When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Last reviewed: 15 Mar 2025
Last updated: 22 Feb 2024

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • age <5 years
  • exposure to people with gastroenteritis
  • lack of immunisation against rotavirus
  • vomiting
  • non-bloody diarrhoea
  • hyperactive bowel sounds

Other diagnostic factors

  • abdominal pain
  • low-grade fever
  • evidence of dehydration
  • decreased body weight
  • non-distended abdomen
  • abdominal tenderness
  • mucus in stool

Risk factors

  • age <5 years
  • poor personal hygiene
  • exposure to people with gastroenteritis
  • daycare attendance
  • winter months
  • poverty
  • lack of immunisation against rotavirus
  • lack of breastfeeding
  • immunodeficiency

Diagnostic investigations

Investigations to consider

  • serum electrolytes, urea, creatinine
  • FBC
  • blood cultures
  • stool microscopy
  • stool culture
  • enzyme immunoassay (EIA) for detection of viral antigen
  • stool electron microscopy

Treatment algorithm

Contributors

Authors

Alexander K.C. Leung, MB BS, FRCPC, FRCP, FRCPCH, FAAP
Alexander K.C. Leung

Clinical Professor of Pediatrics

The University of Calgary

Calgary

Alberta

Canada

Disclosures

AKCL is an author of a guideline and a number of references cited in this topic.

Peer reviewers

Saul Greenberg, MD

Associate Professor

Department of Paediatrics

University of Toronto

Ontario

Canada

Disclosures

SG declares that he has no competing interests.

Y.L. Lau, MBCBhB, MD, FRCP, FRCPCH, FRCPS, FHKAM, FHKCPaed

Professor

Faculty of Medicine

University of Hong Kong

Hong Kong

Disclosures

YLL declares that he has no competing interests.

Use of this content is subject to our disclaimer