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Norovírus

Norovírus - quando consultar um médico

Stomach bug

À medida que o inverno se aproxima, os vírus se espalham mais facilmente entre as pessoas. Se você tem sintomas de gastroenterite, há uma boa chance de ter contraído o norovírus - um dos vírus mais comuns e contagiosos no Reino Unido. Mas em que ponto o norovírus se torna sério o suficiente para procurar um médico?

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Norovirus treatment at home

Norovírus, also known as the winter vomiting bug, is a name for a group of viruses that can cause gastroenterite - an infection of the gut. It can make both adults and children very ill for 2 - 6 days, but it usually clears up on its own and can be managed at home.

Dr Rosmy Barrios describes the common symptoms of norovirus.

"The first signs of norovirus typically develop within 1 - 3 days of becoming infected," she says. "In most cases, people have nausea, being sick (vomiting), a alta temperatura, and - or either - diarreia with watery poo."

While these symptoms are unpleasant, they are usually mild enough to treat at home. Advice on how to treat norovirus is straightforward.

Dr Hussain Ahmad explains: "Norovirus treatment at home involves drinking lots of fluids to avoid desidratação. It typically passes within three days of contracting the virus."

He adds that you should also eat as normally as possible.

You should see a doctor for norovirus if your symptoms are so severe that you are dehydrated and it doesn't stop when you drink lots of água or your symptoms last for more than a few days.

It's important you get immediate medical attention if:

  • You have signs of serious dehydration - this includes having a very pale complexion, feeling drowsy, dizzy, or very weak, or not feeling fully conscious - where you are awake and in full control of your basic reflexes.

  • Your sick is bloody.

  • There is blood in your poo.

  • Your temperature is 40°C or higher.

  • You have very bad stomach pain.

It's usual for diarrhoea to last a little longer, but you should consult your doctor if this hasn't started to settle after three or four days - sooner if you are going to the toilet a lot through the day and the night. If you're too unwell to go to your local doctor's surgery, or you are not sure the visit is needed, arranging an online consultation may be a good option - even if it's just to put your mind at ease.

While there's no specific medicine that can be prescribed for norovirus, doctors can check for rare complications - such as inflammation in other parts of your body - and help treat dehydration, which if left can cause serious problems.

Other times adults should see a doctor

There are certain circumstances where you should seek medical attention for norovirus, especially if you're worried.

It's recommended that you see your doctor if:

  • You are an older person.

  • You caught your norovirus infection abroad.

  • You have an underlying health problem and you're worried norovirus may affect your management of it. For example, this could be diabetes, problemas renais, or epilepsia.

  • You have a sistema imunológico enfraquecido. This could be due to a health condition, like teste de HIV infection, or caused by certain treatments, such as quimioterapia or immunosuppressant drugs.

  • Você está grávida.

These scenarios do not guarantee you'll be seriously affected by norovirus, but if you're worried it's always best to be safe.

Norovirus in children under five

It's one thing experiencing the severity of your own symptoms, and another trying to guess how bad norovirus is for your child. It can take slightly longer for a standard bout of norovirus to disappear in children. Vomiting may last up to three days, and diarrhoea up to seven days. If either last longer, you should take them to the doctor.

Children under five years aren't usually able to give you a clear idea with words, but Ahmad says there are things you can do to work out if a visit to the doctor is needed.

"You should monitor how much fluid your child is drinking, how often they are sick, and how often they pee.

Young children need to be seen by a doctor urgently in the nearest A&E if:

  • They are unable to keep fluids down.

  • They are not peeing - less than two wet nappies in 24 hours, or more than 12 hours since they last went for a pee in older children.

  • They are showing signs of dehydration such as a dry mouth, pale skin, sunken eyes, or unusual tiredness.

The same exceptional circumstances apply to children as they do adults. For example, a visit to the doctor is advised if they have an underlying health problem, picked up the infection abroad, or have a weakened immune system.

Norovirus in infants

If your child is under six months old, it's always worth a visit to the doctor as soon as you suspect they have norovirus - or any other type of infection or illness. This is to safely manage the chance of dehydration.

According to Dr Ahmad, there are also important signs that your baby is becoming dehydrated and needs immediate medical attention:

  • They are not willing to drink as much fluid as normal.

  • They are being sick after drinking.

  • They are producing fewer wet nappies than normal - fewer than two wet nappies in 24 hours.

  • Their fontanelle dips more than usual - this is the soft spot on your baby's head.

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Norovirus and other viral infections can survive and spread more easily in the colder months. This is why we always expect a peak in winter. However this winter, norovirus outbreaks have increased by 37%, compared to the average over last five years.

Catching norovirus isn't inevitable, and we can form habits that help protect us.

The Centers for Disease Control and Prevention recommends:

  • Washing your hands often.

  • Rinsing your fruits and vegetables before eating them.

  • Cooking shellfish thoroughly.

  • Staying at home when you're ill for two days after symptoms stop.

  • Avoiding preparing food for others when you're ill.

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About the authorView full bio

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Amberley Davis

Escritor sênior

BA (Hons), CPD

Amberley é uma escritora sênior na Patient e escreveu extensivamente sobre uma variedade de tópicos de saúde e bem-estar.

About the reviewerView full bio

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Dr Krishna Vakharia, MRCGP

Chief Medical Officer for Health, Optum UK

MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)

Dr. Krishna Vakharia é uma médica de clínica geral do NHS. Ela também é examinadora regular do Diploma de Pós-Graduação em Dermatologia Prática na Universidade de Cardiff, além de ser a Diretora Médica de Saúde na Optum UK.

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