How will you manage a case of food poisoning ?

29. How will you manage a case of food poisoning ?
 Clinical features of food poisoning :-
1. Abdominal pain
2. Diarrhoea may be bloody.
3. Fever.
4. Headache
5. Nausea, Vomiting
6. Salmonella septicaemia may be associated with Osteomyelitis and septic arthritis.
 Management of food poisoning:-
A. Supporative treatment.
1. Fluid and electrolyte replacement oral and ½  In mild cases ORS is given. But when symptoms are severe and patient is dehydrated then intro venous therapy (Hartmains solution/ cholera saline) is required.
2. After reliving acute symptoms- a semi-fluid low roughage diet may be given
3. Codeine phosphate or lope amide is useful in controlling diarrhoea in adults.
4. In chemical or poisonous food poisoning: Patients stomach should be washed out with tepid water and in stomach content is kept for analysis.
B. Specific treatment :-  Antibiotic should not be given routinely for acute diarrhoea and vomiting.  If salmonella bacteriemia is suspected or confirmed or if diarrhoea is severe or prolonged.
- ciprofloxacin 500mg 12 hourly or
- Trimethoprim 200mg 12 hourly
- tetracycline
- Ceftriaxone 1gm i/v or i/m