Launching January 2027

Food Poisoning

Food Poisoning At A Glance

  • Food poisoning can be caused by bacteria, viruses, parasites, toxins, or harmful chemicals.
  • Common symptoms include nausea, vomiting, diarrhea, stomach cramps, abdominal pain, fever, chills, and fatigue.
  • Symptoms may begin within hours or take several days to appear, depending on the cause.
  • Most cases improve within a few days with rest, fluids, and gradual return to normal foods.
  • Dehydration is one of the biggest concerns, especially with persistent vomiting or diarrhea.

Table of Contents

Table of Contents

What Is Food Poisoning?

  • Food poisoning, also called foodborne illness, is an illness caused by eating or drinking contaminated food or beverages. Contamination may occur from bacteria, viruses, parasites, toxins, or harmful chemicals. Common symptoms include nausea, vomiting, diarrhea, stomach cramps, and fever. Symptoms may begin within hours or several days after eating contaminated food, depending on the cause. (cdc.gov)
    Most cases are mild and improve within a few days with rest and hydration. However, some foodborne illnesses can cause severe dehydration, bloodstream infections, kidney problems, or other serious complications, especially in young children, older adults, pregnant people, and those with weakened immune systems.
    Learn More
    Food Poisoning – Centers for Disease Control and Prevention
    https://www.cdc.gov/food-safety/about/food-poisoning.html
    Provides information about common causes, symptoms, treatment, and prevention.
    Food Poisoning – NIH MedlinePlus
    https://medlineplus.gov/foodborneillness.html
    Provides patient-friendly information about foodborne illnesses, symptoms, diagnosis, and treatment.

How Common Is Food Poisoning?

Food poisoning is very common. The CDC estimates that about 48 million people in the United States become sick from foodborne illnesses each year, leading to approximately 128,000 hospitalizations and 3,000 deaths. (cdc.gov)

Anyone can develop food poisoning, but the risk of severe illness is higher for:

  • Adults age 65 and older
  • Children younger than 5 years
  • Pregnant people
  • People with weakened immune systems
  • People with chronic medical conditions such as diabetes, kidney disease, or cancer

What Symptoms Might You Notice?

Symptoms depend on the organism or toxin involved.

Common symptoms include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach cramps
  • Abdominal pain
  • Fever
  • Chills
  • Fatigue
  • Loss of appetite
  • Headache
  • Muscle aches
  • Weakness
  • Bloating
  • Excess gas

More severe symptoms may include:

  • Bloody diarrhea
  • Persistent vomiting
  • Signs of dehydration
  • Confusion
  • High fever
  • Severe abdominal pain
  • Difficulty swallowing
  • Double vision
  • Muscle weakness

Symptoms may begin within a few hours after eating contaminated food or may not appear for several days depending on the specific cause.

Learn More

Symptoms of Food Poisoning – CDC
https://www.cdc.gov/food-safety/signs-symptoms/index.html

Explains common symptoms and when medical evaluation is needed.

How Is Food Poisoning Diagnosed?

A healthcare provider may diagnose food poisoning based on symptoms, foods recently eaten, travel history, and possible exposures.

Your provider may ask:

  • When symptoms started
  • What foods you recently ate
  • Whether others became ill
  • Whether you recently traveled
  • Whether you attended a large gathering
  • Whether you ate raw seafood
  • Whether you consumed unpasteurized dairy products
  • Whether you have blood in your stool
  • Whether you have fever
  • Whether you are vomiting
  • Whether you have signs of dehydration
  • Whether you are pregnant
  • Whether you have immune system problems

Many mild cases do not require testing.

Food Poisoning infographic – click to enlarge

What Causes Food Poisoning?

Food poisoning occurs when harmful germs or toxins contaminate food or beverages.

Common causes include:

  • Norovirus
  • Salmonella
  • Campylobacter
  • Escherichia coli (E. coli)
  • Listeria
  • Clostridium perfringens
  • Staphylococcus aureus
  • Shigella
  • Vibrio species
  • Parasites
  • Viral hepatitis A
  • Food toxins
  • Chemical contamination

Foods commonly associated with food poisoning include:

  • Undercooked poultry
  • Raw or undercooked eggs
  • Raw meat
  • Unpasteurized milk
  • Soft cheeses made from unpasteurized milk
  • Raw seafood
  • Raw oysters
  • Leafy greens
  • Fresh fruits
  • Rice left at room temperature
  • Improperly canned foods
  • Deli meats
  • Ready-to-eat foods contaminated after cooking

Improper food storage, cross-contamination, poor hand hygiene, and inadequate cooking temperatures increase the risk.

Learn More

Causes of Food Poisoning – CDC
https://www.cdc.gov/food-safety/causes/index.html

Explains common organisms responsible for foodborne illness and how contamination occurs.

What Can Make Food Poisoning Worse?

