How to treat enteritis diarrhea?

Written by Wang Zhen Quan
Colorectal Surgery Department
Updated on September 24, 2024
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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 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.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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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.

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Written by Hu Qi Feng
Pediatrics
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What to do about enteritis in a one-year-old baby

Most cases of enteritis are due to viral infections. The principles of treatment primarily involve diet adjustment, prevention and correction of dehydration, rational use of medication and enhanced nursing care, and preventing complications such as dehydration. Treatment of diarrhea varies with different stages; during the acute phase, it is important to maintain a balance of water and electrolytes, while prolonged and chronic diarrhea requires attention to intestinal flora imbalance and dietary adjustments. A minority of diarrhea cases are caused by bacterial infections, and if there is clear evidence of bacterial infection, appropriate antimicrobial drugs should be used.

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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 Jiang Guo Ming
Gastroenterology
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How many days can acute enteritis be cured?

Acute gastroenteritis is primarily characterized by symptoms such as abdominal pain, diarrhea, and vomiting, and sometimes accompanied by fever. It is mainly caused by exposure to cold or unhygienic food consumption. Gastroenteritis caused by exposure to cold, also known as a "stomach cold," generally follows a natural course of about a week and can be fully cured with symptomatic treatment. Infectious diarrhea caused by bacterial infections should be comprehensively assessed based on specific symptoms and the severity of the disease. For general cases of enteritis, recovery can usually occur within a day or two, or two to three days after administering antibiotics orally or intravenously. Bacterial dysentery, however, typically presents with more severe symptoms and requires a longer treatment period, generally needing at least a week or even longer. (The use of medications should be under the guidance of a professional doctor.)