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Colitis
Where is the abdominal pain located in colitis?
The abdominal pain of colitis is generally localized in the lower left abdomen and is accompanied by stool that is mucous or purulent bloody in nature. Sometimes, there is urgency followed by incomplete relief, and there may also be alternating occurrences of diarrhea and constipation. The diagnosis of colitis requires a colonoscopy, during which congestion, edema, and erosion of the colon can be observed, and in severe cases, ulcer formation can be seen. In terms of treatment, colitis firstly requires the use of medications to regulate the intestinal flora, such as Bacillus cereus, Bifidobacterium triple viable bacteria, etc. Additionally, anti-inflammatory treatments such as mesalazine are used. (Specific medications should be administered under the guidance of a doctor.)
What is the worst outcome of colitis?
In the most severe cases of colitis, the following can be observed: 1. Extensive uncontrollable bleeding; 2. The appearance of toxic megacolon, which may be accompanied by perforation or infection; 3. Fulminant acute ulcerative colitis that responds poorly to treatment; 4. Severe narrowing of the intestinal lumen leading to intestinal obstruction; 5. Complication of colonic malignancy; 6. Severe ulcerative colitis causing the patient to suffer from severe malnutrition, unable to work normally, participate in social activities, or engage in sexual activities, etc.
Does colitis cause vomiting?
Colitis here is divided into acute colitis and chronic colitis. Acute colitis is caused by acute inflammation, mainly due to unsanitary diets. Its common symptoms include abdominal pain, diarrhea, nausea, vomiting, and fever. In this condition, vomiting occurs. The main symptoms of chronic colitis are abdominal pain, diarrhea, or seeing snot-like mucus in the stool. This condition is generally visible during a colonoscopy where the intestines show hyperemia, edema, and erosion. Vomiting generally does not occur in chronic colitis. If vomiting does appear in chronic colitis, it might indicate that there is also a problem with the stomach, such as chronic gastritis or gastric ulcers, etc., so further examination is needed.
Can colitis cause anal pain?
The main symptoms of chronic colitis include abdominal pain, diarrhea, or the presence of snot-like mucus in the stool. If there is anal pain, it may indicate the coexistence of hemorrhoids, as chronic colitis alone does not cause anal pain; anal pain is mainly due to hemorrhoids. Chronic colitis can be diagnosed through colonoscopy, which may reveal hyperemia, erosion, or edema of the intestinal mucosa, as well as white mucus adhering to the intestines. In terms of treatment, Western medicine primarily uses probiotics to regulate the intestinal flora, while Chinese medicine may involve oral administration of herbal medicines based on syndrome differentiation, as well as external treatments like moxibustion and enemas, which can also be effective.
Characteristics of colitis abdominal pain
The characteristics of abdominal pain caused by colitis generally include intermittent dull pain, and sometimes colicky pain might also occur, although colicky pain is less common. Patients with colitis may experience diarrhea or constipation, or alternating episodes of both. Diagnostically, colitis is primarily identified through colonoscopy, which can reveal congested, edematous, and eroded mucosa of the colon, potential inflammation, possible ulcers, and the formation of granulomas. For treatment, medications for ulcerative colitis, such as mesalazine, can be chosen. (Please use medications under the guidance of a doctor.)
Is the abdomen hard to the touch with colitis?
Generally speaking, the abdomen does not usually harden when touched in cases of colitis. However, if the patient experiences a hardening of the abdomen, it's important to consider the possibility of malignant tumors in the colon or an intestinal obstruction. The primary symptoms of colitis are mucous stools, pus and blood in stools, or alternating episodes of diarrhea and constipation. Diagnosis of colitis is mainly through examination with a colonoscope, which can reveal colon mucosal congestion, edema, erosion, etc. For the treatment of colitis, consideration can be given to orally administering drugs that regulate the intestinal flora, such as bacillus subtilis, compound lactobacillus, and others. (The use of medications should be under the guidance of a physician.)
Can people with colitis eat lotus root?
Patients with colitis can eat lotus root. For dietary considerations, patients should avoid spicy and irritating foods, and also avoid strong tea, coffee, and spirits. It's also important not to eat unripe vegetables and fruits but instead consume vitamin-rich vegetables regularly and in measured amounts. Since lotus root is not considered a spicy or irritating food, it is suitable for colitis patients to consume. Patients should also avoid overeating, prefer small frequent meals, establish a routine for bowel movements, and avoid foods with too much coarse fiber.
Does colitis cause a fever?
Colitis is caused by bacterial or viral infections in the colon, and infections are the most common cause of fever; therefore, patients with colitis often experience fever. Some pathogens invade the human body and act on the temperature regulation center, raising the set point, which results in fever. If the body temperature does not exceed 38.5°C, physical methods can be used to reduce the fever, such as wiping the palms, soles, forehead, and armpits with a warm towel, while actively using medication to treat colitis. If the body temperature is higher, some antipyretic drugs can be used along with the treatment for colitis.
Is colonic inflammatory polyp serious?
Inflammatory colon polyps are not very severe, and it is very rare for inflammatory polyps to become cancerous. However, if the inflammatory polyps are relatively large, it is necessary to undergo endoscopic treatment to remove them. After removal, pathological and tissue examinations are also needed to further confirm whether the polyps are indeed inflammatory and to rule out tumorous polyps, such as adenomatous polyps, among others. Additionally, about six months after the polyp removal surgery, a follow-up colonoscopy should be conducted to check for the recurrence of polyps. The primary causes of inflammatory colon polyps could be diseases such as ulcerative colitis or Crohn's disease.
Risk of cancerous transformation in ulcerative colitis
The likelihood of cancerous transformation in ulcerative colitis is not very high. Generally, patients with ulcerative colitis who have had the disease for more than a decade and have not undergone treatment might be at risk of malignancy. Active treatment and regular gastroscopic checks can prevent the development of cancer. Therapeutically, options include using mesalazine for anti-inflammatory treatment, as well as using Bacillus cereus or Bifidobacterium triplex to regulate the intestinal flora. Additionally, if a patient with ulcerative colitis experiences chills, fever, and severe purulent bloody stools, it may be necessary to consider treatment with steroids and immunosuppressants. (Please use medication under the guidance of a physician.)