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E. coli Infections
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Infections

E. coli Infections

While most E. coli bacteria are harmless, certain strains can cause severe illness, including bloody diarrhea and kidney failure.

Overview

E. coli is a type of bacteria that lives in your intestines. Most types are harmless, but some can make you sick and cause diarrhea. One type causes travelers' diarrhea, while the most severe type can cause bloody diarrhea, kidney failure, and even death. These problems are most likely to occur in children and adults with weak immune systems.

Symptoms

You can get E. coli infections by eating foods containing the bacteria or by swallowing water in a swimming pool contaminated with human waste. Symptoms of infection include:

  • Nausea or vomiting
  • Severe abdominal cramps
  • Watery or very bloody diarrhea
  • Fatigue
  • Fever

Prevention & Management

To help avoid food poisoning and prevent infection, handle food safely:

  • Cook meat well.
  • Wash fruits and vegetables before eating or cooking them.
  • Avoid unpasteurized milk and juices.

Most cases of E. coli infection get better without treatment in 5 to 10 days.

Frequently Asked Questions

Most uncomplicated E. coli infections resolve within 5 to 10 days. If symptoms worsen after a few days, or if you develop high fever, persistent vomiting, bloody diarrhea, signs of dehydration (dry mouth, dizziness, reduced urine output), or if you notice blood in the stool, seek medical attention promptly. Severe cases may require hospitalization for fluids and monitoring. What foods or drinks should I avoid to lower my risk of getting an E. coli infection?::Steer clear of undercooked ground meats, especially beef, and raw or unpasteurized dairy products. Wash all fruits and vegetables thoroughly, and consider peeling produce that can be contaminated on the surface. Avoid drinking untreated water from streams, lakes, or unfiltered sources, and be cautious with ice made from potentially contaminated water. What warning signs indicate that an E. coli infection could progress to hemolytic uremic syndrome (HUS) or kidney failure?::Watch for a sudden drop in urine output, dark or cola‑colored urine, swelling in the legs or around the eyes, severe abdominal pain, or persistent vomiting. These symptoms may signal HUS, a serious complication that can damage the kidneys. If any of these occur, seek emergency care immediately. Should I take antibiotics for E. coli diarrhea, or is it better to avoid them?::In most cases, antibiotics are not recommended because they can increase the risk of HUS. Treatment usually focuses on staying hydrated and managing symptoms. However, if a clinician determines that the infection is caused by a strain that responds to antibiotics or if the patient is severely ill, a doctor may prescribe them. Always follow a healthcare provider’s guidance.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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