Doctor insights on:
How To Treat Gastroenteritis Quickly
Is neuropathy associated with guilain barre syndrome treatable and if so, how do I treat it and relieve the painful symptoms? My neurosurgeon just informed me that I have g.B.S. And had it since may 2011 following a stomach flu i had 2 weeks before my sym
Your : Your case presents a few dilemmas. Gbs is a group of autoimmune diseases targeted at the peripheral nerves and causing acute progressive weakness, usually an ascending paralysis. The history usually entails the following: â€¢upper respiratory or diarrheal disease within previous 1â€“3 weeks in 50â€“70%: c. Jejuni (~40%), cytomegalovirus (13%), epstein-barr virus (10%), mycoplasma pneumoniae (5%), or hiv â€¢dysesthesias (painful tingling), paresthesias (tingling) of the feet and hands are usually the earliest symptoms. â€¢pain is common- especially back pain which can radiate to the legs and not usually associated with myalgias (muscle pain). â€¢gait disorder common in all age groups- this is the most common presentation in children â€¢neck muscle weakness, dysphagia, and dysarthria are predictors of respiratory failure. The physical exam frequently reveals the following: â€¢acute, symmetric, and usually ascending weakness of limbs within days of dysesthesias â€¢areflexia (no reflexes) or hyporeflexia( reduced reflexes) and muscle weakness, decreased position and vibratory sensation â€¢respiratory muscle paralysis 30% if untreated â€¢cranial nerve involvement <50%; usually facial weakness, 10â€“20% ophthalmoparesis (loss of eye movement) â€¢dysautonomia (abnormal autonomic nervous system responses) (50%): labile blood pressure, arrhythmias, ileus (paralysis of bowel function), urinary retention; â€¢miller-fisher variant: ophthalmoplegia, ataxia, areflexia important lab tests â€¢csf: elevated protein and normal white blood cells (wbcs; albuminocytologic dissociation) are characteristic with a normal opening pressure. â€¢emg: this shows a pattern of demyelination with prolonged latencies and a reduced motor compound action potential. The medications usually used are one or more of the following: â€¢immune globulin (ivig) â€¢plasmapheresis or plasma exchange most patients reach the plateau phase within 3 weeks of admission, and muscle strength is expected to improve. The prognosis is: â€¢complete recovery: 50% â€¢some residual disability: 45% â€¢severe permanent disability: 5% hence, the dilemma as you report no improvement and in fact worsening. Furthermore, a lesion within the spinal cord (myelopathy) can present with similar symptoms as the ones you provide. A few pertinent questions to help discern the cause would include whether you have had a lumbar puncture and EMG and what did these results show? I hope this answers your questions. Good luck and well wishes. ...Read moreSee 1 more doctor answer
Usually with time...: Most cases of viral gastroenteritis are mild, self-limited, and not life threatening. These resolve on their own with supportive care (drink fluids to prevent dehydration, eat moderately as tolerated, as needed analgesia). In special cases (newborns, elderly, debilitated) hospitalization may be required to provide IV fluids and to support co-morbid medical conditions. ...Read moreSee 1 more doctor answer
Treated for dehydration & hypokalemia diagnosed w/gastroenteritis but still have pain and diaherra then constipation in a cycle Cause?
Gastroenteritis: Although this sounds as if you might be infected with Giardia there is no way to know this unless fully evaluated with stool specimens, possibly endoscopy, full history and physical exam. Strongly recommend you find a GI doctor and let them assess your condition. Hope this clears up soon. ...Read more
My husband has nausea, vomiting and diarrhea after being diagnosed with gastroenteritis, and treated in the hospital, what now? My husband (43 years old) was in the hospital for 4 days and treated with IV fluids and IV protonix then sent home and is havin
If : If the symptoms are not improving then he needs to be re-evaluated by his doctor or in an urgent care or er. There may be another issue going on such as pancreatitis, appendicitis, or choleycystitis. In the meantime make sure he drinks plenty of fluids and sees a doctor right away. Good luck. ...Read more
Can food poisoning/gastroenteritis cause severe lower stomach cramps w/ bloody diarrhea without vomiting or nausea? I was treated with IV & then was fine, discharged. Follow up colonscopy neg.
Gastroenteritis.: Start w clear liquid like water, slightly flattened soda that is clear, or sports hydration drinks. Sip, sip, sip. Work up to solids w bland foods like bananas, rice, applesauce, toast, gelatin, or chicken. Avoid alcohol, nicotine, caffeine, dairy & high fat foods. Rest. ...Read more
Gastroenteritis: Start with clear liquid like water, soda that is clear, or sports hydration drinks. Sip, sip, sip. Work up to solids with bland foods like bananas, rice, applesauce, toast, gelatin, or chicken. Avoid alcohol, nicotine, caffeine, dairy ; high fat foods. Rest. ...Read moreSee 1 more doctor answer
Hydration: A viral infection of the stomach and intestines needs to run its course. The most important thing to do is to keep oneself hydrated by drinking frequent sips of clear liquids. Chicken broth, electrolyte containing sport drinks, flat ginger ale all help with hydration. Watch your urine output -- three times per day is the minimum. ...Read more
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