Gastroenteritis: First aid

Gastroenteritis: First aid

Gastroenteritis is an inflammation of your stomach and intestines. Common causes are:
Viruses.
Food or water contaminated by bacteria or parasites.
Reaction to a new food. Young children may develop signs and symptoms for this reason. Infants who are breast-fed may even react to a change in their mothers' diets.
Side effect from medications.
Characteristic signs and symptoms include:
Nausea or vomiting
Diarrhea
Abdominal cramps
Bloating
A low-grade fever may accompany these signs and symptoms. Depending on the cause of the inflammation, symptoms may last from one day to longer than a week.
If you suspect gastroenteritis in yourself:
Drink plenty of liquids, such as Gatorade or water, to prevent dehydration.
Ease back into eating. Gradually begin to eat bland, easy-to-digest foods, such as soda crackers, toast, gelatin, bananas, rice and chicken. Stop eating if your nausea returns. Avoid milk and dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods for a few days.
Consider acetaminophen (Tylenol, others) for relief of discomfort, unless you have liver disease.
Get medical help if:
Vomiting persists for more than two days.
Diarrhea persists for longer than several days.
Diarrhea turns bloody.
Fever is 101 F or higher.
Lightheadedness or fainting occurs with standing.
Confusion develops.
Worrisome abdominal pain develops.
If you suspect gastroenteritis in your child:
Allow him or her to rest.
When your child's vomiting stops, begin to offer small amounts of an oral rehydration solution such, as Pedialtyte. Don't use water — in children with gastroenteritis, water isn't absorbed well and won't adequately replace lost fluids.
Gradually introduce bland, easy-to-digest foods, such as toast, rice, bananas and potatoes. Avoid giving your child dairy products and sugary foods, such as ice cream, sodas and candy. These can make diarrhea worse.
Consider acetaminophen (Tylenol, others) for relief of discomfort, unless your child has liver disease. Avoid aspirin.
If you have a sick infant, let your baby's stomach rest for 30 to 60 minutes, then offer small amounts of liquid. If you're breast-feeding, let your baby nurse. If your baby is bottle-fed, offer a small amount of an oral rehydrating formula (Pedialyte, Infalyte) or regular formula.
Get medical help if your child:
Becomes unusually drowsy.
Vomits blood.
Has bloody diarrhea.
Shows signs of dehydration, such as dry mouth and skin, marked thirst, sunken eyes, or crying without tears. In an infant, be alert to the soft spot on the top of the head becoming sunken and to diapers that remain dry for more than eight hours.
Is younger than age two and has a fever for longer than one day or is age two or older and has a fever for longer than three days.