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Treatments for Norwalk gastroenteritis

Treatment List for Norwalk gastroenteritis

The list of treatments mentioned in various sources for Norwalk gastroenteritis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Treatment of gastroenteritis is dependant on the severity of symptoms, the age of the patient, coomorbidities (such as diabetes etc) and the likely causative organism
  • Treatments include:
    • Avoidance of dehydration and rehydration
      • Oral therapy - if vomiting and dehydration are not severe. Small amounts and often, ideally with and balanced electrolyte solutions, but other fluids can be used. Avoid high sugar drinks as this may worsen diarrhoea and dehydration.
      • Nasogastric therapy - in a hospital setting may be used to avoid intravenous therapy.
      • Intravenous therapy - where vomiting and/or dehydration are severe, or there is an altered level of consciousness or other coomorbidities.
    • Treatment of other symptoms
      • Pain and fever can be treated with paracetamol or ibuprofen
      • Anti-emetics - can be useful where vomiting is a predominant feature, but generally not recommended in children.
      • Antidiarrheals - traditionally avoided because of a theoretical risk of bacteremia, but probably have a role in symptomatic treatment of mild to moderate diarrhoea
    • Antibiotics
    • Not recommended for viral gastroenteritis
    • Hospitalisation. Recommended for:
      • The very young (<6 months) and the very elderly
      • Moderate to severe dehydration and ongoing losses
      • Those with other significant medical conditions
      • Altered level of consciousness
    • Refeeding
      • Early age appropriate refeeding is now recommended once vomiting is controlled and rehydration is complete
      • Use complex carbohydrates such as rice, potatoes, and bread; and lean meats
      • Delay in reintroduction of non-human milk has previously been recommended due to the risk of lactose intolerance, but there is an increasing body of evidence that suggests reintroduction of milk once tolerated, or even continuing milk during an acute illness, is not associated with increased adverse outcomes
      • Breastfeeding should continue as tolerated
    • Public Health measures and good hygiene
      • To avoid spread of disease

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