Toxic megacolon history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
===History=== | ===History=== | ||
Patients with toxic megacolon may have a positive history of:<ref name="GanBeck2003">{{cite journal|last1=Gan|first1=S. Ian|last2=Beck|first2=P. L.|title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management|journal=The American Journal of Gastroenterology|volume=98|issue=11|year=2003|pages=2363–2371|issn=0002-9270|doi=10.1111/j.1572-0241.2003.07696.x}}</ref> | Patients with toxic megacolon may have a positive history of:<ref name="GanBeck2003">{{cite journal|last1=Gan|first1=S. Ian|last2=Beck|first2=P. L.|title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management|journal=The American Journal of Gastroenterology|volume=98|issue=11|year=2003|pages=2363–2371|issn=0002-9270|doi=10.1111/j.1572-0241.2003.07696.x}}</ref><ref name="pmid5305933">{{cite journal |vauthors=Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN |title=An experience of ulcerative colitis. I. Toxic dilation in 55 cases |journal=Gastroenterology |volume=57 |issue=1 |pages=68–82 |year=1969 |pmid=5305933 |doi= |url=}}</ref> | ||
*Signs of [[Inflammatory bowel disease]] and acute [[colitis]] | *Signs of [[Inflammatory bowel disease]] and acute [[colitis]] | ||
**[[Abdominal pain]] | **[[Abdominal pain]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Common symptoms of toxic megacolon include abdominal pain and cramping, diarrhea and constipation. Less common symptoms include fever and disorientation.
History and Symptoms
History
Patients with toxic megacolon may have a positive history of:[1][2]
- Signs of Inflammatory bowel disease and acute colitis
- Abdominal pain
- Often bloody diarrhea
- Vomiting
- Weight loss
- History of previous exacerbations
- Extraintestinal manifestations
- Medication, especially
- Steroids
- Antidiarrheals
- Anticholinergics
- Opiates
- Immune status
Common Symptoms
Common symptoms of toxic megacolon include:[1]
- Abdominal pain and cramping
- Diarrhea often bloody diarrhea
- Constipation, obstipation
Less Common Symptoms
Less common symptoms of toxic megacolon include:[3]
References
- ↑ 1.0 1.1 Gan, S. Ian; Beck, P. L. (2003). "A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management". The American Journal of Gastroenterology. 98 (11): 2363–2371. doi:10.1111/j.1572-0241.2003.07696.x. ISSN 0002-9270.
- ↑ Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN (1969). "An experience of ulcerative colitis. I. Toxic dilation in 55 cases". Gastroenterology. 57 (1): 68–82. PMID 5305933.
- ↑ Grieco MB, Bordan DL, Geiss AC, Beil AR (1980). "Toxic megacolon complicating Crohn's colitis". Ann. Surg. 191 (1): 75–80. PMC 1344622. PMID 7352781.