Why Is the Recurrence of Gastroenteritis? | Gleneagles Hospitals Malaysia
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Preventive Care
Gut Health

Why Is the Recurrence of Gastroenteritis?

15 August 2025 · 5 mins read

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Does your gastroenteritis keep recurring? Let’s discover the common underlying causes — from viral infections to bacterial overgrowth — and learn how to prevent future episodes of stomach pain and diarrhea effectively.

Main Causes of Gastroenteritis Recurrence

Gastroenteritis is an inflammation of the bowel and stomach. Its recurrence can be triggered by various factors, including viral, bacteria, and parasitic infections, as well as dietary and lifestyle habits. Understanding these underlying causes is key to prevention (Gotfried & Katz, 2023).

Infectious Causes

Certain pathogens, such as rotavirus, norovirus, E. coli, and Helicobacter pylori,can trigger reinfection when they are not completely eliminated from the body.

Prolonged Gut Microbiota Imbalance

Long-term antibiotic use or an imbalanced meal can disrupt the gut’s healthy microbiome, causing impaired digestion and increasing the risk of gastroenteritis recurrence.

Weak immune system

Elderly, children, or populations with weakened immune systems are more susceptible to repeated infection caused by the same pathogens.

Dietary and Hygiene Habits

Eating undercooked food, drinking contaminated water, or poor hygiene practices (such as not washing hands before meals) can also increase the risk of gastroenteritis recurrence.

The Link Between Constipation and Gastroenteritis in the Elderly

Chronic constipation in the elderly can indirectly cause the recurrence of gastroenteritis, especially when bowel function is impaired. Here’s how the two are connected:

Slower Bowel Movement

As people age, the bowel movement naturally slows down. Hence, when stool stays in the colon for too long, it allows bacteria to grow, increasing the risk of infection.

Overuse of Laxatives

Prolonged use of laxatives can disrupt gut microbiomes, causing the bowel and stomach to be more vulnerable to infection.

Inadequate Dietary Fiber Intake

Low dietary fiber can contribute to constipation, allowing toxins to build up in the bowel and compromising digestive health.

Inadequate Hydration

Not only does dehydration worsen constipation, but it can also weaken the stomach barrier, thus increasing the risk of infections.

Key Steps to Prevent Gastroenteritis Recurrence

To reduce the risk of gastroenteritis recurrence, the following preventive measures are important:

Improve Dietary Habits

  • Increase Dietary Fiber Intake: Eat more vegetables, fruits, and whole grains to promote bowel movement.
  • Avoid High-Fat, High-Sugar Food: Such foods can disrupt gut microbiome balance and increase the risk of gastroenteritis.

Be Mindful of Food Safety

Always cook food thoroughly. Avoid eating raw seafood and undercooked meat.

Keep The Gut Healthy

Taking Probiotics in Moderation

Foods rich in probiotics, such as yogurt, kimchi, and natto, can support healthy gut microbiomes.

AvoidOveruse of Antibiotics

Unnecessary use of antibiotics can disrupt gut microbiomes, causing increased risk of gut infection.

Strengthen The Immune System

Exercise Regularly

The right amount of exercise improves blood circulation and boosts immunity.

Get Enough Sleep

Sleep deprivation weakens the immune system, increasing the risk of infection.

Manage Stress

Chronic stress can impact digestive health. Try meditation, yoga, or other relaxation techniques to relieve stress.

When to See a Doctor?

Seek medical attention promptly if you or your loved one experiences the following symptoms to prevent gastroenteritis recurrence from causing more severe health impacts.

  • Diarrhea lasting more than 48 hours, especially in the elderly or immunocompromised populations.
  • Frequent vomiting that leads to symptoms of dehydration, such as dry mouth, decreased urination, or dizziness. 
  • High fever (>38.5°C) or blood in the stool may indicate a bacterial infection.
  • Persistent stomach pain or significant weight loss.

Make An Appointment with Gleneagles Hospital

Recurrent gastroenteritis is often linked to infections, digestive health, and lifestyle factors. Especially the elderly with constipation are particularly prone to repeated episodes due to gastrointestinal dysfunction. Through a balanced diet, proper hygiene practices, regular exercise, and immune support, the chance of recurrence can be effectively reduced. However, if you have experienced multiple episodes of gastroenteritis or severe symptoms, seeking medical attention immediately is of utmost importance. 

At Gleneagles Hospital Singapore, our team of digestive health specialists provides expert diagnosis and treatment to help restore your digestive health. Book your appointment today — let us protect your wellness.

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