Factors that may worsen illness include:

  • Becoming dehydrated
  • Continuing to eat irritating foods
  • Drinking alcohol
  • Drinking large amounts of caffeine
  • Not replacing fluids
  • Taking antibiotics without medical advice
  • Taking anti-diarrheal medication when not appropriate
  • Eating raw or undercooked foods while recovering
  • Poor blood sugar control in diabetes
  • Delaying medical care despite severe symptoms

Dehydration is one of the most common complications and may become serious quickly in young children, older adults, and people with chronic illness.

Prevention

Reduce your risk by:

  • Washing hands before preparing food.
  • Cooking meats thoroughly.
  • Refrigerating leftovers within two hours.
  • Keeping hot foods hot and cold foods cold.
  • Washing fruits and vegetables.
  • Avoiding cross-contamination.
  • Using separate cutting boards for raw meat.
  • Drinking pasteurized milk.
  • Avoiding raw oysters if at high risk.
  • Checking expiration dates.
  • Following food recall notices.
  • Avoiding food preparation while sick.

The CDC recommends following four key food safety steps: Clean, Separate, Cook, and Chill. (cdc.gov)

Learn More

Food Safety – CDC
https://www.cdc.gov/food-safety/prevention/index.html

Provides practical guidance for preventing foodborne illness at home.

Labs

Testing depends on symptom severity.

Possible tests include:

  • Stool Culture: Identifies certain bacteria.
  • Multiplex Stool PCR Panel: Detects many bacteria, viruses, and parasites.
  • Stool Ova and Parasite Examination: Evaluates parasitic infections.
  • Shiga Toxin Testing: Detects toxin-producing E. coli.
  • Complete Blood Count: May identify infection or dehydration.
  • Electrolytes: Evaluate dehydration and salt imbalance.
  • Kidney Function Tests: Assess dehydration-related kidney injury.
  • Blood Cultures: May be ordered when bloodstream infection is suspected.
  • Urinalysis: Helps evaluate hydration.

Not everyone with diarrhea requires stool testing. Testing is generally reserved for severe illness, bloody diarrhea, prolonged symptoms, outbreaks, or high-risk patients.

Learn More

Foodborne Illness Testing – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing used to diagnose infections.

Diagnostics

Food poisoning usually does not require imaging.

Possible tests include:

  • Physical examination
  • Stool testing
  • Blood testing
  • Urine testing
  • Imaging studies such as CT scan only if another abdominal condition is suspected
  • Endoscopy or colonoscopy only in selected cases

Testing is directed toward identifying the cause or excluding other illnesses such as appendicitis, gallbladder disease, inflammatory bowel disease, or bowel obstruction.

Treatment & Management

Treatment Options

Treatment depends on the cause and severity.

Treatment may include:

  • Oral rehydration
  • Intravenous fluids
  • Electrolyte replacement
  • Temporary dietary changes
  • Anti-nausea medication
  • Fever control
  • Antibiotics for selected bacterial infections
  • Antiparasitic medication when indicated
  • Hospitalization for severe dehydration or complications

Most viral food poisoning does not require antibiotics.

Treatment focuses on preventing dehydration while the illness resolves.

Learn More

Treating Food Poisoning – CDC
https://www.cdc.gov/food-safety/treatment/index.html

Provides recommendations for hydration, home care, and medical treatment.

Lifestyle Changes

Helpful habits include:

  • Wash hands thoroughly.
  • Drink plenty of fluids.
  • Eat small meals.
  • Gradually resume normal foods.
  • Stay home while ill.
  • Clean contaminated surfaces.
  • Wash fruits and vegetables.
  • Separate raw meats from ready-to-eat foods.
  • Refrigerate leftovers promptly.
  • Cook foods to recommended temperatures.
  • Avoid preparing food for others while sick.

Medications

Medication depends on the cause.

Possible medications include:

  • Oral Rehydration Solutions: Replace fluids and electrolytes.
  • Acetaminophen: May help reduce fever and body aches.
  • Ondansetron: May reduce nausea and vomiting.
  • Loperamide: May reduce diarrhea in selected adults but should not be used in everyone.
  • Bismuth Subsalicylate: May help relieve diarrhea and upset stomach.
  • Antibiotics: Used only for selected bacterial infections.
  • Antiparasitic Medications: Used for certain parasitic infections.

Do not start antibiotics without medical advice. Some infections, such as Shiga toxin-producing E. coli, may become more dangerous if antibiotics are used.

Learn More

Food Poisoning Medicines – NIH MedlinePlus
https://medlineplus.gov/foodborneillness.html

Provides information about treatment and medication considerations.

Procedures

Most cases require no procedures.

Hospital care may include:

  • Intravenous fluids
  • Electrolyte replacement
  • Blood cultures
  • Stool testing
  • Cardiac monitoring if severe dehydration occurs
  • Intensive care for life-threatening complications

What Should You Expect Long-Term?

Most people recover completely within several days.

Recovery depends on:

  • The organism involved
  • Hydration status
  • Overall health
  • Age
  • Immune system function

Some infections can lead to complications such as:

  • Reactive arthritis
  • Irritable bowel syndrome
  • Kidney failure (hemolytic uremic syndrome)
  • Bloodstream infection
  • Guillain-Barré syndrome after certain infections

Most complications are uncommon.

