Viral Gastroenteritis

The most common causes are:

• Rotavirus – most common cause in infants

• Norovirus – most common cause in all ages

• Adenovirus

It presents with Diarrhoea, N+V, and abdominal pain.

The main concern in children is Dehydration. Other complications with this are Reactive arthritis, and GBS, which are much less common.

Differentials to consider:

• Bacterial gastroenteritis

• Lactose intolerance

• Coeliac disease

• CF

• IBD

• IBS

Management:

• Fluids – Most likely IV as patient likely to be vomiting

• Faecal MC&S

• Infection control – Child needs to stay off school