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Viral gastroenteritis (VYE-rull gas-tro-en-ter-EYE-tis) is a highly contagious illness involving inflammation of the stomach and intestines. Viral gastroenteritis can be caused by several different viruses that cause similar diseases and infect humans only, e.g., norovirus, sapovirus, adenovirus, and astrovirus. The infection can produce severe gastrointestinal symptoms, but most persons recover quickly and without seeking medical attention. Viral gastroenteritis is more common in the late fall through the winter, but infections and outbreaks can occur year round.
"Stomach flu” and “food poisoning” are common but misleading terms for viral gastroenteritis. Viral gastroenteritis is not the same illness as influenza ("the flu"), which is a respiratory illness caused by different viruses which produce symptoms such as fever, aches, sneezing, and coughing, not diarrhea or vomiting. Unlike actual food poisoning, viral gastroenteritis does not originate directly from food; rather, the food has been contaminated from an infected individual.
Viral gastroenteritis is passed in stool and vomit, and people become infected by ingesting stool (fecal-oral route) or vomit from an infected person. The virus is easily spread by contaminated food or beverages, from person to person, and by contact with a contaminated object. These viruses can remain infectious on surfaces for up to 72 hours, and only a very small amount of virus is needed to cause infection.
There are many ways to become infected with viral gastroenteritis:
High-risk settings include those involving large groups of people, food, or poor hand hygiene, e.g., daycare centers, schools, hospitals, long-term care facilities, and cruise ships. Persons who work in certain occupations, such as food handlers, daycare providers, and health care providers, have a greater risk of transmitting infection to others.
Symptoms usually begin 24-48 hours (range of 12-72 hours) after exposure and last 24-48 hours. The illness can last 72-84 hours in the elderly or in those with weakened immune systems. Most cases have no, or slight, fever.
Viral gastroenteritis can be a serious illness for people who are unable to drink enough fluids to replace what they lose through diarrhea and vomiting. Infants, young children, the elderly, people who are unable to care for themselves, and people with weakened immune systems are at increased risk for dehydration. Death is extremely uncommon, but the illness can compound other health problems.
A person having diarrhea lasting more than 24 hours should consult a health care provider. The illness is usually diagnosed by symptoms, duration of illness, and medical exam. Your health care provider may order tests to rule out bacterial infection or another condition.
There is no medicine to cure the infection. A health care provider may recommend medicine to lessen the symptoms or fluids to prevent dehydration.
No. Viral gastroenteritis is not a reportable disease.
In general, viral gastroenteritis can be prevented by strictly adhering to the following guidelines:
To search Indiana data and statistics:
To search the Indiana Food Protection Program:
To search for national data, statistics, and outbreaks: