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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 make sure your body maintains the proper amount of fluids.

  • 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 solution 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 fluids given through a vein (by IV). 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.

You can buy medicines at the drugstore that help slow diarrhea. Do not use these medicines without talking to your health care provider if you have bloody diarrhea or a fever. Do not give these medicines to children.

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.

Death from food poisoning in people who are otherwise healthy is rare in United States.

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 depend on the bacteria that is causing the food poisoning. These may include arthritis, bleeding problems, kidney problems, damage to the nervous system, and swelling or irritation in the tissue around the heart.

Calling your health care provider:

Call for an appointment with your health care provider if you have:

  • Blood or pus in your stools
  • Black stools
  • Stomach pain that does not go away after a bowel movement
  • Symptoms of dehydration (thirst, dizziness, light-headedness)
  • Diarrhea with a fever above 101°F (100.4°F in children)
  • Recently traveled to a foreign country and developed diarrhea

Also call your doctor if:

  • The diarrhea gets worse or does not get better in 2 days for an infant or child, or 5 days for adults
  • A child over 3 months old has been vomiting for more than 12 hours; in younger babies, call as soon as vomiting or diarrhea begins

Go to the emergency room or call your local emergency number, such as 911, if:

  • Bleeding is excessive or your stools are maroon or black
  • You may have poisoning from mushrooms, fish, or botulism
  • Your heart is racing, pounding, or skipping
  • Reviewed last on: 1/10/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; 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

Sodha SV, Griffin PM, Hughes JM. Foodborne disease. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 99.

Craig SA, Zich DK. Gastroenteritis. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 92.

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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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