Elderly Man Experiences Abdominal Pain and Diarrhea – A Warning Sign of Acute Gastroenteritis

Acute gastroenteritis can strike at any age, but it poses a particular risk for elderly individuals. In this case, Mr. Li, a 70-year-old man, suddenly developed symptoms including abdominal bloating, pain, and loose stools. Upon physical examination, tenderness in the abdomen was detected — a common indicator of acute gastroenteritis. This condition is typically caused by infections from bacteria, viruses, or parasites, and can also be triggered by consuming cold or contaminated food.

After receiving timely medical treatment, including antibiotic therapy with Ceftriaxone Sodium Injection, Mr. Li's symptoms subsided within three days of hospitalization. He was later discharged and fully recovered after two weeks with no complications.

Initial Consultation and Diagnosis

During the first visit, Mr. Li reported experiencing persistent abdominal pain and having passed loose stools twice within half a day. There was no clear trigger for the symptoms. Physical examination revealed a flat abdomen with active bowel sounds. A 15cm surgical scar was noted in the right mid-lower quadrant, along with a soft abdomen that exhibited mild tenderness. A small, reducible mass measuring approximately 5cm x 4cm was found near the scar site. Based on these findings, a diagnosis of mild acute gastroenteritis was made.

Treatment Plan and Progress

An upright abdominal X-ray was performed, revealing multiple fluid levels and signs of intestinal distension. Additionally, a localized area of decreased density was observed beneath the right diaphragm. Combined with clinical symptoms and physical findings, the diagnosis included acute gastroenteritis and an incisional hernia. Treatment began immediately with intravenous antibiotics (Ceftriaxone Sodium), and daily abdominal exams were conducted to monitor progress. While tenderness persisted during the first two days, symptoms significantly improved by day three, allowing for discharge.

Post-Treatment Recovery and Follow-Up

Following treatment, Mr. Li experienced gradual relief from abdominal pain, tenderness, and diarrhea. The abdominal discomfort resolved completely by the third day, and he was cleared for discharge. Two weeks after discharge, he returned for a follow-up appointment and showed no signs of complications. It was emphasized that maintaining proper dietary habits remained crucial to prevent recurrence.

Key Recommendations for Managing Acute Gastroenteritis

Proper care during and after illness plays a vital role in recovery. Here are some essential tips:

- Stick to bland, easily digestible foods like porridge or noodles during recovery, and avoid spicy or cold meals.
- Ensure adequate rest to support the body's healing process.
- Monitor bowel movements and seek medical attention if abnormalities persist.

Final Thoughts on Prevention and Awareness

Acute gastroenteritis may be common, but it should not be underestimated — especially among older adults. As seen in Mr. Li's case, prompt diagnosis and appropriate treatment can lead to a full recovery without long-term effects. However, due to weaker immune systems, seniors must pay extra attention to hygiene and nutrition. Early recognition of symptoms and timely medical intervention are key to preventing complications and ensuring a swift recovery.