What are the symptoms of chronic folliculitis?

Chronic ileitis is an intestinal infection disease that is mainly related to improper diet. Patients need to take medication and adjust their diet. Typically, patients with chronic ileitis will experience abdominal pain, diarrhea, watery stool, and other bowel movements, as well as fever and electrolyte imbalance. Therefore, patients experiencing these symptoms can go to the hospital for gastroenterological endoscopy to confirm whether they have chronic ileitis.

1. Digestive system manifestations: ① Diarrhea - The severity of diarrhea varies, with mild cases occurring 3-4 times a day and severe cases occurring up to 30 or more times a day. The stool is often pasty or watery, mixed with mucus and blood. ② Abdominal pain - Mild cases and remission periods may be asymptomatic or have mild to moderate dull pain, with a few cases experiencing colic. ③ Other symptoms - Severe cases may have loss of appetite, nausea, and vomiting.

2. Systemic manifestations: Acute or acute exacerbation phases often have low-grade or moderate fever, with severe cases experiencing high fever and tachycardia. During the course of the disease, patients may experience weight loss, weakness, anemia, water and electrolyte imbalance, and malnutrition.

3. Extraintestinal manifestations: Often accompanied by erythema nodosum, arthritis, ocular uveitis, oral mucosal ulcers, chronic active hepatitis, hemolytic anemia, and other immune abnormalities.

4. Clinical types: Based on the urgency of onset and severity of the disease, chronic ileitis can generally be divided into three types. ① Mild type - the most common clinical type. Slow onset with mild symptoms, alternating diarrhea and constipation, mucus and bloody stool, no systemic symptoms, and limited to the rectum and sigmoid colon. ② Severe type - less common. Acute onset with severe symptoms, systemic symptoms, and extraintestinal manifestations. Progressive colonic lesions involve the entire colon, and complications are more common. ③ Fulminant type - rarest.

Auxiliary Examination:

1. Blood tests may reveal mild to moderate anemia. In severe cases, there may be an increase in white blood cell count and accelerated erythrocyte sedimentation rate. Severe cases may have decreased serum albumin and sodium, potassium, and chloride levels.

2. Stool tests during active periods may show mucus and bloody stool. Repeated tests, including routine tests, cultures, and incubations, may not reveal specific pathogens.

3. Immunological tests may show slightly increased IgG and IgM levels, as well as positive antibodies against colonic mucosa.

4. Fibrocolonoscopy is the most valuable diagnostic method. Through colonic mucosal biopsy, the nature of the lesion can be determined.