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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What is colitis?

People often ask, what is colitis? Actually, colitis is a rather broad and vague diagnosis. Depending on the location of occurrence, it can be divided into proctitis, colitis, enteritis, etc. Based on the severity of the condition, it can be categorized into acute enteritis and chronic enteritis. Depending on the cause of the disease, it can be divided into non-specific enteritis, such as ulcerative colitis, Crohn's disease, and specific types of enteritis like radiation enteritis, among others.

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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.

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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.

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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.

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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.)