Definition

Food poisoning is a term used to describe an illness caused by consuming contaminated food or drinks. This happens because of the presence of bacteria, viruses, parasites or chemicals in the food/water. This can cause diarrhoea, vomiting, abdominal pain and nausea.

Aetiology

  • Mainly: viruses, parasites, chemicals and bacteria (most common).

  • Poor food handling, cross-contamination.

  • Common pathogens: Campylobacter, salmonella, rotavirus and norovirus.

Pathophysiology

Ingestion of the pathogen results in the production of inflammatory and stomach-lining-damaging toxins. As a result of this negative effect on the digestive system, the symptoms associated with food poisoning manifest: e.g diarrhoea, vomiting, abdominal pain.

Risk factors

  • Poor food handling and storage.

  • Inadequate refrigeration or cross-contamination.

  • Consuming undercooked or raw foods.

  • Contaminated water sources.

  • Individuals with a poor immune system e.g elderly/young children.

Sign and symptoms

  • Abdominal discomfort and pain.

  • Diarrhoea.

  • Nausea.

  • Vomiting.

  • Generalised ache and pain.

  • Headache.

Diagnosis and investigations

  • History and examination is generally sufficient.

  • Stool culture.

Management

  • Symptom relieve

  • Keep hydrated

  • Good nutrition

  • Medication: loperamide.

  • If a patient is extremely unwell, must be admitted for IV fluids treatment.

 
 
 

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