What medicine is used for colitis?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 05, 2024
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Colitis may involve choosing some medications that protect the intestinal mucosa and regulate the intestinal flora, along with other symptomatic treatments. If the intestinal inflammation presents as abdominal discomfort or significant illness, one might choose to use antispasmodic pain relief and antidiarrheal medications, which can generally achieve certain control. Ileitis is also relatively common clinically, with patients usually presenting with discomfort in stool or service and, after undergoing a thorough colonoscopy, inflammatory changes in the intestines are found, characterized by mucosal congestion, edema, and even scattered erosion and ulcer formation. Treatment options include oral medications, but in terms of diet, it primarily involves choosing clean, easily digestible foods and supplementing with some nutrients. Colitis generally presents with lower abdominal pain and discomfort in the lower left abdomen, typically occurring in paroxysmal attacks without specificity. (Please take medication under the guidance of a professional physician.)

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Written by Wang Zhen Quan
Colorectal Surgery Department
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What foods are good for colitis?

So, what kind of food is better for patients with colitis? First, we recommend high-protein, high-calorie foods, because colitis generally has a process of prolonged illness and long duration, which affects the digestion and absorption of food and causes substantial energy depletion in the body. Therefore, we recommend adopting a diet rich in protein and calories to meet our bodily needs. However, we must also note that if the amount of diet exceeds the intestinal tolerance of the patient, it may actually worsen the condition. Therefore, it is necessary to flexibly manage according to the specific conditions and symptoms of the patient, gradually increasing the supply of protein and calories is advisable. Additionally, we recommend high-vitamin foods. A diet low in residue often lacks vitamins, which can be supplemented with filtered vegetable soups and juices, such as tomato juice, to provide the necessary vitamins. On the other hand, we need to ensure adequate hydration. Normally, each person needs about 1200 to 1600 mL of water per day. If there is excessive water loss due to diarrhea, fluid therapy should also be supplemented. During acute flare-ups, we should eat a residue-free or semi-liquid diet, such as eggs, fish (except for those allergic), soy milk, tofu pudding, and other low-residue foods, along with noodles and sliced noodles, and it is appropriate to eat small meals frequently.

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Written by Ren Zheng Xin
Gastroenterology
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Ulcerative Colitis Nursing Measures

Ulcerative colitis is a type of chronic nonspecific inflammation. Care measures include dietary care and emotional regulation. In terms of diet, it is best to eat at home as much as possible, eat less takeout and street food, and maintain a regular, nutritious diet with foods that are high in protein and calories, such as lean meats and eggs. It's also important to eat plenty of vegetables like cabbage and carrots, and avoid spicy, stimulating, and cold foods. During acute episodes, a light diet should be maintained to reduce irritation to the gastrointestinal tract. Additionally, attention should be paid to emotional regulation. Patients should maintain a positive and optimistic attitude, which is beneficial for the treatment and prognosis of ulcerative colitis.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Which part to massage for colitis?

Firstly, one can massage certain areas of the abdomen, such as Zhongwan, Tianshu, and Liangmen, as well as the Guanyuan point in the lower abdomen. The massage should progress from gentle to firm, using the small fish edge for rolling techniques or the large fish edge for pressing techniques, and finally pinpoint massage on certain abdominal acupoints. The second area for massage is the distal extremities, such as the legs where you can massage points like Zusanli, Shangjuxu, Xiajuxu, Sanyinjiao, and Yinlingquan, and in the hands at points like Sanli and Neiguan, to alleviate symptoms of colitis. Of course, if the massage is performed by another person, back acupoints such as Weishu, Dachangshu, and Sanjiaoshu can also be massaged to effectively relieve symptoms of colitis.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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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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Written by Jiang Guo Ming
Gastroenterology
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Transverse colitis is located in the transverse colon.

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.