Understanding Norovirus Infection

A Patient's Guide to the Winter Vomiting Bug

Gastroenterology

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Last updated: Mar 24, 2025

What is Norovirus?

Norovirus is a highly contagious viral infection that causes gastroenteritis - inflammation of the stomach and intestines. It's often called the 'winter vomiting bug' or 'stomach flu', though it's not related to influenza.

Key Symptoms

  • Sudden onset of vomiting
  • Watery diarrhea
  • Stomach cramps
  • Nausea
  • Low-grade fever
  • Body aches
  • Headache

How It Spreads

Norovirus spreads through:

  • Direct contact with infected individuals
  • Consuming contaminated food or water
  • Touching contaminated surfaces
  • Breathing in viral particles after someone vomits

Treatment Approaches

Self-Care Measures

  • Stay hydrated with water and electrolyte solutions
  • Rest adequately
  • Resume eating gradually with bland foods
  • Avoid dairy products initially

Medical Attention

Seek medical care if you experience:

  • Severe dehydration
  • Bloody stools
  • Excessive vomiting
  • Symptoms lasting more than 3 days

Prevention

  1. Wash hands frequently with soap and water
  2. Clean and disinfect contaminated surfaces
  3. Wash fruits and vegetables thoroughly
  4. Avoid preparing food for others when sick
  5. Stay home for 48 hours after symptoms resolve

Recovery Timeline

  • Symptoms typically last 1-3 days
  • Most people recover completely without treatment
  • Remain contagious for up to 48 hours after symptoms end

Special Considerations

  • Higher risk for young children and elderly
  • No specific antiviral medication available
  • Can occur year-round but peaks in winter
  • Multiple infections possible as immunity is temporary

When to Call Your Doctor

Contact healthcare providers if:

  • Unable to keep liquids down for 24 hours
  • Signs of severe dehydration appear
  • Symptoms are unusually severe or prolonged

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