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Can persistent vomiting and diarrhea indicate norovirus?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My cousin and I have been struggling with vomiting and diarrhea for the past three days. We ate some seafood at a wedding, and I am really worried it might have been spoiled. We both feel so weak that we can barely get out of bed. My cousin is only 12 years old, and I am concerned because her blood pressure was very low when we checked at home – it was 80/50 mm of Hg. She keeps complaining of stomach cramps and dizziness. I tried giving her some ORS, but she kept vomiting it. Could this be norovirus?

I read online that dehydration can be dangerous, and I am unsure whether we should go to the ER or wait. Her stool looks watery, but it also has a slight greenish tint. Is that normal? Also, how should we clean the house properly to prevent the rest of the family from getting infected? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Based on your symptoms, it seems like acute gastroenteritis (inflammation of the stomach and intestines). Do not worry; it will likely subside on its own, but you need to stay hydrated. Additionally, a blood pressure of 80/50 is within a normal range for a 12-year-old.

Here is what you should do:

  1. Wash hands with soap or hand-wash before and after using the toilet.

  2. Drink plenty of fluids. ORS (oral rehydration solution) is preferred, or you can try plain warm water or buttermilk.

  3. If you are unable to keep water down, visit the ER (emergency room) to receive IV (intravenous) fluids like Ringer’s Lactate.

  4. If your symptoms do not improve after three days, get your stool tested for culture.

  5. Antibiotics will be prescribed based on the stool culture, as diarrhea (loose, watery stools) is commonly caused by viral infections.

Consult if symptoms improve, and watch for signs of dehydration.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

The Probable causes

The probable cause is food poisoning.

Investigations to be done

Investigations to be done is stool culture.

Treatment plan

For treatment, I suggest the following: 1. ORS (oral rehydrating solution) 1 packet in 1 litre of warm water. 2. take a tablet of Sporolac (probiotic) thrice daily or Sporolac sachets thrice daily.

Preventive measures

For prevention, kindly follow the following: 1. Wash hands with soap or handwash every time before and after using the toilet. 2. Add plenty of fluids. ORS is preferable, or plain warm water; buttermilk also works well. 3. Look for danger signs of dehydration like dry mouth, sunken eyes, and generalized weakness.

Regarding follow up

For follow-up, kindly review after three days or if symptoms do not improve in 36 hrs.

Answered byDr. G. Harikaran

Medically reviewed byiCliniq medical review team

Published At February 25, 2025
Reviewed AtFebruary 25, 2025

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