What should I do about acute enteritis?

Written by Wang Zhen Quan
Colorectal Surgery Department
Updated on September 13, 2024
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What should be done if one suffers from acute gastroenteritis? In general treatment, the first step is to eliminate the cause, discarding some unclean food that led to the illness; Secondly, rest appropriately according to the condition, with bed rest for severe cases; Thirdly, patients with severe vomiting and diarrhea should temporarily fast, and gradually introduce some light, easy-to-digest foods as the condition improves; Fourthly, it is advocated to use oral rehydration and salt supplementation to replenish the body fluids lost due to vomiting and diarrhea. Fifthly, keep the abdomen moderately warm; record the frequency and characteristics of the stool; accurately record the amount of urine, paying attention to these aspects. In terms of medication treatment: This includes controlling intra- and extra-intestinal infections and medications that protect the gastric mucosa, as well as treatments involving microecological preparations. The third aspect is to correct dehydration and electrolyte imbalance: during the initial stages of diarrhea, at home, one can use some rice soup, or add a bit of sugar and salt, alternating with plain water and sugar to prevent dehydration. For mild or moderate dehydration, if the patient does not have vomiting or abdominal distension, oral rehydration solutions may be sufficient. In cases of severe dehydration or when the overall condition is poor, indicating potassium, sodium, chloride electrolyte imbalances, and acidosis, intravenous fluid therapy in a hospital is necessary. It is also important to note that both oral rehydration solutions and oral medications should be used correctly under the guidance of a doctor, and should not be taken without professional advice.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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Symptoms of acute enteritis

What are the symptoms of acute enteritis? The symptoms of acute enteritis can manifest in terms of gastrointestinal symptoms and systemic symptoms. The most common symptom in the gastrointestinal tract is diarrhea, which is the main symptom, varying in intensity, typically occurring several times a day or even more than 10 times. The stools are often yellowish watery diarrhea and may include mucous or bloody stools. In severe cases, it can also contain pus and blood. The second symptom is abdominal pain: The location of the abdominal pain is usually around the navel, and if the colon is affected, there can be pain on both sides of the abdomen. Abdominal pain can also be categorized as mild, moderate, or severe. Severe pain is generally caused by intestinal spasms, often accompanied by different degrees of abdominal tenderness. Other gastrointestinal symptoms include vomiting, nausea, or discomfort in the upper abdomen. Systemic symptoms: Generally, the body temperature of patients with enteritis is normal; however, if caused by an invasive pathogen or virus, there can be moderate fever. If high fever occurs, it should be distinguished from other diseases. Additionally, acute enteritis can also accompany symptoms like dizziness, headache, and weakness in limbs, among other signs of systemic infection. Frequent vomiting or severe diarrhea can lead to dehydration, electrolyte imbalances, disruption of acid-base balance, and in severe cases, a drop in blood pressure or even shock.

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Written by Li Ying
Gastroenterology
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Is enteritis prone to recurrence?

Enteritis is primarily a disease of the intestines, with a higher incidence in autumn and summer, predominantly manifesting as acute enteritis during these times. The incubation period ranges from 12 to 36 hours, and the main symptoms may cause the patient to experience diarrhea, nausea, and vomiting. There is also chronic enteritis, which occurs more slowly and causes repeated episodes of abdominal pain over a long period, including diarrhea and various degrees of indigestion. Changes can also be observed in the stool, which may be watery or mucus-laden. Patients with mild diarrhea might defecate three to four times a day. There might be alternating episodes of constipation and diarrhea. In severe cases, patients might experience bowel movements once every one to two hours, or even suffer from severe fecal incontinence. Sometimes, the stool might contain a large amount of mucus and possibly pus and blood, or even fresh blood, which necessitates ruling out other diseases. If enteritis is well-managed, it can be a long time before a recurrence, but if the treatment is not thoroughly standardized, enteritis is likely to recur.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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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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Written by Li Ying
Gastroenterology
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What can you eat with enteritis?

Patients with enteritis primarily suffer from viral and bacterial infections, which can cause an imbalance in the intestinal flora, among other issues. Therefore, it is crucial for those with enteritis to pay attention to their diet during recovery. This includes avoiding spicy and irritating foods such as coffee, strong tea, and chili peppers, as these can exacerbate symptoms. Additionally, patients should avoid overeating and instead aim for a regular eating schedule, making adjustments based on their specific recovery progress. It is also important to focus on rest and sleep, avoid stress and excessive pressure, as these factors can potentially worsen the symptoms of enteritis.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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Symptoms of enteritis

So, what are the typical clinical symptoms of proctitis? Since the rectum is close to the anus, the symptoms mainly include diarrhea, abdominal pain, and bloating. Some patients experience alternating constipation and diarrhea. Generally, stools may contain mucus or blood, and there is often a burning sensation in the anus during bowel movements. Additionally, the irritation from rectal secretions can lead to eczema and itching around the anus. Diagnosing proctitis is relatively easier compared to pan-colitis. Diagnosis is usually made through proctoscopy or sigmoidoscopy, and sometimes confirmatory diagnosis requires these biopsies.