Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • age <5 years
  • poor personal hygiene
  • exposure to people with gastroenteritis
  • daycare attendance
  • winter months
  • poverty
  • lack of immunization against rotavirus
  • lack of breastfeeding
  • immunodeficiency
  • vomiting
  • nonbloody diarrhea
  • hyperactive bowel sounds

Other diagnostic factors

  • abdominal pain
  • low-grade fever
  • evidence of dehydration
  • decreased body weight
  • nondistended abdomen
  • abdominal tenderness
  • mucus in stool

Risk factors

  • age <5 years
  • poor personal hygiene
  • exposure to people with gastroenteritis
  • daycare attendance
  • winter months
  • poverty
  • lack of immunization against rotavirus
  • lack of breastfeeding
  • immunodeficiency

Diagnostic investigations

Investigations to consider

  • serum electrolytes, BUN, creatinine
  • CBC
  • stool microscopy
  • stool culture
  • enzyme immunoassay (EIA) for detection of viral antigen
  • stool electron microscopy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Alexander K.C. Leung

Clinical Professor of Pediatrics

The University of Calgary

Calgary

Alberta

Canada

Disclosures

AKCL is an author of a guideline and a number of references cited in this monograph.

Peer reviewers VIEW ALL

Associate Professor

Department of Paediatrics

University of Toronto

Ontario

Canada

Disclosures

SG declares that he has no competing interests.

Professor

Faculty of Medicine

University of Hong Kong

Hong Kong

Disclosures

YLL declares that he has no competing interests.

Use of this content is subject to our disclaimer