Restoration of the intestine after rotavirus infection


Rotavirus infection: symptoms and treatment

Many of our readers are asking about the symptoms and treatment of rotavirus infection, which is what our article will be about. Rotaviruses are a group of viral infections that most often cause intestinal flu in children aged 6 months to 2 years. Viruses affect not only children, but also adults, whose disease usually proceeds in mild form with erased symptoms. The disease caused by rotaviruses is contagious. Intestinal flu is transmitted through infected foods (most often dairy), contact-household way (through dirty hands), there is also information on the transfer of rotavirus infection when coughing and sneezing.

The incidence of rotavirus infections is seasonal,The greatest number of cases is registered between November and April.

Symptoms of rotavirus infection

In the course of the disease, an incubation period of up to 5 days is given, an acute period lasting 3-7 days, and a recovery period (4-5 days).

The onset of the disease is usually acute, characterized

by a sharp increase in temperature, repeated vomiting, cramping pains and rumbling in the abdomen, possibly the development of diarrhea. The nature of the stool helps to diagnose rotavirus infection. On the first day of illness the stool is liquid yellow, in the following days the stool becomes a gray-yellow clay-like consistency. In addition to intestinal manifestations of the disease, the patients are troubled by a common cold, perspiration and sore throat, cough.

Personal hygiene (washing hands after visiting the toilet and public places) is one of the rules of disease prevention

The above symptoms are more typical of children. In adults, the symptoms of rotavirus often look like ordinary digestive upset. There may be a decrease in appetite, a loose stool, an increase in body temperature, which persist for a short time. Often rotavirus infection in adults is asymptomatic, however, they are contagious to others.If there is a sick person in a team or family, then the people around him begin to fall ill.

Symptoms of rotavirus infection can be very similar to those of other infectious diseases (salmonellosis. cholera), so when they occur, especially in young children, you should call a doctor.In no case should you give your baby painkillers before consulting a doctor. because it can mask the symptoms of more serious diseases.


Specific drugs, whose action is aimed at the destruction of rotavirus, does not exist. Therapeutic measures are aimed at combating the symptoms of the disease.

If the patients have reduced appetite, then it is not necessary to force them to eat, you can offer to drink home jelly from berries or chicken broth. Food and drink should be consumed in small portions so as not to provoke a vomiting attack. Do not eat any dairy products, as they are a good medium for the spread of pathogens.

To avoid the development of dehydration of the body, rehydration therapy is necessary.Patients are advised to drink water, and preferably saline solutions (rehydron or a solution of common salt, prepared at a rate of 1 h. l. salt per 1 liter of water).The liquid should be taken in small portions of not more than 50 ml every half hour. Intravenous fluids may be required only in the case of a very severe course of the disease with increasing intoxication of the body.

Sorbent intake (Enterosgel, activated carbon, Smecta) is needed to remove toxins from the intestine.

To prevent the attachment of a bacterial infection and for its treatment, antidiarrheal drugs are prescribed. such as Enterofuril or Enterol. To correct digestive disorders, enzyme preparations (Mezim, Pancreatin) can be prescribed.

Reduce the temperature below 38 C with rotavirus infection should only be in case of its poor tolerance, as rotaviruses die at this temperature. To reduce the temperature in children it is better to use preparations in the form of candles (Cefekon) or syrups (Panadol, Nurofen).In addition to the use of medicines, it is possible to use physical methods to reduce temperature (wiping, undressing - more in our article How to reduce temperature without drugs → ).

With the advent of appetite, patients are prescribed drugs to restore the intestinal microflora: Linex. Bactisubtil, Acipol, Bifiform (read also our article about probiotics and their destination →).

Prevention of rotavirus infection

For specific prevention to date, two vaccines have been developed to combat rotavirus infection, containing a weakened virus. They are taken orally.

