What are the symptoms of enteritis?

Written by Si Li Li
Gastroenterology
Updated on January 20, 2025
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Enteritis is divided into acute enteritis and chronic enteritis. Acute enteritis is mainly caused by bacterial invasion of the gastrointestinal tract due to unhygienic food, leading to acute inflammation. The main symptoms include abdominal pain, diarrhea, fever, etc. If it is chronic enteritis, the main symptoms are only abdominal pain and diarrhea, with white mucus visible in the stool. Acute enteritis has a short course and a sudden onset. Chronic enteritis has a long history, a gradual onset, and recurrent attacks. The treatment of acute enteritis mainly involves anti-inflammatory measures, rehydration, and symptomatic treatment. Generally, the disease can be cured after two to three days of treatment. Treatment for chronic colitis primarily involves oral probiotics to regulate the intestinal flora. The treatment period is relatively long and the condition is prone to recurrence.

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How is enteritis treated?

Gastroenteritis can generally be divided into viral gastroenteritis and bacterial gastroenteritis. In terms of treatment, the first is pathogen treatment, and the second is symptomatic treatment. For pathogen treatment, it is best to choose antibacterial drugs based on the type of bacteria for bacterial gastroenteritis; however, viral gastroenteritis generally does not require pathogen treatment, and most patients can recover on their own. For symptomatic treatment, since gastroenteritis may cause symptoms such as dehydration and vomiting, it is necessary to timely provide fluid replenishment to the patients to prevent mild dehydration.

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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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How to treat enteritis in children

How to treat enteritis in children? First, it is necessary to assess whether the enteritis is caused by a virus or a bacterial infection. If it is simply viral enteritis, the first step generally involves rehydration, which can be provided through oral rehydration salts to replenish fluids and electrolytes. Additionally, probiotics such as Bifidobacterium or Lactobacillus acidophilus can be given to regulate the intestinal flora, and smectite can be used to protect the gastrointestinal mucosa. If it is viral diarrhea, antiviral medications can also be added to the treatment. If the diarrhea is considered to be caused by a bacterial infection in the intestines, some antibiotics can be administered orally, including cephalosporins or penicillin antibiotics. If the infection is severe, intravenous therapy may be necessary.

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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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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.