Acute Gastroenteritis in Adults and Children

What Is Acute Gastroenteritis?

Acute gastroenteritis is a common digestive illness that affects both adults and children¹²³⁻⁴. It refers to an inflammation of the gastrointestinal mucosa, usually resulting in vomiting, diarrhea, nausea, and abdominal cramps¹ ⁴.

This condition is primarily caused by viruses such as norovirus, rotavirus, and adenovirus¹²⁴⁻⁵. However, bacteria and parasites can also be responsible⁶⁻⁷. This condition is highly contagious, especially when of viral origin¹².

Viral Gastroenteritis

Most cases, particularly in winter, are caused by viruses like:

  • Rotavirus – A major cause of diarrhea in children aged 6–24 months. It often leads to significant dehydration and is responsible for many pediatric hospitalizations¹⁴⁻⁵.
  • Norovirus (Calicivirus) – The leading cause of gastroenteritis outbreaks across all age groups².
  • Adenovirus – Frequently affects young children with symptoms of diarrhea¹².

Vaccination against rotavirus has significantly decreased the number of serious cases in several countries⁵.

 

Bacterial Gastroenteritis

More common during summer, especially in developing countries. Common bacterial agents include:

  • Escherichia coli (E. coli) – Especially affects children⁶.
  • Campylobacter – Linked to rural areas with cattle; causes watery or bloody diarrhea⁶.
  • Shigella – Common in young children⁶.
  • Salmonella – Spread by infected animals or contaminated food; symptoms include nausea, vomiting, and watery to dysenteric diarrhea⁶⁻⁷.
  • Cholera (Vibrio cholerae) – Causes life-threatening dehydration within hours if not treated. Known for « rice water stools » and absence of fever⁷.

Parasitic Gastroenteritis

The most common culprit is Giardia intestinalis, found in:

  • 2–5% of children in developed countries
  • Up to 30% in developing regions

It causes chronic diarrhea and is linked to poor sanitation and water quality. ¹⁰

glass-water

How Gastroenteritis Spreads

Fecal-Oral Route

This is the most common transmission pathway¹ ⁸, especially for bacterial, protozoal, and parasitic infections.

Contamination can occur through:

  • Dirty hands
  • Unwashed or improperly cooked food
  • Infected fecal matter on bedding, towels, toys, or utensils

Airborne Droplets

Certain viruses can also be transmitted through coughing and sneezing, especially in group settings like schools or daycare centers.¹²

Symptoms of Acute Gastroenteritis

Symptoms generally appear²⁻⁴ and may include:

  • Sudden onset diarrhea (up to 4 times daily or more)
  • Nausea and vomiting
  • Moderate fever
  • Abdominal cramping
  • Occasional presence of blood in stool

Hydration is crucial to prevent complications like dehydration¹ ⁴ ⁸.

What to Do If You Have Gastroenteritis

Stay Hydrated

Drink plenty of fluids to prevent dehydration. ¹ ³ ⁴ ⁸

Helpful beverages include:

  • Water
  • Oral rehydration solutions (ORS)
  • Light vegetable broths
  • Herbal teas

Seek Medical Advice

In cases of acute diarrhea, pharmacists or qualified doctors may recommend the appropriate treatment.

Based on the cause, treatment may include:

  • Probiotics to restore gut flora⁷
  • Antidiarrheal medications⁹
  • Enzyme supplements for pancreatic issues
  • Antibiotics (only if a bacterial infection is confirmed) ⁷ ⁸

What to Eat During Gastroenteritis

Recommended Foods ³ ⁴ ⁸

  • White rice, plain pasta
  • Boiled carrots
  • Roasted or boiled meats
  • Applesauce or ripe apples
  • Toast, breadsticks, pretzels
  • Fresh cheese (low-fat)
Icon of herbal tea representing recommended drinks for digestive comfort

Recommended Drinks

  • Salted broths
  • Sweetened water
  • Herbal teas

Avoid³ ⁴

  • Raw fruits and vegetables (except bananas)
  • Iced beverages
  • Spicy, fatty, or dairy-heavy foods (unless probiotic-based)

Frequent small meals and electrolyte-rich fluids help support recovery.

Protecting Others: Hygiene Tips

To prevent spreading the infection: ¹ ² ⁴ ⁸

  • Wash your hands thoroughly and often
  • Change towels regularly
  • Store toothbrushes separately
  • Disinfect shared surfaces like phones, door handles, and sinks
  • Sanitize the toilet after each use
  • Wash fruits and vegetables thoroughly
  • Use disposable wipes and tissues
  • Avoid touching your face with unwashed hands

These steps are especially important if you are around children, elderly individuals, or immunocompromised people.

