Is it a gastrointestinal flu?
Hello Doctor, I have been experiencing abdominal bloating (bloating above the abdomen) for the past three days, and it hasn't improved.
I have no appetite and sometimes feel nauseous, having vomited a few times.
I also have diarrhea (watery, with a somewhat dark matcha color), but I do not have symptoms like headache or sore throat.
Could you please advise if this could be a symptom of a gastroenteritis? How should I manage this on my own, or do I need to seek medical attention urgently? Thank you for your response!
Ying, 20~29 year old female. Ask Date: 2010/12/30
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, viral gastroenteritis, including some forms of viral infections, can present with symptoms such as vomiting and diarrhea.
It is recommended to follow a bland diet, avoiding spicy foods, fried foods, dairy products, and sweets.
It is also advised to increase fluid intake.
If symptoms are severe to the point of being unable to eat, or if there is severe dehydration, high fever, bloody stools, or severe abdominal pain, seek medical attention promptly for intravenous therapy.
Wishing you good health, Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.
Reply Date: 2010/12/30
More Info
Based on the symptoms you've described, it does seem like you might be experiencing gastroenteritis, commonly referred to as a stomach virus. Gastroenteritis is characterized by inflammation of the stomach and intestines, leading to symptoms such as abdominal bloating, loss of appetite, nausea, vomiting, and diarrhea. The fact that you are experiencing abdominal bloating, lack of appetite, occasional vomiting, and diarrhea—especially with the unusual color of your stool—suggests that your gastrointestinal system is under distress.
The deep green color of your stool could be attributed to several factors, including the consumption of certain foods or medications, or it could indicate that bile is present in the stool, which can happen when food moves too quickly through the intestines. This rapid transit can occur in cases of gastroenteritis. However, the absence of other symptoms like fever, headache, or sore throat is somewhat reassuring, as these can often accompany more serious infections.
In terms of self-care, here are some recommendations:
1. Stay Hydrated: One of the most important aspects of managing gastroenteritis is to stay hydrated. Diarrhea and vomiting can lead to dehydration, so it’s crucial to drink plenty of fluids. Water, clear broths, and oral rehydration solutions (like Pedialyte) are ideal. Avoid caffeinated or alcoholic beverages, as they can worsen dehydration.
2. Dietary Adjustments: When you feel ready to eat, start with bland foods that are easy on the stomach. The BRAT diet (bananas, rice, applesauce, toast) is often recommended. Avoid fatty, spicy, or heavy foods until you feel better.
3. Rest: Your body needs energy to fight off the infection, so make sure to get plenty of rest.
4. Monitor Symptoms: Keep an eye on your symptoms. If they worsen or if you develop new symptoms such as high fever, severe abdominal pain, blood in your stool, or signs of dehydration (such as dizziness, dry mouth, or decreased urination), you should seek medical attention promptly.
5. Medications: Over-the-counter medications like loperamide (Imodium) can help reduce diarrhea, but they should be used cautiously and not in cases where there is a high fever or blood in the stool, as they can worsen certain infections.
As for when to seek medical help, you should consider visiting a healthcare provider if:
- Your symptoms persist for more than a couple of days without improvement.
- You experience severe abdominal pain.
- You have a high fever (above 101°F or 38.3°C).
- You notice blood in your vomit or stool.
- You show signs of dehydration.
In conclusion, while your symptoms do align with gastroenteritis, it’s essential to monitor your condition closely and take appropriate self-care measures. If you have any doubts or if your symptoms escalate, don’t hesitate to consult a healthcare professional for further evaluation and treatment. Your health is paramount, and timely medical intervention can prevent complications.
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