Gastroenteritis (Stomach Flu)

Gastroenteritis, also referred to as ‘stomach flu’, is inflammation of the stomach and intestinal lining, which causes diarrhea and vomiting.

It can be caused by a virus, a bacteria or a parasite. Norovirus is the most common cause of gastroenteritis in adults. This virus circulates mainly in the fall and winter. Other viruses and bacteria can spread stomach flu, especially in people traveling abroad.

Gastroenteritis is extremely contagious. You can avoid spreading and catching it through simple hygienic measures such as washing your hands.

Symptoms

The main symptoms of gastroenteritis are the following:

  • Diarrhea: at least 3 liquid or semi-liquid stools every 24 hours or stool that is more abundant and frequent than usual
  • Abdominal cramps
  • Nausea
  • Vomiting

Other symptoms may sometimes appear:

  • Mild fever
  • Headache
  • Muscle pain

Symptoms of gastroenteritis usually last 24 to 72 hours. However, they can last up to 10 days if the stomach flu began while travelling abroad or upon your return.

Persons with gastroenteritis are usually contagious when showing symptoms, and most particularly so when symptoms are severe. They may be contagious even a few weeks after symptoms have subsided.

If you have symptoms of gastroenteritis, it is important that you stay home to heal and to avoid transmitting the illness to other people, until all symptoms have disappeared. Should you have questions regarding your condition, contact Info-Santé 811.

When to Consult

Gastroenteritis is generally not serious. Most people take care of themselves at home and self-heal without taking medicines. However, in some cases, you should consult a doctor or contact Info-Santé 811.

Call Info-Santé 811

People likely to experience complications should contact Info-Santé 811. Some cases also require evaluation by a nurse. For instance, you should call Info-Santé 811 if you or your child are in one of the following situations:

  • You have diarrhea and your stools are frequent and abundant or they contain a little blood
  • You are unable to drink or keep fluids down
  • Your diarrhea starts while travelling abroad or upon your return
  • You are unsure whether or not to see a doctor

A nurse will give you specific advice and tell you whether or not you need to see a doctor right away.

Consult a Doctor the Same Day

You should see a doctor the same day if you or your child are in one of the following situations:

  • You have diarrhea which does not subside after 48 hours despite following instructions for rehydrating and eating when you have gastroenteritis
  • You have diarrhea and fever (over 38 ºC or 100,4 ºF) for over 48 hours
  • You have been vomiting for 48 hours and the situation does not improve despite following instructions for rehydrating and eating when you have gastroenteritis
  • You have diarrhea that has persisted for over 1 week. However, if your diarrhea started during a trip abroad or upon your return, it could last more than a week

Go to Emergency Immediately

You should go to emergency immediately if you or your child are in one of the following situations:

  • You have a lot of blood in your stool, or your stool is black
  • You have diarrhea with intense abdominal pain
  • You have diarrhea, extreme thirst, have not urinated in 12 hours
  • You are vomiting frequently, and it does not slow down after 4 to 6 hours
  • There is stool or blood (red in colour or ground coffee-like) in your vomit
  • Your general health is deteriorating (weakness, drowsiness, irritability, confusion)

Treatment

Rehydrating yourself and eating well are the two main ways of treating gastroenteritis. To learn more, see Hydrating and Rehydrating When You Have Gastroenteritis and Foods to Eat When You Have Gastroenteritis.

Complications

The main complication of gastroenteritis is dehydration. It occurs when the body eliminates too large a quantity of water and mineral salts, which are essential to the proper functioning of the body.

To avoid dehydration, follow the advice given in Hydrating and Rehydrating When You Have Gastroenteritis.

People Likely to Experience Complications

Some people are more at risk of experiencing complications. They include:

  • Children less than 2 years old
  • People aged 65 years and over
  • Pregnant women
  • People with a chronic disease such as diabetes

If you or your child are in these categories of people and show symptoms of gastroenteritis, contact Info-Santé 811. A nurse will evaluate your condition and give you the appropriate recommendations.

Transmission

Gastroenteritis is a contagious illness. An infected person can transmit the illness as long they have symptoms and up to 2 weeks after they have disappeared. He or she can be contagious even a few weeks after symptoms have subsided.

Gastroenteritis can be transmitted:

  • Through consumption of contaminated water or food
  • Through direct contact with a contaminated person, for example by kissing or shaking hands, if the person’s hands are contaminated with microbes from stools
  • Through indirect contact with contaminated people or objects
    • By eating food that has been contaminated through handling by an infected person
    • By touching surfaces or objects that have been touched or handled by an infected person (example: door handles, utensils, clothes, toys)
    • By touching surfaces or objects contaminated by stool or vomit
  • Through breathing droplets spewed into the air, by vomit for instance

Protection and Prevention

Adopt Simple Hygiene Measures

You can protect yourself from gastroenteritis and avoid transmission by adopting simple hygiene measures:

  • Wash your hands often
    • Before, during and after preparing meals
    • Before eating
    • Before breastfeeding or feeding a child  
    • After using the toilet or having helped a child use the toilet
    • After changing a child’s diaper
  • Disinfect toilet seats and all surfaces or objects likely to be infected by stool or vomit
  • Put toddlers in superabsorbent diapers to prevent leakage
  • Prepare and clean feeding bottles under the cleanest possible conditions

You can find additional hygiene measures at Preventing Transmission of Viruses and Bacteria.

Vaccinate Your Children

Rotavirus is the main virus responsible for gastroenteritis in children. Giving young children vaccination against this virus is the best way to protect them against gastroenteritis. Depending on the vaccine used, 2 or 3 doses are required. Children must receive the first dose of the vaccine before the age of 20 weeks and the last before 8 months.

For information on the vaccine against rotavirus, consult a doctor or contact Info-Santé 811.

Last update: October 21, 2016 4:11 PM

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