Dear doc , if a 5 years old child having acute vomiting without diarrhea and i excluded gastroenteritis and in history he had this attack when he go to school and may be due to buy candy or biscuits, the question is ( is there a virus or bacteria cause gastritis without enteritis ?! ) And the temperature is slightly elevated ! What may cause this case ?!
The ability of the virus to produce gastritis only (vomiting) or enteritis ( diarrhea) or both (gastroenteritis) depends on the virus ability to survive acidic medium in stomach and the time it gets to replicate, which further depends on how good or bad the mucosal immunity (based on IgA), is. So some short lived viruses only can replicate in stomach and dont get the time to go down to intestines, and hence forth only produce infection in stomach called viral gastritis. It presents with sudden onset of vomiting. Depending on the host immune responses and the invasiveness of virus, the virus infection in stomach may or may not cause fever. Some do get it, some dont. Some of the viruses causing gastritis only are norovirus, astrovirus, sapovirus and enteric adenoviruses. Some of them even go down to intestines in some time producing diarrhea sometime after vomiting which we call as gastroenteritis
@@nrkazmi last time she got like this condition i gave her amoxicillin and clavulinc acid in case of bacterial infection and ondansetron the only thing stopped the vomiting but she didn't get well so i referred her to pediatrician who gave her 4th generation cephalosporin and she became very well after course of therapy,,,, if she really have a powerful bacteria like this ! how she have only gastritis and 38,5 c 🌡️ ?!
@@fantasticweb6384 first thing never try medications yourself. Always consult a doctor. Co-amoxiclav is never recommended for gastroenteritis, rather it may make it worse and increase the chances of clostridial enterocolitis. Second thing, 4th gen cephalosporins are overkill for gastroenteritis. These medications are usually given in less developed countries where possibly regulatory laws are relaxed. Sometimes UTI can also present as febrile illness with vomiting, where antibiotics are necessary but that has to be confirmed by a urine dip followed by a urine culture/ sensitivity. Most of gastroenteritis are self limiting illnesses so even if you dont treat it and just carry with oral or NG rehydration, majority of them settle in 3-5 days
Dear doc , if a 5 years old child having acute vomiting without diarrhea and i excluded gastroenteritis and in history he had this attack when he go to school and may be due to buy candy or biscuits, the question is ( is there a virus or bacteria cause gastritis without enteritis ?! ) And the temperature is slightly elevated ! What may cause this case ?!
The ability of the virus to produce gastritis only (vomiting) or enteritis ( diarrhea) or both (gastroenteritis) depends on the virus ability to survive acidic medium in stomach and the time it gets to replicate, which further depends on how good or bad the mucosal immunity (based on IgA), is. So some short lived viruses only can replicate in stomach and dont get the time to go down to intestines, and hence forth only produce infection in stomach called viral gastritis. It presents with sudden onset of vomiting. Depending on the host immune responses and the invasiveness of virus, the virus infection in stomach may or may not cause fever. Some do get it, some dont. Some of the viruses causing gastritis only are norovirus, astrovirus, sapovirus and enteric adenoviruses. Some of them even go down to intestines in some time producing diarrhea sometime after vomiting which we call as gastroenteritis
@@nrkazmi last time she got like this condition i gave her amoxicillin and clavulinc acid in case of bacterial infection and ondansetron the only thing stopped the vomiting but she didn't get well so i referred her to pediatrician who gave her 4th generation cephalosporin and she became very well after course of therapy,,,, if she really have a powerful bacteria like this ! how she have only gastritis and 38,5 c 🌡️ ?!
@@fantasticweb6384 first thing never try medications yourself. Always consult a doctor. Co-amoxiclav is never recommended for gastroenteritis, rather it may make it worse and increase the chances of clostridial enterocolitis. Second thing, 4th gen cephalosporins are overkill for gastroenteritis. These medications are usually given in less developed countries where possibly regulatory laws are relaxed. Sometimes UTI can also present as febrile illness with vomiting, where antibiotics are necessary but that has to be confirmed by a urine dip followed by a urine culture/ sensitivity. Most of gastroenteritis are self limiting illnesses so even if you dont treat it and just carry with oral or NG rehydration, majority of them settle in 3-5 days
Why the vomiting were occuring only in certain situations like going to school.