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What is norovirus? (Diarrhoea and vomiting bug) | NHS

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What is Norovirus? (Diarrhoea and Vomiting Bug)

Introduction

Norovirus, often referred to as the "winter vomiting bug," is a highly contagious virus that causes gastroenteritis, an inflammation of the stomach and intestines. It is one of the leading causes of diarrhoea and vomiting outbreaks, particularly during the colder months. This virus can affect people of all ages and is notably problematic in communal settings such as hospitals, schools, and care homes.

Symptoms

The primary symptoms of norovirus include sudden onset of nausea, projectile vomiting, and watery diarrhoea. Some people may also experience mild fever, headache, stomach cramps, and muscle aches. Symptoms typically begin 12 to 48 hours after exposure to the virus and can last between one to three days. In some cases, dehydration can occur, especially in vulnerable populations such as the elderly and young children.

Transmission

Norovirus is highly infectious and spreads rapidly through contact with contaminated food, water, surfaces, or an infected person. Consuming food prepared by someone with the virus, touching contaminated surfaces, or close contact with an infected individual can lead to infection. The virus is resilient and can survive on surfaces for days, making it crucial to maintain good hygiene practices.

Prevention

Preventing the spread of norovirus involves rigorous hygiene and sanitation measures. Wash hands thoroughly with soap and water, particularly after using the toilet and before eating or preparing food. Disinfect surfaces, especially in high-touch areas like kitchens and bathrooms, with effective cleaning agents. If you are infected, stay at home and avoid preparing food for others until at least 48 hours after symptoms have ceased to prevent spreading the virus.

Treatment

There is no specific treatment for norovirus; management focuses on relieving symptoms and preventing dehydration. Drink plenty of fluids to replace lost electrolytes—solutions like oral rehydration salts are particularly effective. Clear fluids such as water, broths, and diluted fruit juices are advisable. Over-the-counter medications may help alleviate symptoms, but it is vital to consult a healthcare professional if symptoms persist or worsen.

When to Seek Medical Help

While most cases of norovirus resolve without complications, certain symptoms necessitate medical attention. Seek help if you experience severe dehydration signs (e.g., excessive thirst, decreased urination, dizziness), prolonged symptoms lasting more than three days, or if a vulnerable person (infant, elderly, or those with compromised immune systems) is affected. The NHS provides resources and guidance on managing symptoms and when to seek care.

Conclusion

Norovirus is a common but preventable cause of gastroenteritis. By understanding the symptoms, modes of transmission, and prevention strategies, individuals can significantly reduce their risk of infection. Adhering to good hygiene practices and timely medical consultation can help manage and control outbreaks, ensuring better public health outcomes in the UK.

Frequently Asked Questions

What is norovirus?

Norovirus, also known as the winter vomiting bug, is a highly contagious virus that causes vomiting and diarrhea. It is one of the most common stomach bugs in the United Kingdom.

How is norovirus spread?

Norovirus is spread through close contact with someone who has the infection, touching contaminated surfaces or objects, and consuming contaminated food or water.

What are the symptoms of norovirus?

The main symptoms include sudden onset of nausea, projectile vomiting, watery diarrhea, and stomach cramps. Other symptoms may include a slight fever, headaches, and aching limbs.

How long do norovirus symptoms last?

Symptoms typically last between 1 to 3 days, but in some cases, they may last longer, particularly in young children, the elderly, or those with weakened immune systems.

How can I prevent norovirus infection?

To prevent the spread of norovirus, practice good hand hygiene by washing hands thoroughly with soap and water, disinfect contaminated surfaces, and wash any contaminated laundry thoroughly.

Is there a vaccine for norovirus?

No, currently there is no vaccine available to prevent norovirus infection.

What should I do if I have norovirus?

If you have norovirus, stay hydrated by drinking plenty of fluids, take over-the-counter medications to relieve symptoms if needed, stay at home to avoid spreading the virus, and wash your hands regularly.

Can I go to work or school if I have norovirus?

No, you should stay at home and avoid going to work or school until at least 48 hours after your symptoms have stopped, as norovirus is highly contagious.

When should I seek medical advice for norovirus?

Seek medical advice if you or someone you are caring for has severe dehydration, prolonged symptoms, or if there are concerns due to underlying health conditions. Most cases can be managed at home.

Can antibiotics treat norovirus?

No, antibiotics do not work on viruses, including norovirus. Treatment focuses on relieving symptoms and staying hydrated.

How is norovirus diagnosed?

Norovirus is typically diagnosed based on symptoms alone. In certain circumstances, stool samples may be tested to confirm the presence of the virus.

What should I eat or drink if I have norovirus?

Drink plenty of fluids like water and oral rehydration solutions to stay hydrated. Eat bland foods such as toast, rice, bananas, and other items that are easy on the stomach once you start to feel better.

Can I get norovirus more than once?

Yes, it is possible to get norovirus more than once, as immunity to the virus does not last long and there are many different strains of the virus.

Where can I find more information about norovirus?

You can find more information on the NHS website or by contacting your local healthcare provider.

How common is norovirus in the UK?

Norovirus is very common in the UK, especially during the winter months, though it can occur at any time of the year.

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