What Can You Do At Home?

For mild illness:

  • Drink frequent small amounts of fluid.
  • Use oral rehydration solution if needed.
  • Eat bland foods as tolerated.
  • Rest.
  • Avoid alcohol.
  • Avoid greasy foods.
  • Avoid spicy foods.
  • Avoid dairy products temporarily if they worsen symptoms.
  • Wash your hands often.
  • Stay home until vomiting and diarrhea have stopped.

Good choices as appetite returns include:

  • Bananas
  • Rice
  • Applesauce
  • Toast
  • Crackers
  • Plain potatoes
  • Broth
  • Oatmeal

Seek medical care if symptoms worsen or dehydration develops.

Frequently Asked Questions

Is food poisoning contagious?

Some causes, such as norovirus, can spread from person to person, while others spread mainly through contaminated food.

How long does food poisoning last?

Many cases improve within 24–72 hours, although some infections last longer depending on the cause.

Should I take antibiotics?

Not usually. Antibiotics help only certain bacterial infections and may worsen some types of food poisoning.

Should I stop eating?

No. Continue drinking fluids and begin eating bland foods as tolerated.

Can I drink sports drinks?

Sports drinks may help replace some fluids, but oral rehydration solutions are usually better for significant diarrhea because they contain a more appropriate balance of electrolytes.

Can I go to work?

Avoid work, especially food preparation or healthcare duties, until vomiting has stopped and diarrhea has resolved according to your healthcare provider’s advice or workplace policies.

Can food poisoning cause bloody diarrhea?

Yes. Bloody diarrhea can occur with certain bacterial infections and requires prompt medical evaluation.

Can food poisoning become dangerous?

Yes. Severe dehydration, bloodstream infection, kidney injury, and certain toxins can become life-threatening if not treated promptly.

Questions To Ask Your Provider

Consider asking:

  • Do I need stool testing?
  • Am I dehydrated?
  • Should I use oral rehydration solution?
  • Do I need antibiotics?
  • Should I avoid anti-diarrheal medication?
  • When can I return to work?
  • Could this be norovirus or Salmonella?
  • When should I seek emergency care?
  • Should my family members be concerned?
  • How can I prevent this from happening again?

Specialist Referrals

You may be referred to:

  • Primary Care Provider: Evaluates and treats most cases.
  • Emergency Medicine Physician: Treats severe dehydration or serious illness.
  • Infectious Disease Specialist: Manages complicated or unusual infections.
  • Gastroenterologist: Evaluates prolonged diarrhea or complications.
  • Nephrologist: Treats kidney complications when necessary.
  • Public Health Department: May investigate outbreaks.

Is Food Poisoning Curable?

Yes. Most food poisoning resolves completely without long-term problems.

Some bacterial, parasitic, or toxin-related illnesses require specific treatment. Prompt hydration greatly improves recovery and reduces complications.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you have:

  • Difficulty breathing
  • Loss of consciousness
  • Severe confusion
  • Seizures
  • Signs of severe allergic reaction
  • Inability to stay awake

Seek urgent medical evaluation for:

  • Bloody diarrhea
  • High fever
  • Severe abdominal pain
  • Persistent vomiting
  • Inability to keep fluids down
  • Signs of dehydration
  • Little or no urination
  • Dizziness or fainting
  • Symptoms lasting longer than several days
  • Pregnancy with significant vomiting or diarrhea
  • Symptoms in infants or older adults
  • Weak immune system
  • Muscle weakness or vision changes after eating home-canned foods

Botulism can cause blurred vision, drooping eyelids, difficulty swallowing, slurred speech, and muscle weakness. These symptoms require immediate emergency care.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Food Poisoning – Centers for Disease Control and Prevention
https://www.cdc.gov/food-safety/about/food-poisoning.html

General information about foodborne illness, symptoms, causes, treatment, and prevention.

Food Safety – CDC
https://www.cdc.gov/food-safety/prevention/index.html

Provides food handling and storage recommendations to reduce the risk of illness.

Food Poisoning – NIH MedlinePlus
https://medlineplus.gov/foodborneillness.html

Patient-friendly information about food poisoning, diagnosis, treatment, and prevention.

Food Safety – U.S. Food & Drug Administration
https://www.fda.gov/food

Provides food safety education, recalls, and safe food handling information.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Food poisoning may be caused by bacteria, viruses, parasites, toxins, or chemicals, and some illnesses require specific testing or treatment. Do not take antibiotics unless prescribed by a healthcare professional, as they are not helpful for most viral illnesses and may worsen certain bacterial infections. Seek prompt medical care for bloody diarrhea, persistent vomiting, severe dehydration, high fever, severe abdominal pain, or symptoms lasting longer than expected. Call 911 immediately for difficulty breathing, loss of consciousness, seizures, severe allergic reactions, or symptoms of botulism such as blurred vision, difficulty swallowing, slurred speech, or progressive muscle weakness.

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