Nonspecific prevention consists in observing the rules of personal hygiene (washing hands after visiting the toilet and public places, before eating), as well as rules for handling food and water. Vegetables and fruits must be washed thoroughly, and during the epidemic period it is recommended to shower them with boiling water. Eat only boiled water. Particular attention should be given to the quality of dairy products, you can not use products of doubtful origin and expired.

To which doctor to apply

When signs of intestinal infection appear, you need to contact an infectious disease specialist. With an easier course of the disease, it is possible to treat the therapist, gastroenterologist, pediatrician. During the recovery period, the advice of a dietitian doctor will not be unpleasant.


Dr. Komarovsky on rotavirus:

Diet with rotavirus for children:

Rotavirus infection in the child. Symptoms and treatment of rotaviroza

Rotavirus infection(Synonyms: Rotavirus gastroenteritis rotaviroz, stomach flu, intestinal flu) - a form of acute intestinal infection, which is the causative agent of human rotavirus of the genus Rotavirus. People can get sick with rotavirus infection at any age, but children from 6 months to a year or two more often fall ill. Although it is called in the people by the stomach flu, it is absolutely not the flu that we are more than every year in winter and it is caused by it is completely different from the virus we are familiar with.

In some countries (for example, in the USA), rotavirus accounts for up to 40% of all cases of acute intestinal infections in children. Adults get rotavirozom (rotavirus infection), getting infected with it, caring for sick children.

Source of rotavirus infection and disease development

The source of a rotavirus infection is a sick person or a healthy virus carrier. The virus multiplies in the cells of the mucous membrane of the gastrointestinal tract and is excreted with feces. The isolation of rotavirus begins from the first days of the disease, simultaneously with the appearance of the first symptoms of the disease. The main mechanism for transfer of rotavirus infection is food.

In children's groups rotavirus infection can cause outbreaks of acute diarrhea (diarrhea).
Rotavirus affects gastric mucosa and small intestine with the occurrence of gastroenteritis (gastro - stomach, entero - small intestine). The defeat of the mucosa of the digestive tract disrupts the digestion of food and leads to the development of severe diarrhea and dehydration of the body.

Symptoms of rotavirus infection

The incubation period of the rotavirus lasts from 1 to 5 days. The disease with rotavirus infection begins acutely: the first symptoms of rotaviroza are abdominal pain (acute, cramping), vomiting (3-4 times a day), malaise, fever (up to 38 C).

To the described symptoms of infection very quickly joins acute diarrhea (diarrhea). Diarrhea profuse yellowish color with a sharp unpleasant, acidic odor.
When examining a patient with rotavirozom, reddening of the conjunctiva of the eyes, the mucous membrane of the pharynx and the palatine arch (sore throat) can be seen.

The main danger of rotavirus infection is associated with dehydration of the body due to severe diarrhea.
The course of rotavirus infection is usually benign.
Rotaviroz ends after 4-7 days of full recovery.

The described symptoms of rotavirus infection should be distinguished from the symptoms of cholera, salmonellosis, food poisoning.
After the transferred "gastric flu" there is a persistent immunity, therefore the repeated disease with rotavirus infection is observed rarely.

An adult can not even notice that he is a carrier of rotavirus infection, a disease. as a rule, proceeds with erased symptoms: a short, perhaps one-time case of diarrhea, a decrease in appetite, a brief increase in temperature. But during this period a person is contagious!

Treatment of rotavirus infection

Specific treatment of rotavirus infection (gastric flu) does not exist. Symptomatic treatment of rotavirus is shown: treatment of diarrhea (mainly adequate rehydration of the body), a decrease in temperature, a light diet and enzymatic, sorbing drugs (Smecta, Creon).

The most common scenario for the development and treatment of rotavirus infection in a child:

The child wakes up in the morning sluggish, it can snatch even immediately on an empty stomach. Appetite is not present, after meal vomiting again begins, tears even after several sips of water. These symptoms of rotavirus infection are accompanied by a gradual increase in temperature to 39 degrees Celsius and diarrhea. The temperature is badly knocked down by medications and can be kept high for up to 5 days. With such symptoms of rotavirus infection, immediately exclude from the ration of the child any dairy products, including sour-milk products: milk, milk porridges, kefir, cottage cheese and others. The exception is children with breastfeeding. Call the district doctor. Do not force a child to eat.

