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Wang Zhen Quan
Colorectal Surgery Department
About me
As the academic successor in colorectal specialty, he is the deputy director of the Colorectal and Anal Disease Professional Committee of Hunan Association of Integrated Traditional Chinese and Western Medicine. He serves as an editorial board member of the "Chinese Journal of Modern Clinical Medicine" and a director of the Colorectal Professional Committee of the World Federation of Chinese Medicine Societies. He has been engaged in clinical work in colorectal surgery for nearly twenty years. He is the first person in the field of colorectal medicine in Hunan Province to obtain a doctoral degree. He has presided over 2 research projects funded by the Natural Science Foundation of Hunan Province, 1 research project funded by the Science and Technology Department of Hunan Province, and 1 other research project. He has published over twenty academic papers and works. Specializes in surgical treatment of colorectal diseases, traditional Chinese medicine debates, difficult and complex case diagnoses and treatments.
Proficient in diseases
Surgical treatment of anorectal diseases, debate and treatment of traditional Chinese medicine, diagnosis and treatment of difficult and miscellaneous diseases.
Voices
How long does it take for enteritis to recover?
Some patients may ask how long it will take for their enteritis to heal. Actually, the recovery time varies depending on each patient's physical condition and the severity of the disease. For some, recovery may take only a few days, while for others it may take several years, and some may even need to take medication for life. Conditions such as Crohn's disease and ulcerative colitis, which are types of inflammatory bowel disease, require long-term medication for several years or more. Of course, routine care is also quite important for the recovery from enteritis. Patients should be cautious with their diet, avoiding spicy, irritating, cold, and spoiled foods, among others. Additionally, regular physical exercise is very important for patients. By enhancing their own immunity and other aspects, they can strengthen their resistance to diseases and thus promote recovery; this plays a significant role in the recovery time from the disease.
What is colitis?
People often ask, what is colitis? Actually, colitis is a rather broad and vague diagnosis. Depending on the location of occurrence, it can be divided into proctitis, colitis, enteritis, etc. Based on the severity of the condition, it can be categorized into acute enteritis and chronic enteritis. Depending on the cause of the disease, it can be divided into non-specific enteritis, such as ulcerative colitis, Crohn's disease, and specific types of enteritis like radiation enteritis, among others.
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.
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.
What department should I go to for enteritis?
Many friends with poor gastrointestinal health feel confused when seeking medical treatment. When registering, we are not sure which department to visit. We describe enteritis as an inflammatory disease, primarily including specific inflammations or non-specific ones caused by bacteria, viruses, fungi, parasites, etc., such as ulcerative colitis, Crohn's disease, and others. There are also localized types of enteritis, which can be divided into acute and chronic based on the duration of the illness. For example, acute enteritis can cause symptoms like nausea, vomiting, and diarrhea, while chronic can mainly manifest as constipation and other symptoms, with some patients also experiencing fever and a sense of urgency followed by straining. Therefore, the treatment methods for enteritis vary. During medical consultations, it is generally recommended for patients to visit the department of gastroenterology as it falls under the category of gastrointestinal diseases. Of course, the proctology department is also an option, and a portion of the cases can be correctly diagnosed and treated in proctology.
What foods are good for colitis?
So, what kind of food is better for patients with colitis? First, we recommend high-protein, high-calorie foods, because colitis generally has a process of prolonged illness and long duration, which affects the digestion and absorption of food and causes substantial energy depletion in the body. Therefore, we recommend adopting a diet rich in protein and calories to meet our bodily needs. However, we must also note that if the amount of diet exceeds the intestinal tolerance of the patient, it may actually worsen the condition. Therefore, it is necessary to flexibly manage according to the specific conditions and symptoms of the patient, gradually increasing the supply of protein and calories is advisable. Additionally, we recommend high-vitamin foods. A diet low in residue often lacks vitamins, which can be supplemented with filtered vegetable soups and juices, such as tomato juice, to provide the necessary vitamins. On the other hand, we need to ensure adequate hydration. Normally, each person needs about 1200 to 1600 mL of water per day. If there is excessive water loss due to diarrhea, fluid therapy should also be supplemented. During acute flare-ups, we should eat a residue-free or semi-liquid diet, such as eggs, fish (except for those allergic), soy milk, tofu pudding, and other low-residue foods, along with noodles and sliced noodles, and it is appropriate to eat small meals frequently.
What should I do about acute enteritis?
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.
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.
Symptoms of proctitis
So, what are the common clinical symptoms of proctitis? Since the rectum is close to the anus, the symptoms are primarily manifested as diarrhea, abdominal pain, and bloating. Some patients experience alternating constipation and diarrhea. Generally, there is often mucus or blood in the stool, and there is usually a burning sensation in the anus during bowel movements. Additionally, due to the irritation from rectal secretions, eczema and itching around the anus can occur. Diagnosing proctitis is relatively easier compared to diagnosing pancolitis. Diagnosis is usually made through sigmoidoscopy or colonoscopy, and sometimes biopsies are needed for confirmation.
What should you not eat with colitis?
So what foods should we avoid for patients with colitis? First of all, we should try not to eat milk and seafood, because milk and seafood are types of foreign proteins to the human body, which could potentially become allergens. Because colitis patients are likely to experience colonic allergies after consumption, resulting in worsened diarrhea, so it is advisable to avoid these foods as much as possible. Secondly, we should minimize the consumption of high-fat foods, because patients with colitis have poor digestive functions, particularly weak in digesting fats. Incompletely digested high-fat foods can cause "slippery gut" leading to diarrhea. Over time, the accumulation of fats can also induce complications such as fatty liver, etc. Therefore, foods high in fats such as lard, cream, walnuts, peanuts, almonds, etc., should be avoided or eaten sparingly. Third, it is important to eat less gas-producing food: because colonic inflammation in colitis, due to chronic and recurrent episodes, causes alternation of ulcers and scar fibrosis in the colonic mucosa, which reduces the elasticity of the colonic inner wall. Consuming more gas-producing foods, such as sweet potatoes and soybeans, may cause acute intestinal dilation due to the filling of gas in the intestines, or even lead to complications such as ulcer perforation. Fourth, eat fewer vegetables containing coarse fiber: the fiber in vegetables can absorb intestinal water and have a laxative effect, which might aggravate diarrhea. Therefore, foods high in coarse fiber like celery, crown daisy, cabbage, spinach, etc., should be consumed in limited quantities.