Colitis in children

In children, as in adults, there are acute and chronic colitis. In children of early age inflammatory changes with the colon often spread to thin (enterocolitis). For children of school age characteristic of segmental lesions of large intestine.
The clinical picture of acute colitis is characterized by toxicosis, anorexia, fever, significant increases chair (up to 15 times a day). Stools watery, frothy, greenish, with admixture of mucus, sometimes with blood. The defecation is often accompanied by restlessness, reddening of the face, grimacing in pain. In these cases should differential diagnosis with toxic dyspepsia (see). Sometimes the clinical picture shows kolitnym syndrome, that is, tenesmus, loss of mucous membrane of the rectum, the presence in Calais not only mucus, blood, and streaks of blood.
Chronic colitis usually occurs in the form recurrent exacerbations and remissions. Child nutrition decreased appetite unstable, there vitamin deficiency. Children irritable, lethargic, tired quickly. Periodically, the pain in the abdomen something which is bottled, it is localized. Periods of rapid chair often alternating with constipation. Chronic colitis should be differentiated from celiac disease (see), nonspecific ulcerative colitis (see), cystic fibrosis (see), intestinal dyskinesia, chronic dysentery (see) and chronic appendicitis (see).

Treatment. You need a long-term observation for a sick child, the doctor intestinal Cabinet. Along with diet therapy is antibacterial, multivitamin and stimulating therapy according to the same principles as for dysentery. In acute colitis, toxic spend the same treatment as in toxic dyspepsia. Periodically designate the funds that affect the microbial flora of the intestine: colibacterin 1/4-1 / 2 adult dose is 1 times a day on an empty stomach for two weeks; anteroseptal 1/3-3/4 pill depending on age 3 times a day after meals. Effective Pancreatin (0.2 to 1 g 3 times a day), abomin 10000-25000 DB 1/5 - 1 / 2 tablets 3 times a day for 2 weeks.
Prevention of colitis are the same as in other gastro-intestinal diseases.