To make up the water-salt balance, prepare a solution of the rehydron - 1 packet per 1 liter of water and let the child drink 50 ml each hour. Do not give up large portions - you can immediately snatch it. Drink in small sips.

What can be fed with rotavirose:

Diet with rotavirus infection: for the first 2-3 days - liquid rice porridge on the water, broth chicken, kissel (water, starch, any homemade jam - boil until cooked).

How and how to bring down the temperature in a child with rotavirus infection:

When the temperature rises above 38 degrees, the cephexon candles (dosage according to the child's age) will help to reduce it, the candles are almost safe to use in any age, you can put these candles every 2 hours, but do not overdo it, knocking down the temperature, less than 38 degrees, it should not be reduced, since the rotavirus infection dies at 38 deg. Very effective for lowering the temperature with rotaviroze moist wiping with a weak alcohol solution or warm water. The whole body should be wiped and not its separate parts (so that there is no temperature difference between them), after wiping, put on cotton socks. Do not worry about the baby! During sleep, cover with a sheet, not a warm blanket. With a persistent increase in temperature above 39 degrees a child from one and half to two years can give a pill floor Paracetamol together with a quartet of analgin - a good tool to bring down the heat with rotavirus infection.

From pains in the abdomen with rotavirus infection:

if the child cries and / or complains of abdominal pain (only with a confirmed diagnosis of rotaviroz!), loosen them will help no-shpa. Buy the ampoules (2 ml each), give the baby in the mouth 1 ml for pain, drink tea.

To prevent the development of intestinal bacterial infection, enterofuril (dosage according to the age of the child, from 1 to 2 years - 1 hl 2 times a day for 5 days) or enterol (but enterofuril is better).

For the treatment of diarrhea with rotavirus infection appoint smektu (2 bags per day in a half-glass of water).

Vomiting with rotavirose can last up to 3-5 days, diarrhea - even longer.

For faster recovery of the intestinal microflora and normalization of the stool for rotavirus infection, a preparation of bactisubtil is prescribed - 2 times a day for 1 capsule dissolved in water one hour before a meal. Bactisubtil begins to take after weakening of vomiting, approximately on day 3 of the disease.

On the second day, the day of the disease with rotavirus infection, the child has severe drowsiness, let the child sleeps as long as he wants, just keep an eye on the temperature of his body when he wakes up - let's to have a drink.

Before using the above drugs and for diagnosing the disease, be sure to call a doctor, do not engage self-diagnosis, since the symptoms of rotavirus infection are similar to those of more dangerous diseases requiring urgent medical care.

Prevention of rotavirus infection

Prevention consists in observing personal hygiene measures and isolating the patient during illness. Rotavirus infection is well transmitted through dirty hands, so from early age it is necessary to teach the child to wash their hands before eating and on their return from the street.


Rotavirus infection - causes, symptoms, treatment

Rotavirus infection (rotavirus gastroenteritis, intestinal flu) is an infectious disease of a viral nature that occurs with symptoms of gastroenteritis.

Recently, bacterial infections, such as dysentery, salmonellosis, are replaced by viral intestinal infections. One of them is rotavirus infection (so-called intestinal flu). Rotavirus infection differs seasonally and more often outbreaks or sporadic cases are recorded in the winter-spring period.

Why so? Yes, because one of the symptoms of this disease are the symptoms of the gastrointestinal tract. And there is an opinion that infection occurs when non-compliance with personal hygiene. In part, this statement is true.

If rotavirus infection occurs in organized children's groups, one of the reasons for the development of outbreaks is the non-compliance of sanitary and epidemiological rules with the staff of the institution.

The rotavirus infection is mainly caused by children of preschool age. Older children and adults can also get sick, but much less often. Adults often tolerate the disease in mild or worn form, so they rarely seek help from a medical institution. And often become a source of infection for children.