Disinfection icon representing hygiene or infection prevention
Icon showing handwashing for hygiene and diarrhea prevention
PRODUCT RANGE SMECTA

Why Smecta® Is the Right Choice

  • Traps or adsorbs the causal agents or infective agents¹³ ¹⁴
  • Protects and reinforces the intestinal mucosa with its coating capacity¹⁵
  • Clinically validated for most diarrhea types¹⁰ ¹⁶
  • Safe for children and adults⁹
  • Recommended by international guidelines in combination with ORS in children¹⁷
  • Easy to use – available in Ready to Use Stick⁹
  • Made from natural ingredients – natural therapeutic clay¹⁶
  • High Quality standards from extraction, purification and release, preserving the properties of a natural clay⁹

Smecta doesn’t mask the symptoms – it treats and stops diarrhea fast and supports intestinal recovery with an excellent safety profile⁹ ¹⁶

FAQ

How long does acute gastroenteritis last?

Most cases resolve within 1–3 days, but symptoms may linger for up to a week³ ⁴.

When should I see a doctor?

Seek medical help if you notice blood in the stool, dehydration symptoms, persistent vomiting, or if symptoms worsen after 48 hours⁴ ⁸.

Is gastroenteritis contagious?

Yes, especially in the first few days. Strict hygiene is crucial to prevent transmission¹ ² ⁴.

What should children eat during gastroenteritis?

Easily digestible foods like rice, bananas, and clear broths³ ⁴. Consult a pediatrician if unsure³.

Can I go to work or school?

Only after symptoms have cleared for at least 24 hours. For children, avoid pools for 2 weeks post-recovery⁴.

Can I prevent it with a vaccine?

Yes, rotavirus vaccines are effective in preventing severe pediatric cases due to rotavirus⁵.

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This content is for educational purposes only and is not a substitute for professional medical advice.

Références :

  1. World Health Organization (WHO). Gastrointestinal Infections. Available from: https://www.who.int
  2. Centers for Disease Control and Prevention (CDC). Norovirus and Gastroenteritis. Available from: https://www.cdc.gov/norovirus
  3. Gastroenteritis Overview. Available from: https://medlineplus.gov/gastroenteritis.html
  4. Mayo Clinic. Stomach Flu (Gastroenteritis). Available from: https://www.mayoclinic.org/diseases-conditions/viral-gastroenteritis
  5. Lo Vecchio A, et al. Rotavirus vaccination impact. Acta Pædiatrica. 2016;105(1):15–25. doi:10.1111/apa.13432
  6. Klark RM, et al. Veterinary Microbiology. 1998;63:137–146.
  7. Farthing MJG, et al. Acute diarrheal diseases. J Clin Gastroenterol. 2013;47(1):12–20.
  8. French National Health Insurance (Ameli). Acute Gastroenteritis in Adults – best practices, treatments, prevention. Available from: https://www.ameli.fr
  9. Patient information leaflet – Smecta®, oral paste 3 g. 17/04/2024 & powder for oral suspension (orange, vanilla, strawberry) 3 g. 18/03/2024.
  10. Dupont C, Vernisse B. Anti-diarrheal effects of diosmectite in children. Pediatr Drugs 2009;11(2):89-99.
  11. Júlio C, et al. Giardia prevalence. Parasites & Vectors. 2012;5:22. doi:10.1186/1756-3305-5-22
  12. Hajare ST, Chekol Y, Chauhan NM. Water quality & sanitation links. PLOS ONE. 2022;17(3):e0264812. doi:10.1371/journal.pone.0264812
  13. Brouillard MY, Rateau JG. Pouvoir d’adsorption de la smectite et du kaolin sur des entérotoxines bactériennes. Gastroenterol Clin Biol. 1989;13(1):18–24
  14. Droy-Lefaix MT, et al. Influence of two antidiarrhoeals on bacterial colonization of intestinal mucosa by Campylobacter jejuni and retention of its integrity. Rev Inst Pasteur Lyon. 1986;19:29–37
  15. Serrano JJ. Smectite: Study of the specific surface area, coating capacity and antiulcerative activity. Ipsen Report. 1986
  16. Guarino A, et al. Clinical role of diosmectite in the management of diarrhea. Expert Opin Drug Metab Toxicol. 2009;5(4):433–40
  17. World Gastroenterology Organisation (WGO). Acute diarrhea in adults and children: a global perspective. 2012

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