Diagnosis:
Nausea and vomiting - colic and tenderness (mild) around umbilicus - may be fever, diarrhea, distension, dysentry or constipation.
NB: In gastroenteritis nausea and vomiting precede pain but in surgical conditions pain precedes nausea and vomiting.
Treatment:
1- Symptomatic treatment. 2- Specific treatment. 3- Instructions.
1- Symptomatic treatment:
For colic: Buscopan tablets 1X3 (one tablet every 8 hours) before meals , Spasmo-cibalgin tablets or Buscopan compositum tablets.
For diarrhea: Antinal capsules 1X3 (one tablet every 8 hours) 1/2 hour before meals or streptoquine tablets.
For costipation: Abilaxine suppositories (adult) 1X1 at bedtime or glycerine adult suppositories 1X1 at bedtime.
For distension: Disflatyl tablets 1X3 before meals or flatidyl tablets 1X3 before meals.
2- Specific treatment: (according to cause).
A- Amoebic gastroenteritis: Yellowish diarrhea - mild or no fever - may be dysentry - stool analysis.
Treatment: Metronidazole dose 50 mg/kg/day for 10 days : Flagyl, Amrizole, Entophar or Flagicure: one tablet 3 times per day after meals (every 8 hours).
B- Giardiasis gastroenteritis: persistent early watery but turns to soft diarrhea - offensive odour.
Treatment: Metronidazole dose 25 mg/kg/day for 7 days.
C- Bacterial gastroenteritis: High fever above 38.5°C - (E. coli : severe watery diarrhea) - (Shigella - Salmonella - Campylobacter : bloody diarrhea) - stool analysis : pus and RBCs.
Treatment: Antibiotics as ciprofar, ciprofloxacin or rancif.
D- Viral gastroenteritis:
Most common in winter - fever below 38.5°C - mild - good general condition - no pus in stool analysis.
3- Instructions:
Bed rest - light food.
Plenty of fluids - advise rehydration if patient is dehydrated : ringer lactate or dextrose 5%.
Nausea and vomiting - colic and tenderness (mild) around umbilicus - may be fever, diarrhea, distension, dysentry or constipation.
NB: In gastroenteritis nausea and vomiting precede pain but in surgical conditions pain precedes nausea and vomiting.
Treatment:
1- Symptomatic treatment. 2- Specific treatment. 3- Instructions.
1- Symptomatic treatment:
For colic: Buscopan tablets 1X3 (one tablet every 8 hours) before meals , Spasmo-cibalgin tablets or Buscopan compositum tablets.
For diarrhea: Antinal capsules 1X3 (one tablet every 8 hours) 1/2 hour before meals or streptoquine tablets.
For costipation: Abilaxine suppositories (adult) 1X1 at bedtime or glycerine adult suppositories 1X1 at bedtime.
For distension: Disflatyl tablets 1X3 before meals or flatidyl tablets 1X3 before meals.
2- Specific treatment: (according to cause).
A- Amoebic gastroenteritis: Yellowish diarrhea - mild or no fever - may be dysentry - stool analysis.
Treatment: Metronidazole dose 50 mg/kg/day for 10 days : Flagyl, Amrizole, Entophar or Flagicure: one tablet 3 times per day after meals (every 8 hours).
B- Giardiasis gastroenteritis: persistent early watery but turns to soft diarrhea - offensive odour.
Treatment: Metronidazole dose 25 mg/kg/day for 7 days.
C- Bacterial gastroenteritis: High fever above 38.5°C - (E. coli : severe watery diarrhea) - (Shigella - Salmonella - Campylobacter : bloody diarrhea) - stool analysis : pus and RBCs.
Treatment: Antibiotics as ciprofar, ciprofloxacin or rancif.
D- Viral gastroenteritis:
Most common in winter - fever below 38.5°C - mild - good general condition - no pus in stool analysis.
3- Instructions:
Bed rest - light food.
Plenty of fluids - advise rehydration if patient is dehydrated : ringer lactate or dextrose 5%.
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