What to do with infant enteritis?

Written by Li Jiao Yan
Neonatology
Updated on September 12, 2024
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When an infant has enteritis and frequently diarrhea, it is essential to treat this condition. First, you should administer appropriate anti-inflammatory medication. Additionally, medications that stop diarrhea and regulate intestinal flora are needed. If the infant has numerous bouts of diarrhea, followed by reduced urine output or cries without tears, it indicates dehydration. In such cases, it's important to replenish fluids, possibly through oral rehydration salts. If the infant shows significant restlessness or cries without any tears at all, or if there is a noticeable decrease in urine output, fluid replenishment therapy is necessary.

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How to completely cure enteritis?

How can colitis be completely cured? The colitis referred to here is likely chronic colitis. Chronic colitis primarily manifests as diarrhea, abdominal pain, and sometimes mucus in the stool. Colonoscopy can reveal white mucus on the colon and visible mucosal hyperemia, edema, and even erosion. In terms of treatment, Western medicine mainly offers probiotics to regulate the intestinal flora. However, Chinese medicine tends to have an advantage over Western medicine in treating this condition because it uses a method of treatment based on syndrome differentiation to achieve better results. Additionally, external treatments in Chinese medicine, including enemas and hydrotherapy, can be very effective. Diet is also crucial; it is important to consume a light, digestible diet, and avoid overly rich and fatty foods. With consistent treatment, the disease can generally be completely cured.

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How to treat enteritis diarrhea?

Patients with enteritis who experience diarrhea should generally use drugs that reduce intestinal motility and secretions. For instance, small doses of drugs like atropine and probenecidine can be used to ease intestinal movement, achieving pain relief and stopping diarrhea. Chlorpromazine can also be used, which has a sedative effect, and can inhibit the excessive secretion of intestinal mucosa caused by intestinal toxins, thus reducing the frequency and volume of stool. Naturally, these medications should be used under the correct guidance of a doctor and should not be purchased and used without prescription. Moreover, during diarrhea, it is important to pay attention to nutritional replenishment and to appropriately reduce dietary fiber for easier digestion. It may be beneficial to include liquid diets rich in micronutrients such as folic acid, iron, calcium, magnesium, and zinc. Avoid milk and dairy products as well. Severe cases require immediate medical attention. Typically, food should be withheld during the first few days of the illness, and nutrients can be supplemented intravenously to give the intestines a temporary rest.

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Written by Si Li Li
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What are the symptoms of enteritis?

Enteritis is divided into acute enteritis and chronic enteritis. The main symptoms of acute enteritis include abdominal pain, diarrhea, fever, etc., and blood tests may show an increase in white blood cells and neutrophils. The treatment mainly focuses on anti-inflammatory drugs, hydration, and antidiarrheal therapies. Generally, recovery can be achieved within a week. The main symptoms of chronic enteritis include abdominal pain, diarrhea, or constipation. Colonoscopy can reveal changes in the intestinal mucosa such as hyperemia, edema, erosion, and mucus attachment, which can diagnose chronic enteritis. In terms of treatment, Western medicine primarily involves the oral administration of probiotics to adjust the gut microbiota. It can also be combined with traditional Chinese medicine based on syndrome differentiation. Integrating Chinese and Western medicine can enhance treatment effectiveness. Additionally, the diet should primarily consist of light and easily digestible foods.

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What to do if enteritis causes a fever?

Some patients with enteritis will develop fever as a complication. In treating the complication of fever in enteritis, we should actively treat it based on the cause of enteritis and manage the fever symptomatically. To reduce fever in enteritis, we can first use physical cooling methods, such as turning on the air conditioning, lowering the room temperature, or wearing less clothing. It is important to protect the abdomen from getting cold during this time. When the fever is severe, it is advisable to replenish with saline solutions, etc., to improve dehydration and balance electrolyte disturbances. It is also important to seek medical attention in a timely manner and to undergo treatment under the guidance of a doctor. For individuals who are suitable for antibiotic treatment, antibiotics should be administered based on the specific needs of the condition, and the treatment should include fever reduction, heat clearing, and anti-inflammatory measures according to the specific clinical situation.

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Symptoms of newborn enteritis

Neonatal enteritis can present with diarrhea and bloody stools, initially as watery stools, and in severe cases, may appear as bloody stools, resembling fresh blood, jam-like consistency, and black feces. The affected infants often exhibit vomiting, with the vomitus appearing coffee-colored or containing bile. Neonatal enteritis can also present with abdominal distension, or reduced bowel sounds, initially characterized by delayed gastric emptying and gastric retention, followed by abdominal bloating. In severe cases, the abdomen may become drum-like with diminished or even absent bowel sounds. Enteritis may also be accompanied by systemic symptoms, often presenting as poor responsiveness, lethargy, refusal to eat, and in severe cases, pale or grayish complexion, cold limbs, shock, acidosis, and worsening jaundice.