After the transferred rotavirus infection, immunity is developed, but only to one of five types of rotavirus. So, if next time you meet another type of this virus, then you can get sick again.

How do they get infected with rotavirus infection?

So, as the first manifestations of the disease are observed from the stomach or intestine, this indicates that the infection occurred through unwashed hands, contaminated toys or dishes.

An important factor in the transmission of rotavirus infection is water that does not meet sanitary standards. Due to the dilapidated water supply and sewerage facilities, there is a high probability of contamination of water, which is used for drinking purposes and cooking. But the chlorination of water does not kill the virus.

You can get infected with rotavirus infection through infected foods, in particular through dairy products. In a refrigerator they can keep their virulent (infectious) properties for several days.

Symptoms of rotavirus infection

The period from the moment the virus enters the body until the first signs of infection appear, lasts from 1 to 5 days. Rotavirus infection develops rapidly. The day before, the child feels well, but quite quickly body temperature can rise to 38-39 °. There is a feeling of nausea, which goes into repeated vomiting. Even with an empty stomach, vomiting is preserved.

At the same time or a little later, a loose stool, cramping pains in the abdomen, rumbling along the bowel. The chair on the first day is liquid, yellow in color. Subsequently, the fecal masses acquire a gray-yellow color, the consistency becomes more viscous, clay-like.

Rotavirus infection is simultaneously accompanied by catarrhal symptoms: a sore throat, a cough and a runny nose.

The acute period of rotavirus infection lasts from 3 to 7 days. The same amount of time will be required for the complete restoration of health. In the period of convalescence weakness may be noted, unformed stool, flatulence.

Complications after a rotavirus infection can be dehydration. More often such problem can concern small children, which with repeated vomiting do not give a sufficient amount of liquid.


There is no specific antiviral treatment for rotavirus infection. Conduct symptomatic therapy aimed at preventing complications and maintaining the strength of the body.

In the acute period of rotavirus infection, bed rest is shown, an easily digestible diet, including low-fat chicken broth, jelly, steam cutlets, and a small amount of dried bread. Limit dairy products, exclude sweet and carbonated drinks, fresh bread. Approximate menu and allowed food products are correlated with diet No. 11 or diet No. 4 in Pevzner. Food should be frequent, small portions.

The decrease in temperature with rotavirus infection is carried out with paracetamol or ibuprofen. With good portability, try not to lower the temperature below 38-38.5 degrees. Antipyretics give 3-4 times a day in the age dosage, which is indicated in the annotation to the drug. With insufficient or short-term effects of drugs, physical methods of cooling are used.

With frequent vomiting and diarrhea give rehydron, 1 packet of which is diluted in 1 liter of water. In order not to provoke vomiting, give 30-50 ml every 30 minutes.

To prevent the attachment of the bacterial component of the intestinal infection, antidiarrhoeic drugs such as enterol, enterofuril and the like are prescribed.

Both in acute and in the recovery period, with rotavirus infection, eubiotics such as linex, bactisubtil, acipol and others are recommended for the restoration of intestinal microflora.

Prevention of rotavirus infection

Depending on the ways of transfer of rotavirus, preventive measures are also being developed. Most importantly, in order not to become infected with this infection, it is necessary to observe basic personal hygiene skills. It is necessary to teach children to wash their hands before eating, after going to the toilet, after returning from a walk or any other contamination of the hands.

Yes, and adults must also comply with these rules, they can be a source of infection for children.

Do not forget about periodic washing of toys. In children's institutions, according to sanitary rules, toys should be washed daily. But at home they can get dirty through unwashed hands. Toys at home can be washed with hot water and soap, soft toys for the time of illness are better to be removed from circulation.

Great importance for the prevention of infection with rotavirus infection of other children in the family is washing dishes, sanitation equipment.

If there is a mass morbidity in a children's institution or village, then in order to prevent infection, drink only boiled water.

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