How should colitis and chronic enteritis be treated?

Enteritis is a very common disease nowadays, and there are many causes of this disease. Generally, after a patient suffers from enteritis, he needs to pay special attention to his diet, especially spicy and greasy food. Patients with enteritis must not eat it, otherwise, the patient's disease will continue to worsen. So, what is the treatment for colitis and chronic enteritis?

1. Medical treatment

(1) Bed rest and systemic supportive treatment including fluid and electrolyte balance, especially potassium supplementation. Hypokalemia should be corrected. At the same time, attention should be paid to protein supplementation to improve the overall nutritional status. Total parenteral nutritional support should be given when necessary. Blood transfusions can be given for those with anemia. Milk and dairy products should be avoided as much as possible during gastrointestinal intake.

(2) Drug treatment ① Sulfasalazine salicylic acid preparations are the main treatment drugs, such as Edisal, Mesalazine, etc. ② Commonly used corticosteroids are prednisone or dexamethasone, but it is not currently believed that long-term hormone maintenance can prevent recurrence. During the acute attack period, hydrocortisone or dexamethasone can be used for intravenous drip, and hydrocortisone can be added to normal saline for retention enema every night. The value of hormone therapy during the acute attack period is certain, but there is still disagreement on whether hormones should be used continuously in the chronic stage. Because it has certain side effects, most people do not advocate long-term use.

2. Surgical treatment

20% to 30% of patients with severe chronic colitis eventually undergo surgery

(1) Indications for surgery Indications for emergency surgery include: ① massive, uncontrollable bleeding; ② toxic megacolon with adjacent or definite perforation, or toxic megacolon that is not responsive to treatment within hours rather than days; ③ fulminant acute chronic colitis that is not responsive to steroid hormone treatment, that is, no improvement after 4 to 5 days of treatment; ④ obstruction due to stenosis; ⑤ suspected or confirmed colon cancer; ⑥ recurrent exacerbations of refractory chronic colitis, chronic persistent symptoms, malnutrition, weakness, inability to work, inability to participate in normal social activities and sexual life; ⑦ worsening of the disease when the dose of steroid hormones is reduced, so that hormone treatment cannot be stopped for months or even years; ⑧ children suffer from chronic colitis that affects their growth and development; ⑨ severe extracolonic manifestations such as arthritis, pyoderma gangrenosum, or biliary and liver diseases that may be responding to surgery.

(2) Surgical options: There are currently four types of surgical options available for chronic colitis. ① Total colorectal resection and ileostomy; ② Total colectomy and ileorectal anastomosis; ③ Controlled ileostomy; ④ Total colorectal resection and ileal pouch-anal anastomosis.

Through the above introduction, I believe everyone has a detailed understanding of the treatment methods of colitis and chronic enteritis. This type of disease must be treated in a timely manner, especially for middle-aged and elderly patients. Treatment must not be delayed, otherwise it will easily cause other diseases, which will be very harmful to the body.