Ischemic colitis (patient information): Difference between revisions
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'''For the WikiDoc page on this topic, click [[Ischemic colitis|here]]''' | '''For the WikiDoc page on this topic, click [[Ischemic colitis|here]]''' | ||
{{Ischemic colitis (patient information)}} | {{Ischemic colitis (patient information)}} | ||
{{CMG}}; {{ | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
| Line 21: | Line 22: | ||
==Who is at highest risk?== | ==Who is at highest risk?== | ||
Risk factors include: | Risk factors include: | ||
:*[[Atrial fibrillation]] | :*[[Atrial fibrillation]] | ||
:*[[Large bowel obstruction|Blockage of the large bowel]] | :*[[Large bowel obstruction|Blockage of the large bowel]] | ||
:*[[Chronic obstructive pulmonary disease]] | :*[[Chronic obstructive pulmonary disease]] | ||
:*[[Congestive heart failure]] | :*[[Congestive heart failure]] | ||
:*[[Diabetes]] | :*[[Diabetes]] | ||
:*[[Hypertension|High blood pressure]] | :*[[Hypertension|High blood pressure]] | ||
:*[[Irritable bowel syndrome]] | :*[[Irritable bowel syndrome]] | ||
:*[[Hypotension|Low blood pressure]] | :*[[Hypotension|Low blood pressure]] | ||
:*Past [[aortic surgery]] in which damage occurred to the artery that supplies the [[colon]]. | :*Past [[aortic surgery]] in which damage occurred to the artery that supplies the [[colon]]. | ||
:*[[Rheumatoid arthritis]] | :*[[Rheumatoid arthritis]] | ||
:*Use of medications that cause [[constipation]] | :*Use of medications that cause [[constipation]] | ||
==Diagnosis== | ==Diagnosis== | ||
| Line 41: | Line 42: | ||
==Treatment options== | ==Treatment options== | ||
*Treatment for | *Treatment for mild ischemic colitis often involves: | ||
**[[Antibiotics]] | |||
**[[Liquid]] [[Diet (nutrition)|diet]] at first | |||
**[[Fluid|Fluids]] through a vein (by IV) | |||
**[[Pain]] [[Medication|medications]] | |||
*Severe ischemic colitis that leads to gangrene is treated with: | |||
**[[Antibiotics]] | |||
**Replacement of blood volume | |||
**Surgery to remove the affected [[bowel]] area | |||
====Medications to avoid==== | |||
{{MedCondContrPI | |||
|MedCond = ischemic colitis|Alosetron}} | |||
==Where to find medical care for Ischemic colitis?== | ==Where to find medical care for Ischemic colitis?== | ||
| Line 63: | Line 69: | ||
==Possible complications== | ==Possible complications== | ||
*[[Gangrene | *[[Gangrene]] of the bowel | ||
*Hole in the intestine ([[perforation]]) | *Hole in the intestine ([[perforation]]) | ||
*Inflammation of the lining of the abdomen ([[peritonitis]]) | *Inflammation of the lining of the abdomen ([[peritonitis]]) | ||
*[[Sepsis]] | *[[Sepsis]] | ||
==Resources== | ==Resources== | ||
Latest revision as of 13:53, 9 January 2018
For the WikiDoc page on this topic, click here
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Ischemic colitis |
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Ischemic colitis On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Ischemic colitis is a sudden swelling (inflammation) of part of the large intestine (colon) that occurs when there is a temporary loss of, or reduction in, blood flow to the colon.
What are the symptoms of Ischemic colitis?
- Abdominal pain
- Blood in the stool (may be bright red or maroon).
- Diarrhea
- Fever
- Vomiting
What causes Ischemic colitis?
Ischemic colitis mainly affects people over 50. Many of them have a history of peripheral vascular disease.
Who is at highest risk?
Risk factors include:
- Atrial fibrillation
- Blockage of the large bowel
- Chronic obstructive pulmonary disease
- Congestive heart failure
- Diabetes
- High blood pressure
- Irritable bowel syndrome
- Low blood pressure
- Past aortic surgery in which damage occurred to the artery that supplies the colon.
- Rheumatoid arthritis
- Use of medications that cause constipation
Diagnosis
- Colonoscopy or flexible sigmoidoscopy.
- Computerized tomography (CT scan).
When to seek urgent medical care?
Call your health care provider if you develop symptoms of ischemic colitis.
Treatment options
- Treatment for mild ischemic colitis often involves:
- Antibiotics
- Liquid diet at first
- Fluids through a vein (by IV)
- Pain medications
- Severe ischemic colitis that leads to gangrene is treated with:
- Antibiotics
- Replacement of blood volume
- Surgery to remove the affected bowel area
Medications to avoid
Patients diagnosed with ischemic colitis should avoid using the following medications:
- Alosetron
If you have been diagnosed with ischemic colitis, consult your physician before starting or stopping any of these medications.
Where to find medical care for Ischemic colitis?
Directions to Hospitals Treating Ischemic colitis
Prevention of Ischemic colitis
Being aware of your risk may allow early diagnosis and treatment. Absolute prevention may not be possible.
What to expect (Outlook/Prognosis)?
- Most cases of ischemic colitis are mild and will improve on their own. They do not need surgical treatment.
- The death rate is high when gangrene occurs because there is not enough blood supply.
Possible complications
- Gangrene of the bowel
- Hole in the intestine (perforation)
- Inflammation of the lining of the abdomen (peritonitis)
- Sepsis