Ischemic colitis history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Ischemic colitis}} | {{Ischemic colitis}} | ||
{{CMG}}; {{ | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
Ischemic colitis is characterized by [[abdominal pain]] which is out of proportion to physical findings, | Ischemic colitis is characterized by [[abdominal pain]] which is out of proportion to [[Physical examination|physical]] findings. There is a sudden onset of crampy [[abdominal pain]], [[diarrhea]], and an urge to [[Defecation|defecate]]. The [[pain]] is mild, located over the affected [[Intestine|bowel]], and usually to the left side of the lower [[abdomen]]. Mild [[rectal bleeding]] is noticed within 24 hours which may be bright red or maroon mixed with the [[Human feces|stools]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
The history and symptoms of ischemic colitis are as follows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref>{{cite journal |author=Boley SJ, Brandt LJ, Veith FJ |title=Ischemic disorders of the intestines |journal=Curr Probl Surg |volume=15 |issue=4 |pages=1–85 |year=1978 |month=April |pmid=365467 |doi=10.1016/S0011-3840(78)80018-5}}</ref><ref>{{cite journal | author = Hunter G, Guernsey J | title = Mesenteric ischemia. | journal = Med Clin North Am | volume = 72 | issue = 5 | pages = 1091–115 | year = 1988 | pmid = 3045452}}</ref><ref name="Greenwald">{{cite journal | author = Greenwald D, Brandt L, Reinus J | title = Ischemic bowel disease in the elderly. | journal = Gastroenterol Clin North Am | volume = 30 | issue = 2 |pages = 445–73 | year = 2001 | pmid = 11432300 | doi = 10.1016/S0889-8553(05)70190-4}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | |||
* Sudden onset of crampy [[abdominal pain]], [[diarrhea]], and an urge to [[Defecation|defecate]] | |||
** The pain is mild, located over the affected [[Intestine|bowel]], usually to the left side of the lower [[abdomen]] | |||
** Mild [[rectal bleeding]] within 24 hours | |||
* The [[blood]] may be bright red or maroon mixed with the [[Human feces|stools]] | |||
* [[Rectal bleeding]] is minimal | |||
* [[Hematochezia]] with [[Hemodynamics|hemodynamic]] instability suggests a different diagnosis | |||
* Associated [[ileus]] may be manifested by [[anorexia]], [[Nausea and vomiting|nausea]] and [[Nausea and vomiting|vomiting]] | |||
=== | ===Common Symptoms=== | ||
* | * Symptoms of ischemic colitis vary depending on the severity of the [[ischemia]] | ||
* The most common early signs of ischemic colitis include [[abdominal pain]] (often left-sided), with mild to moderate amounts of [[lower gastrointestinal bleeding|rectal bleeding]] | |||
* The sensitivity of findings among 73 patients were as follows: | |||
** [[Abdominal pain]]: 78% of patients | |||
** [[Lower digestive bleeding]]: 62% of patients | |||
** [[Diarrhea]]: 38% of patients | |||
* | ** [[Fever]]: Higher than 100.4°F (38°C) in 34% of patients | ||
=== | ===Less common symptoms=== | ||
*Chills / rigors | |||
* | *Cachexia | ||
* | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Medicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Up-To-Date]] | |||
Latest revision as of 14:32, 5 February 2018
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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 characterized by abdominal pain which is out of proportion to physical findings. There is a sudden onset of crampy abdominal pain, diarrhea, and an urge to defecate. The pain is mild, located over the affected bowel, and usually to the left side of the lower abdomen. Mild rectal bleeding is noticed within 24 hours which may be bright red or maroon mixed with the stools.
History and Symptoms
The history and symptoms of ischemic colitis are as follows:[1][2][3][4][5]
- Sudden onset of crampy abdominal pain, diarrhea, and an urge to defecate
- The pain is mild, located over the affected bowel, usually to the left side of the lower abdomen
- Mild rectal bleeding within 24 hours
- The blood may be bright red or maroon mixed with the stools
- Rectal bleeding is minimal
- Hematochezia with hemodynamic instability suggests a different diagnosis
- Associated ileus may be manifested by anorexia, nausea and vomiting
Common Symptoms
- Symptoms of ischemic colitis vary depending on the severity of the ischemia
- The most common early signs of ischemic colitis include abdominal pain (often left-sided), with mild to moderate amounts of rectal bleeding
- The sensitivity of findings among 73 patients were as follows:
- Abdominal pain: 78% of patients
- Lower digestive bleeding: 62% of patients
- Diarrhea: 38% of patients
- Fever: Higher than 100.4°F (38°C) in 34% of patients
Less common symptoms
- Chills / rigors
- Cachexia
References
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ Boley SJ, Brandt LJ, Veith FJ (1978). "Ischemic disorders of the intestines". Curr Probl Surg. 15 (4): 1–85. doi:10.1016/S0011-3840(78)80018-5. PMID 365467. Unknown parameter
|month=ignored (help) - ↑ Hunter G, Guernsey J (1988). "Mesenteric ischemia". Med Clin North Am. 72 (5): 1091–115. PMID 3045452.
- ↑ Greenwald D, Brandt L, Reinus J (2001). "Ischemic bowel disease in the elderly". Gastroenterol Clin North Am. 30 (2): 445–73. doi:10.1016/S0889-8553(05)70190-4. PMID 11432300.
- ↑ Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. doi:10.1016/j.amjsurg.2005.09.018. PMID 17071206.