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Published on: 3/5/2025

What Medicine Works for Lower Abdominal Pain Caused by Viral Gastroenteritis (Stomach Flu)?

For lower abdominal pain caused by viral gastroenteritis (commonly known as the stomach flu), the primary treatment focuses on symptom relief rather than specific medications. Over-the-counter medications can help alleviate pain and discomfort, but it is essential to stay hydrated and allow the body to recover.

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Explanation

Understanding Viral Gastroenteritis

Viral gastroenteritis is an inflammation of the stomach and intestines caused by viruses, leading to symptoms such as diarrhea, vomiting, abdominal cramps, and sometimes fever. The pain in the lower abdomen is often due to cramping and irritation of the intestines.

Pain Relief Options

While there is no specific medication to treat viral gastroenteritis, several over-the-counter options can help relieve lower abdominal pain:

  • Acetaminophen (Tylenol): This medication can help reduce pain and fever. It is generally safe and effective for managing mild to moderate abdominal pain associated with gastroenteritis.
  • Ibuprofen (Advil, Motrin): Another option for pain relief, ibuprofen can help reduce inflammation and alleviate pain. However, it should be used with caution, especially if there is any concern about gastrointestinal bleeding or if the patient is dehydrated.
  • Antispasmodics: Medications like hyoscine butylbromide (Buscopan), also known as scopolamine in the United States, may help relieve cramping by relaxing the muscles in the gut. However, these should be used under the guidance of a healthcare provider.

Hydration and Supportive Care

Staying hydrated is crucial when dealing with gastroenteritis, as vomiting and diarrhea can lead to significant fluid loss. Oral rehydration solutions (ORS) or electrolyte drinks can help replenish lost fluids and electrolytes.

  • Dietary Considerations: Once vomiting subsides, a bland diet (such as bananas, rice, applesauce, and toast—often referred to as the BRAT diet) can be helpful in easing the digestive process.

When to Seek Medical Attention

If symptoms are severe or persist for more than a couple of days, it is important to seek medical attention. Signs that warrant a visit to a healthcare provider include:

  • Severe abdominal pain that does not improve
  • High fever (above 101°F or 38.3°C)
  • Blood in vomit or stool
  • Signs of dehydration (such as dry mouth, dizziness, or decreased urination)

(References)

  • Graves NS. Acute gastroenteritis. Prim Care. 2013 Sep;40(3):727-41. doi: 10.1016/j.pop.2013.05.006. Epub 2013 Jul 19. PMID: 23958366; PMCID: PMC7119329.

  • Kim YJ, Park KH, Park DA, Park J, Bang BW, Lee SS, Lee EJ, Lee HJ, Hong SK, Kim YR. Guideline for the Antibiotic Use in Acute Gastroenteritis. Infect Chemother. 2019 Jun;51(2):217-243. doi: 10.3947/ic.2019.51.2.217. PMID: 31271003; PMCID: PMC6609748.

  • Freedman SB, Ali S, Oleszczuk M, Gouin S, Hartling L. Treatment of acute gastroenteritis in children: an overview of systematic reviews of interventions commonly used in developed countries. Evid Based Child Health. 2013 Jul;8(4):1123-37. doi: 10.1002/ebch.1932. PMID: 23877938.

  • DeCamp LR, Byerley JS, Doshi N, Steiner MJ. Use of antiemetic agents in acute gastroenteritis: a systematic review and meta-analysis. Arch Pediatr Adolesc Med. 2008 Sep;162(9):858-65. doi: 10.1001/archpedi.162.9.858. PMID: 18762604.

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