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Disease & Condition

Food Poisoning

Food poisoning, also called foodborne illness, is illness caused by eating contaminated food. Infectious organisms — including bacteria, viruses and parasites — or their toxins are the most common causes of food poisoning.

Infectious organisms or their toxins can contaminate food at any point of processing or production. Contamination can also occur at home if food is incorrectly handled or cooked.

Symptoms

Food poisoning symptoms vary with the source of contamination. Most types of food poisoning cause one or more of the following signs and symptoms:

  • Nausea
  • Vomiting
  • Watery diarrhea
  • Abdominal pain and cramps
  • Fever

Signs and symptoms may start within hours after eating the contaminated food, or they may begin days or even weeks later. Sickness caused by food poisoning generally lasts from a few hours to several days.

When to see a doctor

If you experience any of the following signs or symptoms, seek medical attention.

  • Frequent episodes of vomiting and inability to keep liquids down
  • Bloody vomit or stools
  • Diarrhea for more than three days
  • Extreme pain or severe abdominal cramping
  • An oral temperature higher than 101.5 F (38.6 C)
  • Signs or symptoms of dehydration — excessive thirst, dry mouth, little or no urination, severe weakness, dizziness, or lightheadedness
  • Neurological symptoms such as blurry vision, muscle weakness and tingling in the arms

Causes

Contamination of food can happen at any point during its production: growing, harvesting, processing, storing, shipping or preparing. Cross-contamination — the transfer of harmful organisms from one surface to another — is often the cause.

Risk factors

Whether you become ill after eating contaminated food depends on the organism, the amount of exposure, your age and your health. High-risk groups include:

  • Older adults. As you get older, your immune system may not respond as quickly and as effectively to infectious organisms as when you were younger.
  • Pregnant women. During pregnancy, changes in metabolism and circulation may increase the risk of food poisoning. Your reaction may be more severe during pregnancy. Rarely, your baby may get sick, too.
  • Infants and young children. Their immune systems haven’t fully developed.
  • People with chronic disease. Having a chronic condition — such as diabetes, liver disease or AIDS — or receiving chemotherapy or radiation therapy for cancer reduces your immune response.

Complications

The most common serious complication of food poisoning is dehydration — a severe loss of water and essential salts and minerals. If you’re a healthy adult and drink enough to replace fluids you lose from vomiting and diarrhea, dehydration shouldn’t be a problem.

Infants, older adults and people with suppressed immune systems or chronic illnesses may become severely dehydrated when they lose more fluids than they can replace.

Some types of food poisoning have potentially serious complications for certain people. These include:

  • Listeria monocytogenes. Complications of a listeria food poisoning may be most severe for an unborn baby. Early in pregnancy, a listeria infection may lead to miscarriage. Later in pregnancy, a listeria infection may lead to stillbirth, premature birth or a potentially fatal infection in the baby after birth.
  • Escherichia coli (E. coli). Certain E. coli strains can cause a serious complication called hemolytic uremic syndrome.

Tests and diagnosis

Food poisoning is often diagnosed based on a detailed history, including how long you’ve been sick, your symptoms and specific foods you’ve eaten. Your doctor will also perform a physical exam, looking for signs of dehydration.

Depending on your symptoms and health history, your doctor may conduct diagnostic tests, such as a blood test, stool culture or examination for parasites, to identify the cause and confirm the diagnosis.

For a stool culture, your doctor will send a sample of your stool to a laboratory, where a technician will try to identify the infectious organism. If an organism is found, your doctor likely will notify your local health department to determine if the food poisoning is linked to an outbreak.

In some cases, the cause of food poisoning can’t be identified.

Treatments and drugs

Treatment for food poisoning typically depends on the source of the illness, if known, and the severity of your symptoms. For most people, the illness resolves without treatment within a few days, though some types of food poisoning may last longer.

Treatment of food poisoning may include:

  • Replacement of lost fluids. Fluids and electrolytes — minerals such as sodium, potassium and calcium that maintain the balance of fluids in your body — lost to persistent diarrhea need to be replaced. Some children and adults with persistent diarrhea or vomiting may need hospitalization, where they can receive salts and fluids through a vein (intravenously), to prevent or treat dehydration.
  • Antibiotics. Your doctor may prescribe antibiotics if you have certain kinds of bacterial food poisoning and your symptoms are severe. Food poisoning caused by listeria needs to be treated with intravenous antibiotics during hospitalization. The sooner treatment begins, the better. During pregnancy, prompt antibiotic treatment may help keep the infection from affecting the baby.

Adults with diarrhea that isn’t bloody and who have no fever may get relief from taking the medication loperamide or bismuth subsalicylate. Ask your doctor about these options.

Lifestyle and home remedies

Food poisoning often improves without treatment within 48 hours. To help keep yourself more comfortable and prevent dehydration while you recover, try the following:

  • Let your stomach settle. Stop eating and drinking for a few hours.
  • Try sucking on ice chips or taking small sips of water.
  • Ease back into eating. Gradually begin to eat bland, low-fat, easy-to-digest foods, such as soda crackers, toast, gelatin, bananas and rice. Stop eating if your nausea returns.
  • Avoid certain foods and substances until you’re feeling better.
  • Rest. The illness and dehydration can weaken and tire you.

To prevent food poisoning at home:

  • Wash your hands, utensils and food surfaces often. Wash your hands well with warm, soapy water before and after handling or preparing food. Use hot, soapy water to wash utensils, cutting boards and other surfaces you use.
  • Keep raw foods separate from ready-to-eat foods. When shopping, preparing food or storing food, keep raw meat, poultry, fish and shellfish away from other foods. This prevents cross-contamination.
  • Cook foods to a safe temperature. The best way to tell if foods are cooked to a safe temperature is to use a food thermometer. You can kill harmful organisms in most foods by cooking them to the right temperature.
  • Refrigerate or freeze perishable foods promptly — within two hours of purchasing or preparing them. If the room temperature is above 90 F (32.2 C), refrigerate perishable foods within one hour.
  • Defrost food safely. Don’t thaw food at room temperature. The safest way to thaw food is to defrost it in the refrigerator. If you microwave frozen food using the “defrost” or “50 percent power” setting, be sure to cook it immediately.
  • Throw it out when in doubt. If you aren’t sure if a food has been prepared, served or stored safely, discard it.

Food poisoning is especially serious and potentially life-threatening for young children, pregnant women and their fetuses, older adults, and people with weakened immune systems. These individuals should take extra precautions by avoiding the following foods:

  • Raw or rare meat and poultry
  • Raw or undercooked fish or shellfish
  • Raw or undercooked eggs or foods that may contain them, such as cookie dough and homemade ice cream
  • Raw sprouts, such as alfalfa, bean, clover and radish sprouts
  • Unpasteurized juices and ciders
  • Unpasteurized milk and milk products
  • Soft cheeses, such as feta, Brie and Camembert; blue-veined cheese; and unpasteurized cheese
  • Refrigerated pates and meat spreads
  • Uncooked hot dogs, luncheon meats and deli meats

 

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