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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What to eat for enteritis?

For patients with enteritis, it is good to eat foods that help improve nutritional status and the intestinal environment. Generally, a high-protein, high-calorie diet is recommended. Additionally, foods rich in vitamins, minerals, and trace elements should be provided, especially those containing vitamin C, vitamin B, and rich in iron, to replenish energy. The food should be easy to digest, soft in texture, low in residue, and non-irritating. Low-residue foods can reduce intestinal motility, alleviating diarrhea, and include foods like eggs, fine noodles, and soft rice porridge. For staple foods and legumes: our main foods generally consist of refined grains such as rice porridge and noodles, avoiding coarse grains and appropriately including soy products like soy milk and tofu. For choices of meat, eggs, and dairy: lean meats, chicken, fish, etc., are generally recommended. For vegetables and fruits: vegetables, fruit juices should be chosen, and it is advisable to avoid foods high in fiber.

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Written by Si Li Li
Gastroenterology
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What foods should I eat to regulate enteritis?

When dealing with colitis, dietary considerations are crucial. Smoking and alcohol consumption should be avoided, as well as fatty, rich, spicy, stimulating, fried, grilled, and raw cold foods. The diet should primarily consist of light and easily digestible foods. Suitable options include porridge, such as yam porridge, barley porridge, and millet porridge, as well as soups like chicken soup and pork rib soup, and even noodles. Additionally, when consuming meat, ensure it is thoroughly stewed before eating. Increased physical activity is also recommended, as it can promote gastrointestinal motility and potentially improve digestive functions. Avoid staying up late and excessive physical strain to maintain a relaxed mood and avoid excessive anxiety and depression.

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Written by Ren Zheng Xin
Gastroenterology
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What are the symptoms of enteritis?

Enteritis is mostly caused by bacterial or viral infections, with typical symptoms being abdominal pain and diarrhea. The bacterial or viral infection causes congestion and edema of the mucous membrane in the intestines, leading to a reduced function in digesting and absorbing food. If the bacteria or virus is particularly virulent, it can damage the intestinal mucosa and cause bloody stools. Enteritis is a common characteristic of many diseases, such as Crohn's disease, ulcerative colitis, and infectious diarrhea. Clinically, the treatment mainly involves the use of antibiotics and medications to stabilize the intestines and stop diarrhea. Prolonged diarrhea can lead to dehydration, which requires timely rehydration. (Medication should be used under the guidance of a doctor.)

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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 Wang Zhen Quan
Colorectal Surgery Department
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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.