How does norovirus affect Crohn's disease symptoms?

Question

Hello doctor,

I recently got norovirus and was diagnosed with Crohn’s disease not long ago. My digestive system is a complete mess right now. I cannot keep any medications down, and the abdominal pain is unbearable. This feels way worse than my usual flare-ups.

Could the norovirus be making my Crohn’s symptoms worse?
What can be done to manage this situation and get some relief?
Also, how do I know if this is just a bad flare or something more serious that needs immediate medical attention?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Norovirus infection is a self-limiting infection, lasting for four to five days, which needs treatment for symptoms only. However, norovirus can have severe symptoms if you have Crohn's disease or any other form of IBS (irritable bowel syndrome).

Generally, immunosuppressants are given for Crohn's disease. However, these immunosuppressants can cause the flare-up of any GIT (gastrointestinal tract) infection. Hence, you must consult with your GI specialist (gastroenterologist) and drop this dose of immunosuppressant.

In norovirus infection, dehydration is the main concern. Dehydration can be serious if water intake is not maintained.

Signs of severe dehydration:

Lethargy or less activity than usual.
Pale and sunken eyes.
Cold hands or feet.
Faster breathing and heart rate.
Irritability, drowsiness, or confusion.
Dark yellow pee or less frequent urination.
Reduced skin elasticity.

If any of these signs are seen, please go to the ER (emergency room).

Symptoms must subside within four to five days. Due to Crohn's disease, you might have a prolonged recovery of up to 10 to 12 days. If you notice any intermittent diarrhea after the complete remission of current norovirus symptoms, then it could be post-infection IBS. If you notice such episodes, kindly consult your GI specialist (gastroenterologist) for further management.

Advice:

ORS (oral rehydration solution), increased fluid intake, and avoid sugary drinks.
Antiemetics like Ondem (selective serotonin receptor antagonist) for vomiting.
Imodium (Loperamide) for diarrhea.
Antispasmodic like Cyclopam (Dicyclomine and Paracetamol)
Eat easy-to-digest food items like rice, soups, toast, and fruits, which do not flare up your Crohn's disease symptoms.
Yogurt can be used to maintain normal gut flora if it is well tolerated by your gut.
Multivitamin supplements after consulting a GI specialist.

Kindly consult a physician, discuss with them, and start taking the medications with their consent.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.