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Vomiting and diarrhea. Diagnosed as acute gastritis. Correct diagnosis?

hello doctor, this is my sister s situation.few days ago,she was admitted in the hospital due to acute gastritis according to the diagnosis from the doctor. her situation was normal after that for few days and yesterday, she was again down with continuous vomiting and diarrhea together the whole day and it has made her very very weak.she initially has bad gastric it really an acute gastritis and what can be done to get temporary relieve from this situation? kindly assist me doctor. thank you in advance.
Asked On : Tue, 1 Jan 2013
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General Surgeon 's  Response

Thank you for the query.

Such symptoms can appear due to acute gastroenterocolitis. In most cases this condition is caused by viral infection. Diarrhea and vomiting appears with fever and shivers. This should go away in a few days and should also leave temporal immune resistance for another viral infection. So another same episode is not characteristic for gastroenterocolitis.
Such symptoms can be also a result of some bacterial infection, allergy or partial bowels obstruction. If your sister has fever as well, this indicates infection. If the symptoms do appear right after a meal, allergy is more possible. If she is over 50, have had constipations before or constipations and diarrheas alternately, this can be bowel obstruction.
I suggest your sister to
- If infection is most probable - start with liquid only diet until acute symptoms wont go away. She should also try Rifaximine and Nifuroxazide (prescribed by her doctor) treatment with probiotics
- If allergy sounds most probable - elimination diet
- If obstruction is most probable - abdominal X-ray and get scheduled for colonoscopy

Hope this will help.
Answered: Tue, 1 Jan 2013
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