vomit, but I feel very thirsty.
After drinking, my stomach feels heavy and extremely uncomfortable.
I don't know what I should eat right now...! I want to eat, I feel hungry and thirsty, but both eating and fasting are very uncomfortable! What should I do to recover quickly?

Xiao Xia, 10~19 year old female. Ask Date: 2016/08/29

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Some conditions involve gastric inflammation or rapid bowel movement.
If a light diet still does not allow for proper intake, it is recommended to return to the gastroenterology department to see if medication adjustments are needed or if an endoscopy should be arranged.
Changhua Hospital cares about your health.
Dr.
Cai Anshun.

Reply Date: 2016/08/29

More Info


Managing severe gastroenteritis can be challenging, especially when symptoms like bloating, nausea, and abdominal discomfort persist. Here are some tips and insights to help relieve your stomach discomfort and facilitate recovery.


Understanding Gastroenteritis
Gastroenteritis, commonly referred to as stomach flu, is an inflammation of the stomach and intestines, often caused by viral or bacterial infections. Symptoms typically include diarrhea, vomiting, abdominal pain, and nausea. In your case, it seems you have experienced significant symptoms, including watery diarrhea and abdominal discomfort, but have not lost weight, which is a positive sign.


Immediate Management Strategies
1. Hydration: Given your symptoms of diarrhea and nausea, staying hydrated is crucial. However, since you mentioned that drinking makes you feel uncomfortable, try sipping small amounts of clear fluids frequently rather than drinking large quantities at once. Oral rehydration solutions (ORS) can be particularly beneficial as they replace lost electrolytes. If plain water feels heavy, consider electrolyte drinks or broths.

2. Dietary Adjustments: When it comes to eating, start with bland, easy-to-digest foods. The BRAT diet (bananas, rice, applesauce, toast) is often recommended for gastrointestinal distress. These foods are gentle on the stomach and can help firm up stools. Gradually reintroduce other foods as tolerated, avoiding dairy, fatty, spicy, or high-fiber foods initially, as they can exacerbate symptoms.

3. Medications: Since you are already taking medications for bloating and gastritis, ensure you follow the prescribed dosage. Over-the-counter medications like simethicone can help relieve gas and bloating. However, be cautious with anti-diarrheal medications unless advised by your doctor, as they can sometimes prolong infections.

4. Rest: Your body needs energy to fight off the infection. Ensure you get plenty of rest to aid recovery. Stress can exacerbate gastrointestinal symptoms, so try to engage in relaxation techniques such as deep breathing or gentle stretching.


Monitoring Symptoms
Keep a close eye on your symptoms. If you experience any of the following, seek medical attention promptly:
- Persistent high fever
- Blood in your stool or vomit
- Severe abdominal pain
- Signs of dehydration (e.g., dizziness, dry mouth, decreased urination)

Long-term Considerations
If your symptoms persist beyond a few days or worsen, it may be necessary to follow up with your healthcare provider. They may recommend further testing to rule out other conditions or adjust your treatment plan.

Conclusion
Managing severe gastroenteritis requires a combination of hydration, dietary adjustments, medication, and rest. Listen to your body and take gradual steps towards recovery. If you find that your symptoms do not improve or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Remember, recovery can take time, and it’s essential to be patient with yourself during this process.

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