Enterocolitis
| Enterocolitis | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Diarrhea, abdominal pain, fever, vomiting |
| Complications | Dehydration, sepsis, toxic megacolon |
| Onset | |
| Duration | |
| Types | Necrotizing enterocolitis, pseudomembranous colitis, infectious enterocolitis |
| Causes | Bacterial infection, viral infection, parasitic infection, inflammatory bowel disease |
| Risks | Premature birth, antibiotic use, hospitalization |
| Diagnosis | Stool culture, colonoscopy, imaging studies |
| Differential diagnosis | Crohn's disease, ulcerative colitis, irritable bowel syndrome |
| Prevention | Hand hygiene, probiotics, breastfeeding |
| Treatment | Rehydration therapy, antibiotics, surgery |
| Medication | Metronidazole, vancomycin, ciprofloxacin |
| Prognosis | Varies depending on type and severity |
| Frequency | Common in neonates and immunocompromised individuals |
| Deaths | N/A |
Enterocolitis is a medical condition characterized by inflammation of the digestive tract, specifically the small intestine (entero-) and the colon (colitis). This condition can be caused by various factors, including infections, autoimmune diseases, and certain medications.
Causes
Enterocolitis can be caused by a variety of factors, including:
- Infections: Bacterial, viral, or parasitic infections can cause enterocolitis. Common infectious agents include Salmonella, Shigella, and Campylobacter bacteria, as well as rotavirus and norovirus.
- Autoimmune diseases: Conditions such as Crohn's disease and ulcerative colitis can cause inflammation of the digestive tract.
- Medications: Certain drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and antibiotics, can cause enterocolitis.
Symptoms
Symptoms of enterocolitis can vary depending on the cause and severity of the condition, but may include:
Diagnosis
Diagnosis of enterocolitis typically involves a combination of medical history, physical examination, and diagnostic tests. Tests may include:
- Blood tests: To check for signs of infection or inflammation.
- Stool tests: To identify any infectious agents.
- Endoscopy: To visually examine the inside of the digestive tract.
- Biopsy: To take a small sample of tissue for examination under a microscope.
Treatment
Treatment for enterocolitis depends on the cause and severity of the condition. Options may include:
- Antibiotics: If the condition is caused by a bacterial infection.
- Antiviral drugs: If the condition is caused by a viral infection.
- Anti-inflammatory drugs: To reduce inflammation in the digestive tract.
- Immunosuppressive drugs: If the condition is caused by an autoimmune disease.
- Fluid and electrolyte replacement: To prevent dehydration from diarrhea.
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Contributors: Prab R. Tumpati, MD