Acute enteritis refers to a disease with diarrhea and other clinical manifestations caused by the stimulation of intestinal mucosa by various factors.
[etiology]
(1) Improper diet is often caused by overeating or irritation, coldness, corruption and food pollution.
(2) Intestinal infections such as halophilic bacteria, Salmonella, Escherichia coli, Proteus and Staphylococcus. (3) Systemic infections such as typhoid fever, paratyphoid fever, hepatitis and septicemia.
(4) salicylic acid preparation, arsenic, mercury, laxatives and other drugs.
【 Clinical manifestations 】 Abdominal pain, diarrhea with watery stools, no more than 10 times a day, containing indigestible food, occasionally a little mucus or blood, and even nausea, vomiting, dehydration and even shock in severe cases.
[Diagnostic Points]
(1) has a history of bad diet or drug use.
(2) Abdominal pain, diarrhea and other clinical manifestations.
(3) Physical examination may have tenderness around the umbilicus and hyperactivity of bowel sounds.
(4) There are indigestible fat globules and starch. In conventional stool examination, pathogenic bacteria can grow in fecal culture. 【 Differential diagnosis 】 (1) Bacillary dysentery has obvious symptoms of systemic poisoning, frequent defecation, excessive mucus and blood, and some of them are acute and then severe. Routine stool examination can include red blood cells, white blood cells, pus cells and macrophages.
(2) The stool of amebic dysentery is jam-colored, and sometimes it is urgent first and then heavy. There may be amoeba trophozoites or cysts in stool examination.
(3) Ulcerative colitis has frequent diarrhea, which can relieve purulent bloody stools, or it can be severe after internal urgency. Sigmoidoscopy can show ulcers. 【 Home First Aid 】 (1) Stay in bed to keep warm.
(2) Fasting for 6 ~ 12 hours, gradually introducing liquids such as rice soup and gruel, and gradually returning to normal diet within one week.
(3) Take berberine 0. 1 ~ 0.2g, pipemidic acid or norfloxacin 0. 1 ~ 0.2g orally, three times a day.
(4) For those caused by overeating or indigestion, 30ml of castor oil can be taken orally.
(5) When abdominal pain is severe, hot compress or oral belladonna mixture 10ml or atropine 0.5mg, three times a day.
(6) When there are mild dehydration symptoms such as thirst and oliguria, normal saline or light salt boiled water should be taken orally to replenish water.
(7) People with obvious dehydration or shock should be sent to hospital immediately.