Gastroenteritis: Medical History

Medical history (history of illness) is an important component in the diagnosis of gastroenteritis (stomach flu).

Family history

  • What is the general health of your family members?
  • Are there any diseases of the gastrointestinal tract in your family that are common?

Social history

  • Do you live in a residential community or facility?
  • Have you been abroad recently? If yes, where? (Stay in the tropics?)

Current medical history/systemic history (somatic and psychological complaints).

  • How long have you had diarrhea?
    • Please indicate the frequency in the last 24 hours.
    • Please describe the stool texture and volume.
    • Do you have blood* and/or mucus in your stool?
    • Do the symptoms occur in relation to food intake?
  • Have you been vomiting?
    • If yes – how many times in the last 24 hours?
  • Do you have a fever?
  • Do you suffer from accompanying abdominal pain, abdominal cramps, etc.?
  • Do you have other complaints outside the digestive system?
  • How has the amount you drink changed? (normal or decreased?)
  • If infant: Is the child still breastfed?

Vegetative anamnesis incl. nutritional anamnesis.

  • Are you underweight? Please indicate your body weight (in kg) and height (in cm).
  • Has your appetite changed?
  • Have you lost body weight unintentionally?
  • Have you recently eaten raw foods (e.g., raw dairy products, undercooked meat or eggs)?
  • Have you drunk apple juice or smoothies made from high-fructose fruits?
  • Do you eat a balanced diet?
  • Have you noticed any changes in urination (amount, appearance, odor)?
  • Do you drink alcohol? If so, what drink(s) and how many glasses per day?

Self history incl. medication history.

Medication history

  • Antibiotics – inadequate and untargeted antibiotic treatment can lead to a shift in the intestinal flora and subsequently to enteritis (inflammation of the intestine)

What drug interventions were performed in the last 24 hours?

  • Glucose-electrolyte solutions [yes/no].
  • Fever suppositories (for infants/children) [yes/no].
  • What other measures have been taken?

* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)