Accidentally Eating Raw Angel Shrimp: Should You Seek Medical Attention?

If you have accidentally consumed raw angel shrimp that should have been cooked, should you seek medical attention or take medication?

I accidentally consumed raw angel shrimp, which the staff informed me should be cooked.
It has been 8 hours, and I don't feel any unusual symptoms.
Should I seek medical attention or take medication?

Ms. Wu, 30~39 year old female. Ask Date: 2020/01/08

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, regarding the consumption of raw angel shrimp, please monitor for any symptoms in the coming days (such as diarrhea, fever, or vomiting).
Pay attention to food hygiene, avoid consuming raw foods, and wash your hands frequently.
In cases of gastroenteritis, it is recommended to replenish fluids and maintain electrolyte balance.
If symptoms are severe, such as dehydration, weakness, persistent fever, or bloody stools, seek medical attention promptly.
Wishing you safety and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/01/08

More Info

Eating raw seafood, including angel shrimp, can pose health risks primarily due to the potential presence of harmful bacteria, viruses, or parasites. While you mentioned that it has been eight hours since consuming the raw shrimp and you are not experiencing any unusual symptoms, it is still important to understand the implications of such consumption and when to seek medical attention.

Understanding the Risks:
Raw seafood can harbor various pathogens. Common concerns include:
1. Vibrio species: These bacteria are often found in warm seawater and can cause gastrointestinal illness. Symptoms may include diarrhea, abdominal cramps, nausea, vomiting, fever, and chills.

2. Parasites: Raw shrimp can carry parasites like nematodes, which may lead to gastrointestinal distress.

3. Hepatitis A: This virus can be transmitted through contaminated food and water, leading to liver inflammation.

4. Scombroid poisoning: This occurs when fish that are not properly stored produce high levels of histamine, leading to allergic-like reactions.

Symptoms to Watch For:
While you currently feel fine, it is crucial to monitor for any symptoms that may arise in the next 24 to 48 hours. Symptoms of foodborne illness can vary but typically include:
- Nausea and vomiting
- Diarrhea (which may be watery or bloody)
- Abdominal pain or cramping
- Fever
- Muscle aches
If you begin to experience any of these symptoms, especially severe abdominal pain, persistent vomiting, or signs of dehydration (such as dizziness, dry mouth, or decreased urination), it is advisable to seek medical attention promptly.

When to Seek Medical Attention:
1. Severe Symptoms: If you experience severe abdominal pain, high fever (over 101°F), or persistent vomiting that prevents you from keeping fluids down.

2. Dehydration: Signs of dehydration, such as excessive thirst, dry mouth, little or no urination, or dizziness.

3. Prolonged Symptoms: If symptoms persist for more than a couple of days without improvement.

4. Underlying Health Conditions: If you have a weakened immune system, liver disease, or other underlying health issues, you should consult a healthcare provider even if you feel well.

Preventive Measures:
In the future, it is advisable to avoid consuming raw seafood unless you are certain of its safety and freshness. Always ensure that seafood is sourced from reputable suppliers and prepared under hygienic conditions. Cooking seafood to the appropriate temperature (145°F or 63°C) is the best way to eliminate harmful pathogens.

Conclusion:
Given that you are currently asymptomatic, there may not be an immediate need for medical intervention. However, remain vigilant for any signs of illness in the coming days. If you have any doubts or if symptoms develop, do not hesitate to seek medical advice. It is always better to err on the side of caution when it comes to food safety and your health.

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