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Food poisoning - Treatment

Treatment:

You will usually recover from the most common types of food poisoning within a couple of days. The goal is to make you feel better and avoid dehydration.

  • Don't eat solid foods until the diarrhea has passed, and avoid dairy products, which can worsen diarrhea (due to a temporary state of lactose intolerance).
  • Drink any fluid (except milk or caffeinated beverages) to replace fluids lost by diarrhea and vomiting.
  • Give children an electrolyte sold in drugstores.

If you have diarrhea and are unable to drink fluids (for example, due to nausea or vomiting), you may need medical attention and intravenous fluids. This is especially true for young children.

If you take diuretics, you need to manage diarrhea carefully. Talk to your health care provider -- you may need to stop taking the diuretic while you have the diarrhea. NEVER stop or change medications without talking to your health care provider and getting specific instructions.

For the most common causes of food poisoning, your doctor would NOT prescribe antibiotics.

If you have eaten toxins from mushrooms or shellfish, you will need medical attention right away. The emergency room doctor will take steps to empty out your stomach and remove the toxin.

Expectations (prognosis):

Most people fully recover from the most common types of food poisoning within 12 - 48 hours. Serious complications can arise, however, from certain types of food poisoning.

Complications:

Dehydration is the most common complication. This can occur from any of the causes of food poisoning.

Less common but much more serious complications include:

  • Arthritis (Yersinia and Salmonella)
  • Bleeding disorders (E. coli and others)
  • Death (from mushrooms, certain fish poisonings, or botulism)
  • Kidney problems (Shigella, E. coli)
  • Nervous system disorders (Botulism, Campylobacter)
  • Pericarditis (Salmonella)
  • Respiratory distress, including the need for support on a breathing machine (botulism)

Calling your health care provider:

Call your health care provider if:

  • Diarrhea lasts for more than 2 - 3 days.
  • There is blood in your stools.
  • You are on diuretics and have diarrhea, nausea, or vomiting.
  • You have diarrhea and are unable to drink fluids due to nausea or vomiting.
  • You have a fever over 101°F.

Call 911 if:

  • Bleeding is excessive or your stools are maroon or black.
  • You are short of breath or having trouble breathing.
  • You have any nervous system symptoms such as weakness, double vision, difficulty speaking, or paralysis.
  • You have signs of dehydration (thirsty, dizzy, light-headed, faint).
  • You have trouble swallowing.
  • You may have poisoning from mushrooms, fish, or botulism.
  • Your heart is racing, pounding, or skipping.
  • Reviewed last on: 3/5/2009
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Archer GL. Staphylococcal infections. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 310.

Arguin P. Approach to the patient before and after travel. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 308.

Guerrant RL. Escherichia enteric infections. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 327.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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