Clinical manifestations in acute and chronic enteritis.
Manifestations of acute enteritis
In case of acute enteritis, the cause of inflammation and the general condition of the patient's body is very important. The disease often begins suddenly, with diarrhea from 4 to 8-10 times a day, at the same time there are abdominal pains with aspirations for defecation. Often there is loss of appetite, salivation, nausea, sometimes vomiting, first of all, residual food, and then mucus with an admixture of bile. In the stomach, the patient feels rumbling and spastic pain around the umbilical cord, which intensifies during bowel movement and subsides after it. The chair is mushy-shaped, then it becomes liquid and smelly, with a large amount of mucus, yellow-green coloration through the admixture of bile. If fermentation processes prevail, then small flasks of gas are isolated with feces.
The body temperature is most often increased from the first day of the disease. Patients are pale, dry lips, burning eyes, dry tongue, with a white and yellow bloom. In severe cases, pain in the muscles and joints, as well as seizures caused by the impoverishment of the body by trace elements and its dehydration, are noted. Perhaps heart failure, lowering blood pressure, developing vascular insufficiency. Isolation of urine significantly decreases.
The course of acute enteritis.
If the process is limited in nature, then in a timely and adequate treatment, it proceeds favorably and ends with recovery. If the disease is difficult, or the inflammatory process is traced in 2 or more sections of the gastrointestinal tract (in the type of gastroenteritis or enterocolitis), the prognosis of the disease is less favorable, especially if treatment has not been started on time.
Possible complications such as cholecystitis, hepatitis, intestinal bleeding, perforation of the intestinal wall and the development of peritonitis, as well as kidney damage, is nephritis. In intensive care, in some cases, a transition to chronic enteritis is possible.
Manifestations of chronic enteritis
When exacerbated, symptoms of chronic enteritis may resemble the symptoms of acute enteritis, but beyond the exacerbation of many patients, anxiety and exacerbation (spastic) pain at the belly button, abdominal difficulty after eating, nausea, and rumbling worry. In this case, diarrhea is possible 2-3 times a day, more often in the morning and after eating, sometimes diarrhea alternates with constipation. Kal is liquid and yellowish in color through the bile duct.
Chronic enteritis occurs with periodic remissions and relapses caused by dietary disorders, overcooling and colds, overheating, stress, mental and physical strain, etc. Patients are pale, disturbed by weakness, dizziness, which may be exacerbated after eating (due to a carbohydrate metabolism disorder). The skin is dry, the hair is dull, brittleness and thickening of the nails, stomatitis with the appearance of erosions, microcirculation due to the fragility of the vascular wall, osteoporosis also develops.
This is due to a violation of the intestinal microflora and the development of dysbiosis, with a sharp decline in the processes of absorption of nutrients, vitamins and trace elements in the intestine, with a violation of the synthesis of vitamins in it, which further exacerbates the symptoms of the disease. As a rule, adjacent organs are also affected - stomach, colon, liver and biliary tract (cirrhosis, angiocholitis, cholecystitis), pancreas (pancreatitis). In severe cases, the appearance of severe anemia, violated the synthesis of sex hormones, which leads to a decrease in sexual function in men and menstrual disorder in women.