Gastroenteritis Symptoms and COVID-19 Testing Concerns - Family Medicine

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COVID-19


Hello Doctor, I started experiencing diarrhea two weeks ago and visited the doctor on May 17.
The doctor diagnosed me with acute gastroenteritis.
After starting medication, I noticed some improvement.
On May 25, I had my first normal bowel movement, but I went to the bathroom two additional times that day, and the last time I experienced diarrhea again.
I would like to ask if this means I have a confirmed diagnosis.
I do not have any other symptoms, and I usually wear a mask.
However, I live in the Banqiao District.
Should I get tested for COVID-19? I am also concerned that if I go for testing, I might get infected even though I was fine before.

Lin, 10~19 year old female. Ask Date: 2021/05/25

Dr. Ye Qianyu reply Family Medicine


Hello! Currently, a diagnosis cannot be made through consultation alone.
Please recall if there are any foods in your diet that may affect your bowel movements, such as spicy foods, greasy foods, or laxative fruits.
Additionally, consider whether you have visited any relevant locations.
If you have a history of exposure and are experiencing symptoms, you may go to a hospital for screening or to a local epidemic prevention center.
Please monitor your body temperature, wear a mask properly, and wash your hands frequently.

According to the New Taipei City Health Bureau, the confirmed cases' visited locations from May 9 to May 15 include:
- May 9: Tamsui Haiyan Restaurant, Luzhou Zhongyuan Park, Banqiao Zhuangjing Park Activity Center
- May 10: Linkou Golf Course, Luzhou Zhongyuan Park
- May 11: Luzhou Zhongyuan Park, Linkou Golf Course, Banqiao Puqian Market, San Chong Sanhe Night Market
- May 12: Zhonghe Jing'an Station, Carrefour Yonghe Fuhua Bridge Market, Global Mall, Banqiao Station B1, Banqiao District Chongqing Street Night Market, Luzhou Zhongyuan Park, Banqiao Zhongzheng Road Market
- May 13: Yonghe Fuhua Bridge Market, Zhiguang Night Market, Luzhou Zhongyuan Park, San Chong Sanhe Road Section 4 Zhengxian
- May 14: Yonghe Fuhua Bridge Market, Luzhou Zhongyuan Park, RT-Mart Bitan Store, Banqiao Fude Market, San Chong Sanhe Road Section 4 Zhengxian
- May 15: San Chong Sanhe Road Section 4 Zhengxian, Luzhou Zhongyuan Park
Real-time epidemic updates / Latest visited locations in New Taipei City announced! "Zhongyonghe Market, Parks, Hypermarkets, Night Markets" are all affected.
| Heho Health https://heho.com.tw/archives/173166

Reply Date: 2021/05/25

More Info


Gastroenteritis, commonly referred to as stomach flu, can present with symptoms such as diarrhea, vomiting, abdominal pain, and nausea. It is important to note that while gastroenteritis is often caused by viral or bacterial infections, the symptoms can overlap with those of COVID-19, which is primarily a respiratory illness but can also affect the gastrointestinal system. Given your situation, it is essential to consider the possibility of COVID-19, especially if you have been in contact with someone who tested positive or if you are experiencing symptoms that could be associated with the virus.

In your case, you mentioned experiencing diarrhea since May 17, which was diagnosed as acute gastroenteritis. While you have seen some improvement, the fact that you are still experiencing increased bowel movements and diarrhea raises some concerns. COVID-19 can indeed lead to gastrointestinal symptoms, including diarrhea, nausea, and abdominal pain, even in the absence of respiratory symptoms. Therefore, it is prudent to consider testing for COVID-19, particularly if you have had any exposure risks.

Regarding your concerns about testing, it is understandable to be apprehensive about visiting a testing site, especially if you fear potential exposure to the virus. However, many testing facilities have implemented strict safety protocols to minimize the risk of transmission. If you are symptomatic, it is generally recommended to get tested to rule out COVID-19, as this will help guide your treatment and management. If you test positive, you can take appropriate measures to isolate and prevent spreading the virus to others.

If you continue to experience gastrointestinal symptoms, it is advisable to consult with a healthcare provider. They can assess your symptoms in the context of your medical history and current health status. If your symptoms worsen or if you develop additional symptoms such as high fever, severe abdominal pain, or dehydration, you should seek medical attention promptly.

In summary, while your symptoms may be indicative of gastroenteritis, the overlap with COVID-19 symptoms necessitates testing to ensure proper diagnosis and treatment. It is always better to err on the side of caution, especially in the context of the ongoing pandemic. If you have further concerns or if your symptoms persist, please do not hesitate to reach out to a healthcare professional for personalized advice and care.

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