What causes gastroenteritis?
As indicated by the suffix “ite” which always defines Inflammation of a tissue or organThe term gastroenteritis designates a variety of inflammatory reactions by whichMucous membrane of the stomach and intestines Their response to infection by bacteria, viruses or parasites. Although there are more or less transient or chronic, persistent or recurrent gastroenteritis cases throughout the year in France, they are isolated, localized and their frequency is below the epidemic threshold. but, From November to the end of MarchWe observe across the region A real epidemic of acute and highly infectious gastroenteritis Which is the subject of over a million medical consultations.
Most winter episodes of gastroenteritis occur The fact of viral infection. The viruses responsible are usually of the rotavirus (especially in very young children) or norovirus type. But we’ll avoid explaining the classification of viruses here… let’s make it clear These culprits of gastroenteritis always enter through the mouth. After reaching the stomach and small intestine, they invest the cells of their wall, enter there, multiply and, like any self-respecting virus, hijack their operation for their own benefit. literally trapped, Intestinal cells (enterocytes) Viral particles replicate and are unable to assume their role in absorbing water and nutrients in the intestineNot on the contrary, they get water and mineral salts of the body to reject into the lumen of the intestine… So Watery diarrhea Which is accompanied by vomiting when the virus infects the cells of the stomach wall.
Why is it a bad idea to drink coke with gastro? Doctor Jimmy Mohammed’s answer!
Doctor Jimmy Mohammed is clear : There is no relationship between Coca-Cola and the relief of this disease A myth that is very widespread. On the contrary, according to the doctor, this carbonated sugary drink promotes vomiting. He explains: ” Coca-Cola is not quite the right drink to rehydrate. It does not stop the vomiting. What helps prevent vomiting when you have gastro is sugar! “
@dr.jimmy.mohamed and it’s worse with diet coke or zero #tiktokacademie ♬ Violin – Grooving Gecko
So coke makes us vomit in case of gastro, but why? ” When your stomach is completely empty due to gastro, You will produce proteins called ketone bodies It will make you vomit ” and to add: ” The problem is that you will drink water and fast and so vomit again, it’s a vicious circle that continues. » Faced with the observation that Coca-Cola does not in any way cure gastroenteritis, The most famous doctor of Paf However another solution was proposed; It involves taking Lollipop or plain candy which you can suck in your mouth; This way the symptoms will disappear quickly and the vomiting will stop.
Beware of dehydration
Rotavirus infection, the most common, results Sudden onset of watery diarrhea, with abdominal pain and cramps, vomiting, fever and headache. In most cases, this type of gastroenteritis is – however painful It heals spontaneously with gentle and bed restt, digestive rest and precautions to prevent the patient from becoming dehydrated. However, you should be careful because any viral gastroenteritis is potentially very serious, unless the symptoms worsen and persist for more than three days. Very serious – and very dangerous – forms is observed In young children and infants, who defend themselves poorly against infection because their immune systems are immature: diarrhea and vomiting, causing them to lose significant amounts of water, put them at risk – fatal – of dehydration. Besides, A baby or toddler with severe diarrhea and who refuses to drink should be taken immediately to the pediatric department where they will be rehydrated. Elderly people who are severely dehydrated and whose sense of thirst is significantly altered are also a population at risk. It’s important to make sure they drink regularly and in small amounts when they have trouble swallowing. Dehydration must be prevented. While waiting for the doctor, we should Hydrate the patient very sparingly, water is added along with salt and sugar. Indeed, with diarrhea and vomiting you lose not only water, but also mineral salts, which regulate the exchange between extra-cellular and intracellular fluids, and without them, the exchange is disrupted.
A highly contagious virus
because The faeces and vomit of patients are reservoirs of the viruss, infection occurs through simple contact with anything they may be contaminated with: skin, linen, objects, the smallest surface (door handle, faucet, cutlery, electric button, telephone, computer keyboard) on which the patient has placed his hands. Neglect to wash carefully.
Only 65% of the virus for a healthy subject touches a contaminated object to migrate to their skin.…and as soon as the subject puts his hand over his mouth, contamination occurs. This is cross-contamination: contaminated hands touch objects that in turn contaminate healthy hands that will touch them… We understand that communities, nurseries, schools, public transport, health centers or simply family apartments are breeding grounds for contamination. . And this especially since Rotavirus is an insidious creature of surprising resistance: it persists for hours, even daysIn the environment, it is contagious during the two to four days of ingestion that precede the first symptoms and persists for several days, even several weeks after recovery from gastroenteritis!
Act on the symptoms first
To avoid the vicious cycle of cross-contamination, Strict measures are required. As much as possible, it is necessary Isolate the patientwash your hands after handling it, Wash your clothes separately, reserve his cutlery, his glass, his water bottle, his linen for his exclusive use, disinfect after using the telephone, bathroom, toilet and any accessory he has come in contact with. These precautions should be started at the first suspicion of symptoms and continued for eight days after recovery. The patient should wash his hands after having a bowel movement, keeping soap, towels and cutlery strictly reserved for him. If the bathroom is shared, the sink, shower, faucet, and shower head should be disinfected each time they are used. And, of course, it goes for the same toilet
During the epidemic, everyone, after returning home, must follow a real ritual: change if they took public transport, Wash your hands very carefully (preferably with liquid soap: bar soap keeps germs away) Before preparing food, setting the table, sitting at the table, after changing a child’s diaper or helping them to the toilet. the bathroom. And, of course, after contact with the patient or the equipment he used… you should also wash and peel the fruit, Never drink together from the same bottle And don’t finish the plate of someone who isn’t hungry (he might be suffering from a gastrointestinal illness…).
Bacterial gastroenteritis
much less frequently, But more serious, bacterial gastroenteritis, also known as food poisoning, is usually caused by Absorption of contaminated food. Depending on the type of bacteria that causes them, the mechanism at work is not the same. The first is toxigenic: after multiplying in the intestinal lumen, certain bacteria (Escherichia coli, Vibrio cholera, etc.) produce toxins that bind to the surface of the enterocytes. These are not damaged, but to remove toxins, they invade the lumen of the intestine by seizing water and mineral salts of the body, stimulating their secretion. So the typical model of watery diarrhea is cholera: the patient loses liters of water and mineral salts. The mechanism of other bacterial gastroenteritis is different. Certain bacteria (such as Shigella) invade and destroy the cells of the intestinal wall. The lesions they produce cause an intense inflammatory reaction throughout the mucous membrane that explains the presence of blood, mucus and pus in the stool. Finally, some bacteria, such as salmonella, pass through the inner wall of the small intestine without damaging it and multiply in the submucosal tissue. The risk of this type of gastroenteritis is the spread of bacteria in the blood and the patient’s internal environment. To treat bacterial gastroenteritis, administration of antibiotics will often be necessary.
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