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 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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Will enteritis cause stomach pain?

Patients with enteritis mostly experience symptoms of abdominal pain, mostly manifesting as mild to moderate abdominal pain. Spasmodic pain in the lower left abdomen or lower abdomen is more common, and sometimes it can involve the entire abdomen. Some patients also have these symptoms where urgency and severe straining follow a bowel movement, and abdominal pain relieves after defecation. In cases with milder conditions, the pain is only a discomfort in the abdomen or mild obscure pain. Moderate cases may have mild tenderness in the lower left abdomen, and sometimes doctors can also feel a spasming colon. In severe cases, such as those complicated by toxic megacolon or when inflammation spreads to the peritoneum, there can be persistent severe abdominal pain.

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Written by Si Li Li
Gastroenterology
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What to do with enteritis nausea?

When the illness duration is short, acute gastroenteritis should be considered. The main cause of acute gastroenteritis is unsanitary eating habits leading to bacterial infection in the gastrointestinal tract, which causes acute inflammation. Its primary symptoms include nausea, vomiting, abdominal pain, diarrhea, fever, etc. This disease can be definitively diagnosed with a routine blood test at the hospital, where an increase in white blood cells and neutrophils can be observed. What should be done? The treatment involves anti-inflammatory measures, rehydration, and some symptomatic treatments. Generally, recovery can occur within two to three days. During treatment, it is crucial to maintain a light diet that is easy to digest, such as consuming porridge or soup, and avoid greasy, rich foods. Additionally, it is important to pay attention to dietary hygiene in the future.

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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 Hu Qi Feng
Pediatrics
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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.