Characteristics of colitis abdominal pain

Written by Wu Hai Wu
Gastroenterology
Updated on April 16, 2025
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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.)

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Written by Wu Hai Wu
Gastroenterology
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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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Written by Shen Jiang Chao
Radiology
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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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Written by Zhu Dan Hua
Gastroenterology
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Ulcerative Colitis Symptom Characteristics

Ulcerative colitis is increasingly seen in clinical settings, especially among younger patients in gastroenterology. The symptoms typically include abdominal discomfort and abnormal stool, characterized by pain and distension in the lower left abdomen, and changes in bowel habits. Generally, the frequency of stool increases, often occurring more than a dozen times, at least six times or more. The stool characteristics are also indicative, generally appearing bloody and loose. Therefore, patients with ulcerative colitis need standardized diagnosis and treatment. The treatment mainly consists of two types: the first is lifestyle and dietary management; the second is medication. For diet, it is recommended that patients eat easily digestible, low-residue, high-quality protein foods to enhance nutritional support. Medicinal options may include drugs that regulate intestinal flora, protect the gastrointestinal mucosa, and others like amino salicylates. However, if complications such as gastrointestinal perforation, obstruction, or bleeding occur, surgical treatment is recommended. (Please consult a doctor for specific medication usage and do not self-medicate.)

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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 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.