Chronic enteritis

Chronic enteritis is an inflammatory process that is localized in the small intestine. It is accompanied by a lesion of the mucosa, has a progressive or recurrent nature. The disease is typical for countries with hot climates. In temperate latitudes this disease is less common. Since chronic enteritis is not well understood due to its low prevalence, it is rather difficult to diagnose.

Isolate primary and secondary chronic enteritis. The cause of the first is intestinal bacteria, which are saprophytes. They interact with streptococci. Thus there is a disease. The cause of enteritis may sometimes be iersiniosis. Parasitic forms of the disease are caused by ascarids. Rotavirus enteritis is of particular importance. Chronic lead, mercury intoxication, poisoning with arsenic, copper, phosphorus can also cause the appearance of this pathological condition. Among the biological factors are hypovitaminosis, the presence of monotonous coarse plant foods. In the development of chronic enteritis, allergies, transferred infectious diseases, which cause a decrease in the reactivity of the human body , are important.

Secondary forms of chronic enteritis are associated with gastritis, pancreatitis, cirrhosis, hepatitis. Also, this disease can accompany tuberculosis, chronic pneumonia, heart defects, cardiosclerosis, chronic vascular insufficiency.

Clinical picture

The main symptoms of this disease are pain in the abdominal area of the cramping character, which often occur after eating, as well as diarrhea, a feeling of raspiraniya and discomfort. A frequent chair is of a liquid, unformed character, the amount of which considerably exceeds the norm. Intestinal symptoms for a long time remain dominant in the clinical picture. Then there are symptoms of impaired absorption, which are characterized by frequent diarrhea and weight loss.

Diagnostics

It is important to determine the presence of signs of VP Obraztsov and ND Strashesko. These include:

- soreness in external examination of the small intestine, which is determined in the mesogastric region;

- rumbling of gases;

- a transfusion of fluid in the intestine;

- a splash of fluid that is found in the blind section of the intestine.

Chronic enteritis should be confirmed by laboratory tests. These include:

- a scatological survey,

- microscopy,

- Bacteriology.

The first study allows you to determine the extent of dysfunction of the absorption, digestive disorders. Criteria for the detection of such disorders is the detection in the feces of starch grains, fiber, undigested muscle fibers, fat.

The purpose of microscopy is the detection of pathogens of infectious diseases, leading to the development of chronic enterocolitis.

Bacteriological method allows to determine the nature of microorganisms that cause chronic enterocolitis.

Diagnostics widely used radiography, which helps to identify functional as well as structural disorders of the small intestine.

On the basis of coprologic, clinical and radiological signs, the diagnosis is "chronic enteritis".

Treatment of the disease is carried out with the help of antibiotic therapy. It helps to cope with infectious agents. Anesthetics, immunostimulating drugs, are also used. It is mandatory to prescribe drugs that restore the functional activity of the intestine. The most important method of treatment is choosing the right diet.