Than to treat an inflammation of an intestine at the adult

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Enterocolitis

Enterocolitis is a disease that is characterized by inflammation of the mucous membrane of the small and large intestine, manifested by abdominal pain, digestive disorders and dyspepsia. They can be diagnosed based on the data obtained during laboratory and instrumental examination of the patient. Treatment of this condition implies strict adherence to diet, medical therapy, physiotherapy procedures.

Enterocolitis is inherently a syndrome of digestive disorders, which can be caused by both infectious inflammation of the intestine and non-infectious. It is divided into acute and chronic forms.

Acute enterocolitisoften goes in combination with gastritis and is called gastroenterocolitis. Perhaps the allergic nature of this disease, as well as because of overdose of medicines or poisoning with poisonous substances.

When an acute enterocolitis occurs, the inflammatory process does not penetrate the intestinal mucosa. Chronic enterocolitis is most often the result of a badly treated acute. The disea

se has a long course, exacerbations are replaced by remissions. In neglected cases, destructive lesions occur in the mucosa and submucosa of the intestine, which leads to digestive disorders and to severe impairment of bowel functions.

Among the reasons for the development of enterocolitis, the following etiological factors are distinguished. Infectious, which in turn are divided into specific and non-specific, and non-infectious, which include:

  • Parasitic (presence of parasites in the intestine);
  • Toxic (under the influence of poisonous substances);
  • Alimentary (with an incorrect diet);
  • Mechanical (develop with prolonged constipation);
  • Secondary (the effects of various diseases of the digestive system).

Clinic

Acute enterocolitis begins suddenly, its symptoms are expressed. There is rumbling in the abdomen, swelling, dyspeptic phenomena are noted. The tongue is covered with white coating, the abdomen is painful on palpation. Most often there is diarrhea. If the nature is bacterial, then there may be mucus and blood in the feces. Also, the patient is feverish, there is an intoxication syndrome. Chronic enterocolitis can be lethargic with unexpressed symptoms, or fulminant, in which all sorts of complications develop.

The most frequent symptoms of exacerbation of chronic enterocolitis are:

  • Pain in the navel, which occurs more often in the afternoon. If the process is localized in the small intestine, the pain is likely to be unexpressed. Inflammation of the large intestine will give intense pain.
  • Stool disorders - diarrhea, constipation, their alternation.
  • Bloating, as a result of increased gas formation.
  • Dyspeptic phenomena.
  • Asthenic-vegetative syndrome. Often occurs with a prolonged course of chronic inflammation of the intestine (manifested weakness, lethargy, attention deficit, increased fatigue).
  • Losing weight. Often in patients with lesions of the small intestine. In patients with colitis, weight loss is associated with fear of eating, since pain can often occur after a meal.

Diagnostics

  • Diagnosis of acute enterocolitis is not difficult, because the diagnosis is established due to anamnesis, characteristic symptoms and data of the coprogram. Sometimes they perform sigmoidoscopy.
  • Chronic enterocolitis can be established, based on the history, physical data, as well as on laboratory and instrumental examination. The most informative way is a colonoscopy that allows you to determine the lesion of the mucosa, you can take a biopsy.
  • X-ray of the intestine allows to determine narrowing of the intestinal lumen, the presence of neoplasms and other defects.
  • In laboratory tests, anemia, metabolic disorders of proteins and fats are determined, the balance of microelements is disturbed. In the stool, mucus, white blood cells, and blood are found.
  • Differentiate chronic enterocolitis with dysentery or various enzymopathies.

Treatment of enterocolitis in adults

First of all, patients are prescribed water-tea diet, if necessary, gastric lavage is carried out. With large fluid losses (diarrhea and vomiting), fluid balance control and rehydration therapy are performed. To the food should be added rice decoction and porridge on the water. Pain is stopped by spasmolytic drugs, and infusion therapy is performed to detoxify. In the case of infectious nature, the appointment of antibacterial and sulfanilamide preparations is recommended. To reduce the risk of dysbiosis, drugs are prescribed to normalize the flora of the intestine.

For the treatment of chronic enterocolitisIt is necessary to exclude the etiological factors that cause disruption of the intestine. They include:

  • Rationalization of diet;
  • Abolition of drugs that disrupt intestinal function;
  • Treatment of infections and diseases of the digestive system.

After eliminating the cause of enterocolitis, it is necessary to treat digestive and motor disorders, and to administer dysbacteriosis. Patients are shown strict adherence to the diet. When expressed phenomena of dyspepsia is limited to eating foods that can cause various intestinal disorders. Prohibited sour-milk products, carbohydrates, reduced intake of complex proteins and fiber.

If the process is localized in the small intestine, then on the contrary, it is worth recommending protein foods, dairy products, while eliminating irritating intestines with spicy, sour, fried foods.

Drug treatment of enterocolitis in adults and children

  • Antibiotics for fighting a specific inflammatory process;
  • Enzymatic preparations in order to normalize the process of digesting food;
  • Preparations for the control of dysbacteriosis (probiotics, prebiotics);
  • Means for the normalization of intestinal motility.

Microclysters with medicinal herbs are applied locally.Oak bark, St. John's wort, bird cherry is used for diarrhea, and for constipation, sea buckthorn oil. With the development of flatulence, you can appoint a decoction of chamomile. To treat erosion or bleeding, you can use vinyllin. In the event that the disease has affected the psychological state, treatment is prescribed for the therapist.

Consultation of the physiotherapist is shownfor the appointment of physiotherapy procedures, such as reflexotherapy, magnetotherapy, since they contribute to the cleaning of the intestine.

Applied and spa treatmentduring periods of remission in balneological resorts, which also gives quite a good result.

During periods of exacerbation, physical activity is limited.During periods of remission, it is possible to engage in physiotherapy exercises, it is advisable to lead an active lifestyle, which helps improve the psychological status and normalization of all body functions. Recommended exercises for strengthening the muscles of the abdominal wall.

Preventive measures

Avoid risk factors, treat infections and parasitic infestations, and maintain a rational diet.

Forecast

If the diagnosis is established on time, then the disease completely regresses, and after about a month the intestine will fully restore its work. The course also depends on the etiological factor, rational nutrition and lifestyle.

Sources: http://medic.ymka.ru/jenterokolit-simptomy-lechenie.php



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