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Symptoms

By Mayo Clinic staff

A rotavirus infection usually starts with a fever and vomiting, followed by three to eight days of watery diarrhea. The infection can cause abdominal pain as well. In adults who are otherwise healthy, a rotavirus infection may cause only mild signs and symptoms — or none at all.

When to see a doctor
Call your child's doctor if your child:

  • Has severe or bloody diarrhea
  • Has frequent episodes of vomiting for more than three hours
  • Has a temperature of 103 F (39.4 C) or higher
  • Seems lethargic, irritable or in pain
  • Has signs or symptoms of dehydration — dry mouth, crying without tears, little or no urination, unusual sleepiness or unresponsiveness

If you're an adult, call your doctor if you:

  • Aren't able to keep liquids down for 24 hours
  • Have frequent episodes of vomiting for more than one or two days
  • Vomit blood
  • Have blood in your bowel movements
  • Have a temperature higher than 103 F (39.4 C)
  • Have signs or symptoms of dehydration — excessive thirst, dry mouth, little or no urination, severe weakness, dizziness on standing or lightheadedness
References
  1. Rotavirus. Centers for Disease Control and Prevention. http://www.cdc.gov/rotavirus/index.html. Accessed Jan. 11, 2013.
  2. What to do in a medical emergency: Fever. American College of Emergency Physicians. http://www.emergencycareforyou.org/EmergencyManual/WhatToDoInMedicalEmergency/Default.aspx?id=242&terms=fever. Accessed Jan. 11, 2013.
  3. Mandell GL, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniqId=230100505-57. Accessed Jan. 11, 2013.
  4. Centers for Disease Control and Prevention, et al. Prevention of rotavirus gastroenteritis among infants and children: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2009;58:1. http://www.cdc.gov/mmwr/pdf/rr/rr5802.pdf. Accessed Jan. 11, 2013.
  5. Diarrhea. The National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/diarrhea/#children. Accessed Jan. 16, 2013.
  6. Rotavirus. World Health Organization. http://www.who.int/nuvi/rotavirus/en/. Accessed Jan. 16, 2013.
  7. Update on recommendations for the use of rotavirus vaccines. U.S. Food and Drug Administration. http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm212140.htm. Accessed Jan. 11, 2013.
  8. Pickering LK, et al. Red Book Online. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009. http://aapredbook.aappublications.org. Accessed Jan. 24, 2013.
DS00783 March 27, 2013

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