Terminal ileal ulcer: causes and management

Generally, ulcers in the terminal ileum may be caused by improper diet, medication factors, infectious enteritis, intestinal obstruction, Crohn's disease, and other factors. Patients are advised to follow medical instructions for general treatment, drug therapy, surgical treatment, etc. Detailed explanations are as follows:

1. Improper Diet: Long-term consumption of spicy, greasy, raw, or cold irritating foods, or irregular eating habits, may damage the intestinal mucosa and subsequently lead to ulcers in the terminal ileum. Patients usually also experience symptoms such as diarrhea and bloating, with mucus or blood possibly present in the stool. It is recommended to choose easily digestible foods, such as rice porridge, noodles, chicken meat, and fish meat, which can help alleviate ulcers in the terminal ileum.

2. Medication Factors: Long-term use of nonsteroidal anti-inflammatory drugs or antibiotics may cause intestinal flora imbalance, thereby damaging the intestinal mucosa and causing ulcers in the terminal ileum. Patients may also experience symptoms such as nausea, vomiting, and fever. It is recommended that patients follow medical advice to take medications such as Bifidobacterium and Lactobacillus tablets, Bifidobacterium quadruple active tablets, or Clostridium butyricum tablets to regulate the intestinal flora.

3. Infectious Enteritis: Infection of the intestine by pathogens such as viruses or bacteria can trigger an inflammatory response in the intestine, indirectly causing ulcers in the terminal ileum. Symptoms such as fever and abdominal pain may also occur. Patients should follow medical advice to use medications such as cefixime dispersible tablets, levofloxacin tablets, or montmorillonite powder for treatment.

4. Intestinal Obstruction: Intestinal obstruction caused by surgery or intussusception may prevent normal passage of intestinal contents, increasing intestinal pressure and subsequently causing ulcers in the terminal ileum. Patients generally experience discomfort symptoms such as vomiting and cessation of flatus and defecation. It is recommended to follow medical advice to use medications such as cisapride tablets, omeprazole enteric-coated capsules, or hemp seed soft capsules to promote intestinal motility and alleviate obstruction symptoms.

5. Crohn's Disease: Crohn's disease is a chronic, nonspecific, inflammatory disease that commonly affects the terminal ileum. Its characteristic is that ulcers are distributed in a "skip" pattern, which may lead to complications such as intestinal perforation. Symptoms of terminal ileal ulcers include abdominal pain, diarrhea, weight loss, etc. When serious complications occur or drug treatment is ineffective, patients should consider surgical treatment, such as resection of the affected intestinal segment, at a regular hospital.

Patients should maintain a balance between work and rest. In daily diet, they should eat more vegetables and fruits, avoid overeating, refrain from consuming overly greasy, spicy, or irritating foods, and maintain a light diet with nutritious and easily digestible food.