Treatment of lower abdominal pain and anal pain

The symptoms of lower abdominal pain and anal pain may mainly be caused by enteritis, which may be caused by eating something unclean or catching a cold. So if this phenomenon occurs, it is best to control your diet and not eat foods that are difficult to digest. You should also keep warm. So how do you treat lower abdominal pain and anal pain?

Pathogen treatment

Viral enteritis generally does not require pathogen treatment and can heal on its own. Antibiotics are generally not used for enterotoxigenic bacterial enteritis. For invasive bacterial enteritis, it is best to select antibiotics based on the results of bacterial drug sensitivity tests. When suffering from bacillary dysentery, because Shigella dysenteriae is widely resistant to commonly used antibiotics, co-trimoxazole (cotrimoxazole), pipemidic acid, gentamicin, amikacin, etc. can generally be used. Campylobacter jejuni enteritis can be treated with erythromycin, gentamicin, chloramphenicol, etc. Yersinia enterocolitica enteritis is generally treated with gentamicin, kanamycin, co-trimoxazole, tetracycline, chloramphenicol, etc. Patients with mild Salmonella enteritis may not need antibiotics, while patients with severe cases can use chloramphenicol or trimethoprim-sulfamethoxazole. Invasive Escherichia coli enteritis can be treated with neomycin, colistin and gentamicin with good results. Amoebic dysentery, enteritis caused by Giardia lamblia and Trichomonas can be treated with metronidazole (Flagyl). Schistosomiasis can be treated with praziquantel. Oral nystatin is effective in treating Candida albicans enteritis. Patients with systemic fungal infection need to be treated with amphotericin B.

Common methods

Fluid replacement and correction of electrolyte and acidosis

For those who are mildly dehydrated and do not vomit severely, oral rehydration can be given. The WHO-recommended oral rehydration formula is sodium chloride, sodium bicarbonate, potassium chloride, glucose or sucrose, plus water. For patients with severe dehydration or vomiting, normal saline, isotonic sodium bicarbonate and potassium chloride solutions, and glucose can be given intravenously.

Drugs that reduce intestinal motility and secretion

Atropine, belladonna, and propantheline can be used in small amounts to reduce intestinal motility, relieve pain, and stop diarrhea. Chlorpromazine can also be used. It has a sedative effect and can inhibit excessive secretion of intestinal mucosa caused by enterotoxins, thereby reducing the frequency and amount of bowel movements.

Treatment principles for acute enteritis

(1) Remove the triggering factor, rest in bed, and eat light, easily digestible food.

(2) If the pathogen is found, medication should be used according to the drug sensitivity test, or berberine 0.1-0.2g or PPA 0.5-1.0g should be used, 3-4 times a day, orally.

(3) For symptomatic treatment, atropine can be used for abdominal pain. Dehydrated patients should be given fluids, and attention should be paid to correcting electrolyte imbalance and acidosis. Patients in shock should be treated as if they were in shock.

(4) Traditional Chinese medicine treatment.

The above article explains in detail some treatment methods for lower abdominal pain and anal pain, so try to rest in bed and drink more boiled water, which is good for your abdomen. Don't stay up late, and don't drink or smoke.