$Unique_ID{PAR00076} $Pretitle{} $Title{Medical Advice: Food Poisoning} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Food Poisoning Vomiting Abdominal cramps Diarrhea Fever electrolyte solutions electrolytes solution antidiarrheic antidiarrhetic medication antidiarrheal medications bloody stools stool blood weakness stomach intestine intestines intestinal bacteria chemicals staphylococci staph bacterium boils impetigo germ germs improper refrigeration refrigerated foods} $Log{} Your Child: A Medical Guide Food Poisoning Quick Reference SYMPTOMS - Vomiting - Abdominal cramps - Diarrhea - Fever or no fever HOME CARE - Treat vomiting first by restricting the child's diet to clear liquids only. - When vomiting has stopped, treat diarrhea by limiting or not reintroducing solid foods. Especially avoid butter, fatty meats, peanut butter, whole-grain cereals, vegetables, and most fruits (apples and bananas are all right). - Do not give the child milk. - Give the child plenty of clear liquids, such as tea, water, flavored gelatin water, and commercial electrolyte solutions (available from your pharmacist). PRECAUTIONS - Do not prepare food that needs refrigeration for a child's lunch box or for a picnic if refrigeration will not be available. - A child with diarrhea and vomiting needs plenty of clear liquids to avoid dehydration (a serious loss of body fluids). - Do not give antidiarrheal medications to children. - Isolate an infant from children who are ill with vomiting and diarrhea. - If there is blood in the stools, high fever, extreme weakness, or severe or prolonged diarrhea (more than 12 to 24 hours for a young infant or more than two to three days for an older child), call your doctor. Food poisoning is a disorder of the stomach and intestines caused by bacteria or chemicals in foods. The classic form of food poisoning is caused by staphylococci ("staph" bacteria), the same germs that cause boils and impetigo. The germs enter the food during its preparation. If the food is not properly refrigerated, the germs multiply rapidly, contaminating the food with a toxin (poison) produced by the germs. The foods in which staph germs grow best are pastries and other starchy foods ordinarily served cold, salads, cold chicken, ham and beef in gelatin, whipped cream, and custards. Since staph germs and their toxins are odorless and tasteless, the contaminated food smells and tastes normal. A variety of organisms other than staph germs can cause food poisoning of a milder nature. Two more serious conditions that are sometimes classified as food poisoning are botulism and dysentery. SIGNS AND SYMPTOMS Food poisoning causes vomiting, abdominal cramps, and diarrhea within one to six hours after the contaminated food was eaten. The child may or may not have a fever. Symptoms last 12 to 24 hours. Food poisoning is usually considered when a number of people who have eaten the same food become ill within hours of one another. Food poisoning can occur after picnics, parties, or eating in a cafeteria or restaurant where foods have been prepared in advance and improperly stored. HOME CARE When a child has both diarrhea and vomiting, treat vomiting first by restricting the child's diet to clear liquids only. Once the vomiting has stopped, treat the diarrhea by limiting or not reintroducing solid foods--especially butter, fatty meats, peanut butter, whole-grain cereals, vegetables, and most fruits (apples and bananas are all right). Do not give the child milk, since milk may further aggravate diarrhea. Encourage the child to drink plenty of clear liquids, such as tea, water, flavored gelatin water, and commercial electrolyte solutions (available from your pharmacist). PRECAUTIONS - Do not prepare food that requires refrigeration for your child's lunch box or for a picnic if refrigeration will not be available. - A child with diarrhea and vomiting needs plenty of clear liquids to avoid dehydration (a serious loss of body fluids). - Do not give antidiarrheal medications to children, since side effects are common and can be dangerous. - Isolate an infant from children who are ill with vomiting and diarrhea. - If there is blood in the stools, high fever, prostration (extreme weakness or collapse), or severe or prolonged diarrhea (more than 12 to 24 hours for a young infant or more than two to three days for an older child), call your doctor. MEDICAL TREATMENT In severe cases, hospitalization may be required so that the child can be given intravenous fluids. Local health departments can investigate food poisoning outbreaks and trace the source of food poisoning by testing suspected foods. RELATED TOPICS: Botulism; Dehydration; Diarrhea in older children; Diarrhea in young children; Dysentery; Stomachache, acute; Vomiting