Symptoms of mild colitis

Written by Si Li Li
Gastroenterology
Updated on November 13, 2024
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Chronic colitis is characterized by symptoms such as abdominal pain, diarrhea, and sometimes mucus in the stool resembling nasal discharge. These symptoms do not vary between mild or moderate to severe cases, as both mild and severe chronic colitis exhibit similar symptoms, making it impossible to distinguish between the severity from the symptoms alone. It is only possible to determine whether chronic colitis is mild or severe during a colonoscopy by observing the degree of mucosal hyperemia, edema, and erosion. Therefore, to differentiate whether chronic colitis is mild or severe, a definitive diagnosis must be made through a colonoscopy examination.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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What should you not eat with colitis?

So what foods should we avoid for patients with colitis? First of all, we should try not to eat milk and seafood, because milk and seafood are types of foreign proteins to the human body, which could potentially become allergens. Because colitis patients are likely to experience colonic allergies after consumption, resulting in worsened diarrhea, so it is advisable to avoid these foods as much as possible. Secondly, we should minimize the consumption of high-fat foods, because patients with colitis have poor digestive functions, particularly weak in digesting fats. Incompletely digested high-fat foods can cause "slippery gut" leading to diarrhea. Over time, the accumulation of fats can also induce complications such as fatty liver, etc. Therefore, foods high in fats such as lard, cream, walnuts, peanuts, almonds, etc., should be avoided or eaten sparingly. Third, it is important to eat less gas-producing food: because colonic inflammation in colitis, due to chronic and recurrent episodes, causes alternation of ulcers and scar fibrosis in the colonic mucosa, which reduces the elasticity of the colonic inner wall. Consuming more gas-producing foods, such as sweet potatoes and soybeans, may cause acute intestinal dilation due to the filling of gas in the intestines, or even lead to complications such as ulcer perforation. Fourth, eat fewer vegetables containing coarse fiber: the fiber in vegetables can absorb intestinal water and have a laxative effect, which might aggravate diarrhea. Therefore, foods high in coarse fiber like celery, crown daisy, cabbage, spinach, etc., should be consumed in limited quantities.

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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 Zhu Dan Hua
Gastroenterology
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What are the symptoms of colitis?

Colitis is relatively common in clinical settings, especially in the gastroenterology outpatient department, and it generally occurs in middle-aged and elderly patients. The disease typically begins with abdominal pain, diarrhea, or abnormal stools. The abdominal pain is characterized by episodic pain in the lower left or right abdomen, without persistent episodes and generally does not occur after the patient falls asleep at night. The diet is usually not related. Diarrhea manifests as watery stools or stools with a soft texture, without bloody stools. Abnormal stools are characterized by constipation, for instance, if the patient has not had a bowel movement for several days, with dry, sheep-dung-like stools that are difficult to expel. Typically, after a thorough colonoscopy, no colon tumors or polyps are found, but signs of congested and edematous colonic mucosa suggest a diagnosis of colitis. Generally, the condition isn't severe, and treatment primarily involves symptomatic management.

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Written by Zhu Dan Hua
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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 Si Li Li
Gastroenterology
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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.