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 Zhu Dan Hua
Gastroenterology
1min 6sec home-news-image

Is the routine blood test normal for colitis?

Patients with colitis generally have normal routine blood tests, indicating that their white blood cells, hemoglobin, and platelets are generally normal. Patients with colitis commonly present clinically with abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower abdomen and left side, with symptoms such as bloating, colicky pain, and dull pain, often occurring sporadically and generally related to diet and bowel movements. If abdominal pain improves after passing gas or stools, then the bowel movement abnormalities typically manifest as an increased frequency of bowel movements, generally more than 2 times. The stool texture is relatively loose, appearing mushy, and some patients may have watery stools. However, patients generally do not have bloody stools, and there are no clear changes in bowel abnormalities at night after a good sleep, so treatment is currently considered symptomatic.

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Written by Ren Zheng Xin
Gastroenterology
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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.

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Written by Zhu Dan Hua
Gastroenterology
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What medicine is used for colitis?

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 Feng Ying Shuai
Traditional Chinese Medicine
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Which part of the body is moxibustion applied for colitis?

For patients with colitis, moxibustion can be performed. How should the moxibustion points be selected? First, local points can be used, which are on the abdomen. Commonly chosen points include the Tianshu and Dachangshu points, as well as Zhongwan and Daheng. Moxibustion can be performed using moxa sticks with suspension or ginger separation techniques. For distal points, the Sanyinjiao point can be chosen, as well as the lower union point of the large intestine and the Shangjuxu point for managing chronic colitis. Additionally, the Gongsun and Yinlingquan points can be selected to regulate the stomach and intestines, achieving the effects of warming the meridians, promoting circulation, relieving pain, and balancing the digestive system.

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Written by Wu Hai Wu
Gastroenterology
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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.