How do you manage/treat acute radiation-induced enteritis?
Are there any medications that you can prescribe? Diet changes? Does this typically resolve on its own after time?
Answer from: Radiation Oncologist at Academic Institution
I have no problem with the excellent comments already made. However, I think it is important to add some comments.
First - one needs to be sure that the patient truly has radiation enteritis. Many patients receiving abdominal radiation therapy have other issues that need to be explored first. For e...
Answer from: Radiation Oncologist at Academic Institution
The management for acute radiation-induced enteritis is symptomatic in nature, with the best long-term solution being a tincture of time from the completion of radiation.
If a patient has diarrhea (in expected volume and timing, given the recent question about C. Diff evaluation in those receiving ...
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Radiation Oncologist at Washington University School of Medicine The differential diagnosis for frequent watery sto...
Answer from: Radiation Oncologist at Community Practice
This is a relative passion of mine! Oftentimes, radiation enteritis is the result of small intestinal bacterial overgrowth (SIBO), a phenomenon described (and demonstrated with lactulose hydrogen breath testing) in numerous abdominal and pelvic radiotherapy patients (ref: Jahraus et al., Community O...
Answer from: Radiation Oncologist at Academic Institution
Very nice discussion. During pelvic RT, patients often ask, "what should I eat?" Our answers are usually driven from a mix of anecdotal/personal experience, oncolore, but limited evidence. I used to be fairly dogmatic about fiber avoidance when I started practice because that's how I was trained. Th...
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Radiation Oncologist at Northeast Georgia Medical Center For many years, I’ve used Citrucel powder in...