Transverse colitis is located in the transverse colon.

Written by Jiang Guo Ming
Gastroenterology
Updated on September 03, 2024
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If you are asking about the location of abdominal pain due to transverse colitis, let's first understand the anatomical position of the transverse colon. The ends of the transverse colon are located under the spleen and the liver. During a colonoscopy, when passing through the hepatic flexure or splenic flexure, cystic spots are often found, which are shadows of the liver and spleen. Generally, in patients who are short and stout, the internal abdominal fat tends to hold the free transverse colon relatively fixed, arranging it in a straight line like the Chinese character "一". For thin and frail patients, lacking support, the transverse colon can sag. In patients who have had abdominal surgery, the intestinal structure may be disordered. Therefore, the abdominal pain associated with transverse colitis generally centers around or below the umbilicus on either side.

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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.)

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Can colitis be detected by an ultrasound?

Colitis cannot be definitively diagnosed with an ultrasound, as ultrasound is primarily used for diagnosing solid organs such as the liver, gallbladder, spleen, kidneys, and pancreas. For hollow organs, the diagnosis is obscured by gas and food inside the intestines, making ultrasound less effective. For patients suspected of having colitis, the best examination is a colonoscopy. A colonoscopy can clearly show the extent and severity of the inflammation. CT scans also hold diagnostic value as they can reveal thickening and edema of the colonic wall. CT scans are less painful compared to colonoscopies, which can be somewhat painful.

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What are the symptoms of colitis?

Colitis can be divided into acute and chronic types. If it occurs acutely, it generally presents symptoms such as abdominal pain, diarrhea, vomiting, and bloating. Some may experience fever, chills, and body aches. These can be diagnosed with routine blood tests and stool tests. If diarrhea recurs over a period exceeding two months, it suggests chronic diarrhea, such as chronic colitis, which is also characterized mainly by abdominal pain and diarrhea. In the case of inflammatory bowel disease, besides abdominal pain and diarrhea, a significant feature often includes hemolytic disease. A definitive diagnosis can be made with a colonoscopy, often accompanied by symptoms such as weight loss, fatigue, or anemia.

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Which department should I go to for colitis?

If it is colitis, the patient has symptoms such as loose stools, increased frequency of defecation, and unformed stools. In such cases, it is first recommended to visit the gastroenterology department. After an interview and physical examination by a doctor, a colonoscopy can be performed based on the patient's condition to clarify the diagnosis. If the patient has symptoms such as rectal bleeding, abdominal pain, and anemia in addition to the above, they can visit either the gastroenterology department or the general surgery department. Generally, the examinations for colitis include stool tests and colonoscopy. Therefore, when going to the hospital, if the patient has colitis, the first choice should be the department of gastroenterology.

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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.)