1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Infectious Colitis

Infectious colitis causes painful swelling and diarrhea when germs attack the colon's lining. At GastroDoxs in Houston, board-certified Dr. Nghia Nguyen quickly diagnoses and treats bacterial, viral, or parasitic infections using advanced testing, personalized therapy, hydration support, and targeted medications.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Nghia Nguyen

About the Expert

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

What Is Infectious Colitis?

  • Inflammation of the large intestine (colon) caused by an infection
  • Occurs when bacteria, viruses or parasites invade the colon lining
  • Leads to abdominal pain, diarrhea and other gastrointestinal symptoms

Common Causes and Risk Factors

  • Contaminated food or water (foodborne illness)
  • Poor hand hygiene after restroom use or before eating
  • Travel to areas with unsafe drinking water or sanitation
  • Bacterial pathogens: E. coli, Salmonella, Campylobacter
  • Viral agents: norovirus, rotavirus
  • Parasitic infections: Giardia lamblia, Entamoeba histolytica
  • Weakened immune system (e.g., HIV, chemotherapy, immunosuppressants)

Signs and Symptoms

  • Abdominal cramping or pain
  • Frequent diarrhea, sometimes with blood or mucus
  • Fever, chills and general malaise
  • Nausea or vomiting
  • Urgent need to have a bowel movement
  • Dizziness or dry mouth from dehydration

How Dr. Nghia Nguyen Diagnoses Infectious Colitis?

Dr. Nguyen uses a step-by-step approach:

Medical History and Exam

He reviews your symptoms, recent travel, food and water exposure, and performs an abdominal exam to check for tenderness or swelling.

Stool Tests

He orders stool cultures and antigen assays to identify bacteria, viruses, or parasites responsible for your colitis.

Blood Tests

We check white blood cell count, C-reactive protein, and electrolyte levels to assess inflammation and dehydration.

Endoscopic Evaluation

  • Flexible sigmoidoscopy allows direct visualization of the rectum and lower colon for acute inflammation.
  • Colonoscopy provides a full-colon assessment when symptoms are severe or not resolving.

Advanced Imaging (if needed)

In select cases, an abdominal CT scan helps detect complications such as abscesses or perforation.

Dr. Nghia Nguyen
Treatment

Treatment Options for Infectious Colitis at GastroDoxs in Houston

1. Diet and Lifestyle Support

  • Maintain hydration with water, broth or oral rehydration solutions
  • Eat soft, bland foods—bananas, rice, applesauce, toast (BRAT diet)
  • Avoid dairy, caffeine, spicy or fried foods until symptoms resolve
  • Rest and gradual return to normal activities as you improve

2. Medications

  • Targeted antibiotics or antiparasitic agents based on stool test results
  • Anti‐diarrheal medications to slow bowel movements, when appropriate
  • Antipyretics and analgesics (e.g., acetaminophen) for fever or cramping
  • Intravenous fluids if oral intake is insufficient or dehydration is severe

3. Minimally Invasive Diagnostic or Therapeutic Procedures

  • Flexible sigmoidoscopy or colonoscopy for persistent, severe or unclear cases
  • Direct visualization to assess mucosal damage and rule out other causes
  • Biopsy or additional sampling if chronic or atypical infection is suspected
Dr Nghia Nguyen

About the Author

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Frequently Asked Questions

What is infectious colitis?

Infectious colitis is inflammation of the large intestine caused by bacteria, viruses, or parasites that damage the colon lining, leading to pain, diarrhea, and other gastrointestinal symptoms.

What causes infectious colitis?

It develops when germs such as E. coli, Salmonella, Campylobacter, norovirus, rotavirus, Giardia, or Entamoeba enter your system—often through contaminated food, water, or poor hand hygiene.

How long does infectious colitis last?

Mild cases often resolve within a few days to a week. More severe infections may take one to two weeks or longer to clear completely with appropriate treatment.

What treatments are used?

Treatment may include oral rehydration, a bland diet, antibiotics or antiparasitic medications (when indicated), anti-diarrheal agents, pain relievers, and IV fluids for severe dehydration.

Can I treat infectious colitis at home?

Yes—mild cases can improve with rest, proper hydration, and diet modifications. However, if symptoms worsen or persist beyond two days, you should seek medical attention.

When should I seek medical help?

Contact a physician if you experience high fever, blood in your stool, severe abdominal pain, signs of dehydration (dizziness, dry mouth), or diarrhea lasting more than 48 hours.

Related Blogs
Abdominal Pain

Tips for Traveling With IBS

Read More
Abdominal Pain

Dysphagia: Four Helpful Treatments

Read More
Abdominal Pain

Seven Signs You May Have Irritable Bowel Syndrome

Read More