Food Poisoning or Cold? Gastrointestinal Symptoms - Gastroenterology and Hepatology

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Stomach pain after food poisoning?


On Saturday, I had a high fever of 39 degrees Celsius, with weakness in my limbs, mild diarrhea, and abdominal pain, but no sore throat, cough, or runny nose.
The doctor diagnosed me with a cold, and after taking medication, my fever subsided, but it returned after the medication wore off.
Yesterday, I went to the hospital where the family medicine doctor diagnosed me as not having a cold and referred me to the infectious disease department.
However, the infectious disease doctor diagnosed me as having a cold based on my appearance and did not conduct further tests, so I was prescribed cold medication.
Today, a colleague mentioned that many people experienced diarrhea after having lunch from the same place on Friday.
I'm wondering if I might have food poisoning.
I would like to ask if mild food poisoning is often misdiagnosed as a cold.
Currently, I experience abdominal cramps after eating, and I'm unsure if I can take antacids.
What foods should I avoid?

Xiao Bai, 20~29 year old female. Ask Date: 2006/08/01

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello:
1.
Some colds can present with symptoms of gastroenteritis, which is a type of gastroenteritis caused by a virus.
Common symptoms of gastroenteritis include abdominal pain, diarrhea, vomiting, fever, and food poisoning can also present with diarrhea, vomiting, and fever.
The symptoms may be similar, but the underlying causes can differ.
If there is severe dehydration, persistent high fever, continuous abdominal pain, or blood in the stool, it is important to seek medical attention promptly.
2.
The treatment principle for gastroenteritis is to replenish fluids and necessary electrolytes, and the diet should be bland.
Greasy, sweet, and spicy foods should be avoided.
Antispasmodics and antidiarrheals may be administered based on symptoms.
There are many types of medications for gastrointestinal issues; some may cause constipation, some may relieve pain, and others may induce diarrhea.
It is important to provide medications with appropriate ingredients based on the symptoms.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine

Reply Date: 2006/08/01

More Info


When it comes to distinguishing between food poisoning and a cold, especially in the context of gastrointestinal symptoms, it is essential to consider the specific symptoms and their onset. In your case, you experienced a high fever, weakness, mild diarrhea, and abdominal pain without respiratory symptoms such as sore throat, cough, or runny nose. This symptom profile can indeed lead to confusion between a viral infection (like a cold) and food poisoning.

Food poisoning typically presents with gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal cramps, often occurring within hours after consuming contaminated food. In contrast, a cold is primarily a respiratory illness characterized by symptoms like a runny nose, cough, and sore throat, along with mild systemic symptoms like fever and body aches.
Given that you mentioned your colleagues experienced similar gastrointestinal symptoms after consuming the same meal, it raises the possibility of food poisoning. It's not uncommon for mild cases of food poisoning to be misdiagnosed as a cold, especially if the gastrointestinal symptoms are not pronounced.
In terms of your current symptoms, if you are experiencing abdominal pain after eating, it could indicate that your gastrointestinal system is still reacting to the potential irritants or pathogens from the food you consumed. It is advisable to avoid heavy, greasy, or spicy foods, as these can exacerbate your symptoms. Instead, focus on a bland diet, including foods like bananas, rice, applesauce, and toast (often referred to as the BRAT diet), which can help soothe your stomach.

As for taking gastric medications, it is generally safe to use over-the-counter antacids or medications like simethicone to relieve gas and bloating, but you should consult with a healthcare professional before starting any new medication, especially if your symptoms persist or worsen.
If your abdominal pain continues or if you develop additional symptoms such as severe vomiting, high fever, or blood in your stool, it is crucial to seek medical attention promptly. A healthcare provider may recommend further testing, such as stool tests or imaging studies, to determine the underlying cause of your symptoms.

In summary, while mild food poisoning can sometimes mimic cold symptoms, the presence of gastrointestinal distress, especially after a communal meal, suggests that food poisoning could be a possibility. Monitoring your symptoms closely and adjusting your diet accordingly will be key in managing your recovery. If in doubt, always err on the side of caution and consult a healthcare professional for personalized advice.

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