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Norovirus (Stomach Bug)

If you have ever had a stomach bug, you probably remember it. Sudden vomiting, diarrhea and stomach cramps can make you feel miserable fast. 

In many cases, the stomach bug is caused by norovirus, a highly contagious virus and the most common cause of viral gastroenteritis. Viral gastroenteritis is often called the stomach flu. 

While most people recover within one to three days, norovirus spreads easily. Knowing the symptoms and how to prevent it can help protect you and your family. 

If you are looking for a broader overview of stomach flu, including other causes and when to seek care, visit our gastroenteritis (stomach flu) page

What is norovirus? 

Norovirus is a very contagious virus that can cause sudden vomiting and diarrhea. It is the most common cause of viral gastroenteritis. 

Viral gastroenteritis is often called the stomach flu or stomach bug. It is not the same as influenza, so a flu shot will not prevent norovirus. 

What are the symptoms of a stomach bug caused by norovirus? 

Symptoms usually begin 12 to 48 hours after exposure. 

Common symptoms include: 

  • Nausea 
  • Vomiting 
  • Diarrhea 
  • Stomach cramps or pain 
  • Low fever 
  • Headache 
  • Body aches 

Symptoms typically last one to three days. Some people may feel weak or tired for a few days after. 

Because vomiting and diarrhea can be intense, dehydration is the biggest concern. 

How contagious is norovirus? 

Norovirus is extremely contagious. It spreads quickly through households, schools and workplaces. 

You are contagious from the moment symptoms start until at least a few days after they end. In some cases, people may continue to spread the virus for up to two weeks. 

To reduce the spread, stay home from work, school and public places while sick and for at least two days after symptoms stop. 

How do you catch norovirus? 

You can get norovirus by: 

  • Close contact with someone who is infected 
  • Touching contaminated surfaces 
  • Eating contaminated food 
  • Drinking contaminated water 

Norovirus is one of the top causes of food poisoning. It can spread in restaurants if a food handler is infected. 

The virus can also become airborne when someone vomits. Tiny droplets can land on nearby surfaces and infect others. 

When and where do outbreaks happen? 

Norovirus outbreaks can occur anywhere people are close together, including: 

  • Schools and daycares 
  • Health care facilities 
  • Community events 
  • Cruise ships 
  • Restaurants 

In the United States, outbreaks are most common from November through April, but they can happen at any time of year. 

How to treat norovirus at home 

There is no antiviral medication for norovirus. Most people recover on their own within a few days. 

Treatment focuses on preventing dehydration and easing symptoms. 

Drink plenty of fluids 

Vomiting and diarrhea cause fluid loss. Drink small, frequent sips of: 

  • Water 
  • Clear broths 
  • Oral rehydration solutions 
  • Electrolyte drinks 

Small sips are easier to tolerate and may reduce vomiting. 

Rest 

Rest helps your body recover and fight the virus. 

Use caution with over-the-counter medications 

Medications such as Kaopectate or Imodium A-D may help diarrhea. Talk to a pharmacist or health care provider before using them, especially for: 

  • Children 
  • Older adults 
  • People with other health conditions 

In general, anti-diarrheal medications are discouraged in children unless directed by their provider. 

Ease back into food 

Stick with liquids until vomiting stops. Then try bland foods such as: 

  • Bananas 
  • Rice 
  • Applesauce 
  • Toast 
  • Oatmeal 
  • Crackers 

Avoid dairy for about 48 hours, since it may worsen diarrhea while your digestive system heals. 

What are the signs of dehydration? 

Dehydration is the biggest risk from a stomach bug. 

In adults, signs include: 

  • Dry mouth or throat 
  • Dark yellow urine 
  • Urinating less often 
  • Dizziness when standing 
  • Fatigue 

Infants and young children are at higher risk. Watch for: 

  • Fewer wet diapers 
  • No tears when crying 
  • Dry or sticky mouth 
  • Excessive sleepiness 
  • Unusual irritability 

Older adults and people with weakened immune systems are also at higher risk of complications. 

Call your health care provider if: 

  • Symptoms last more than a few days 
  • Vomiting will not stop 
  • You see blood in the stool 
  • You suspect dehydration 

Seek urgent care if symptoms are severe. 

For more information about when stomach flu symptoms require medical evaluation, see our gastroenteritis (stomach flu) page

How to prevent norovirus infection 

Good hygiene is the best defense. 

Wash your hands with soap and water 

Alcohol-based hand sanitizers may not work well against norovirus. Wash your hands with soap and water often, especially: 

  • After using the bathroom 
  • After changing diapers 
  • Before preparing food 
  • Before giving medication 
  • After coughing or sneezing 

Avoid sharing personal items 

Do not share utensils, cups, toothbrushes or towels. 

Clean and disinfect surfaces 

Disinfect high-touch areas such as: 

  • Doorknobs 
  • Light switches 
  • Remote controls 
  • Kitchen counters 

Bleach is more effective against norovirus than many disposable wipes. 

To disinfect: 

  • Mix 5 to 25 tablespoons of bleach with one gallon of water 
  • Spray the area 
  • Let it sit for five minutes 
  • Wipe clean 

Test the solution on a small area first. 

Practice safe food handling 

  • Wash fruits and vegetables 
  • Cook meats and seafood thoroughly 
  • Throw away food that may be contaminated 

How to keep norovirus from spreading at home 

If someone in your home has a stomach bug: 

  • Keep them home and separated as much as possible 
  • Keep them home for at least two days after symptoms stop 
  • Do not allow them to prepare food for others for at least two days after recovery 

When cleaning: 

  • Wear disposable gloves and a mask 
  • Use disposable towels for vomit or diarrhea 
  • Seal and discard cleaning materials in a plastic bag 
  • Wash clothes and bedding in hot water 
  • Dry on the highest heat setting

Clean nearby surfaces as well, since virus particles can spread through the air during vomiting.

If multiple family members are sick or symptoms are severe, a Banner Urgent Care location can provide evaluation and guidance.

Key takeaways

  • Norovirus is the most common cause of the stomach bug
  • Symptoms include vomiting, diarrhea and stomach cramps
  • Most people recover within a few days
  • Dehydration is the biggest risk
  • Washing hands with soap and water is the best way to prevent infection

If you are concerned about dehydration or worsening symptoms, seek medical care promptly. Banner Health is here to support your family’s health when you need it.