Signs and symptoms of norovirus infection include:
- Abdominal pain or cramps
- Watery or loose diarrhea
- Low-grade fever
- Muscle pain
Signs and symptoms usually begin 12 to 48 hours after first exposure to the virus and last one to three days. You may continue to shed virus in your feces for up to two weeks after recovery. Viral shedding may last several weeks to several months if you have an underlying health condition.
Some people with norovirus infection may show no signs or symptoms. However, they are still contagious and can spread the virus to others.
When to see a doctor
Seek medical attention if you develop diarrhea that doesn't go away within several days. Also call your doctor if you experience severe vomiting, bloody stools, abdominal pain or dehydration.
Noroviruses are highly contagious and are shed in the feces of infected humans and animals. Methods of transmission include:
- Eating contaminated food
- Drinking contaminated water
- Touching your hand to your mouth after your hand has been in contact with a contaminated surface or object
- Being in close contact with a person who has a norovirus infection
Noroviruses are difficult to wipe out because they can withstand hot and cold temperatures as well as most disinfectants.
Risk factors for becoming infected with norovirus include:
- Eating in a place where food is handled with unsanitary procedures
- Attending preschool or a child care center
- Living in close quarters, such as in nursing homes
- Staying in hotels, resorts, cruise ships or other destinations with many people in close quarters
- Having contact with someone who has norovirus infection
For most people, norovirus infection clears up within a few days and isn't life-threatening. But in some people — especially children and older adults with compromised immune systems in hospitals or nursing homes — norovirus infection can cause severe dehydration, malnutrition and even death.
Warning signs of dehydration include:
- Dry mouth and throat
- Decreased urine output
Children who are dehydrated may cry with few or no tears. They may also be unusually sleepy or fussy.
Jan. 31, 2017
- Matson DO, et al. Clinical manifestations and diagnosis of norovirus and related viruses. http://www.uptodate.com/home. Accessed Nov. 14, 2017.
- Blacklow NR. Epidemiology of viral gastroenteritis in adults. http://www.uptodate.com/home. Accessed Nov. 14, 2016.
- Longo DL, et al., eds. Viral gastroenteritis. In: Harrison's Principles of Internal Medicine. 19th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://accessmedicine.com. Accessed Nov. 14, 2016.
- AskMayoExpert. Norovirus. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Alexandraki I, et al. Acute viral gastroenteritis in adults. http://www.uptodate.com/home. Accessed Nov. 15, 2016.
- Norovirus: Technical fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/norovirus/index.html. Accessed Nov. 15, 2016.