The doctor said that the course of Noro's illness was fierce and violent. Some children even coughed up blood when they vomited violently.

(picture taken from freepik)

[Health Channel/Comprehensive Report] During the Spring Festival, there are many opportunities for meals and gatherings, but according to the statistics of the CDC, last week, there were 139,000 visits to the emergency department for diarrhea in the country, which is higher than the same period last year and the same period the year before. Most of the cluster incidents were due to norovirus Mainly.

The doctor said that the course of Noro's disease is fierce and violent. Symptoms such as fever + general weakness, nausea and vomiting, colic and diarrhea will appear. Some children may even cough up blood when they vomit violently. This is the so-called hemorrhagic gastritis. observed.

According to the monitoring data of the CDC, from January 8 to 14 last week, there were 139,728 visits to outpatient and emergency departments nationwide for diarrhea, which was higher than the same period in 2022 and 2021, which were 104,114 and 116,497 respectively. The number of outpatient visits is on the rise.

In the past four weeks, a total of 64 cases of diarrhea clusters have been reported across the country, which is higher than the 56 cases in the same period last year, of which 28 cases were detected with norovirus, accounting for 44%.

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Physician Lin Zhiwei of Luzhou Ailin Clinic posted on the Facebook fan page "Yixinwei Youwei Physician~Lin Zhiwei Physician" that during the epidemic of norovirus, both adults and children may win the lottery. As high as 140,000 people, after analysis, it was found that this wave of epidemic gastroenteritis was mainly caused by norovirus, and he was also one of the winners. The frequency of diarrhea in the first two days "basically forced me to sleep next to the toilet."

Lin Zhiwei emphasized that the course of Noro's disease is fierce and fierce. Generally speaking, after an incubation period of 1 to 3 days after exposure to the virus, symptoms such as fever + general weakness, nausea and vomiting, colic and diarrhea will begin to appear one after another. It is relatively mild on the first day, but the fever will be particularly severe on the second day, and sometimes there will be a sudden high fever before the antipyretic medicine loses its effect. At this time, you can consider taking another antipyretic medicine in advance (for children, it is usually plug For adults, it is recommended to discuss with a doctor).

As for vomiting, it usually occurs on the first day of the onset, but some patients will only have a slight sense of nausea and not really vomit; some children may even cough up fresh blood when they vomit violently, which is the so-called hemorrhagic disease. For gastritis, it is recommended to go to a medical institution for observation.

Diarrhea usually occurs after the second day, and it is the last symptom; most patients need about 7 to 10 days before the stool returns to normal.

Alcohol is not effective in preventing and recommends washing hands with soap

Regarding whether alcohol is effective in prevention, Lin Zhiwei said that not only norovirus, but also many viruses with gastrointestinal symptoms such as rotavirus, adenovirus, and enterovirus related to fecal-oral infection cannot be prevented with 75% alcohol, because these The virus does not have an outer membrane that can be destroyed by alcohol; therefore, the only way to prevent it is to wash your hands with soap and water. When dining out during the Spring Festival, you must remind yourself to "wash your hands first, wash your hands first, wash your hands first"; and if someone has already won a lottery at home, it is recommended 1000ppm bleach to thoroughly disinfect the environment.

Anti-emetic suppositories for children and anti-emetic injections for adults

Regarding the countermeasures for vomiting, Lin Zhiwei believes that the best treatment for vomiting is to fast temporarily. If you still have a strong sense of nausea after fasting or even keep vomiting, it is recommended to go to a medical institution; children can consider using antiemetic plugs Adults may consider administering antiemetic injections, because swallowing oral antiemetic drugs may cause vomiting at this time. If there is improvement about 4 to 6 hours after the treatment, you can try to drink some water or light food.

Do not overuse antidiarrheal medicines 

Lin Zhiwei reminded that the principle of treatment of diarrhea is not to overuse strong antidiarrheal drugs, because these drugs will strongly inhibit the intestinal muscles, achieve temporary antidiarrheal effect and avoid the loss of body fluids and electrolytes, but at the same time Some dirty waste in the intestine will also be delayed to increase the time of intestinal inflammation.

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  • Vomit

  • Norovirus

  • diarrhea

  • Antidiarrheal

  • stomach upset

  • soap to wash hands

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