Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Alkali substances, such as sodium bicarbonate or other basic compounds, have traditionally been used in the management of gastrointestinal disturbances, including enteritis, primarily to neutralize excess stomach acidity and relieve symptoms like heartburn or indigestion. In historical medical practice, alkalis were sometimes administered to reduce gastric irritation or to "balance" the acid-base status during episodes of diarrhea or inflammation of the intestines (enteritis). The rationale was that by neutralizing gastric acid or providing systemic alkalinization, symptoms could be alleviated and recovery supported. However, there is limited modern scientific validation for the direct use of unspecified alkali in treating enteritis itself. Current evidence-based guidelines for enteritis (which is most often caused by infection) focus on hydration, electrolyte replacement, and sometimes antimicrobial therapy, rather than on alkali administration. While oral rehydration solutions may contain bicarbonate or citrate to correct metabolic acidosis in severe diarrheal illness, these are formulated specifically for fluid and electrolyte balance, not for the direct treatment of enteritis per se. Thus, the use of alkali for enteritis is primarily grounded in traditional medical practice rather than robust clinical evidence.

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