Colitis is often referred to as ulcerative colitis, a chronic diffuse inflammatory disease of the rectum and colon with a poorly understood etiology, and a type of inflammatory bowel disease that involves the rectum and extends proximally in a symmetrical, circumferential, and contiguous manner, and may involve part or all of the colon, with lesions mainly confined to the mucous membrane and submucosa.

The main manifestations are diarrhea, mucus, pus and blood stools, urgency to defecate and symptoms of urgency. The severity of the disease varies, and it tends to be a chronic course with alternating episodes and remissions.

These symptoms also have certain characteristics, and see Xiaoke explained in detail as follows for your understanding:

1. Diarrhea and mucopurulent stools: Diarrhea is the main symptom of ulcerative colitis, and mucopurulent stools are an important manifestation of the active phase of the disease. Some people may also have fecal incontinence. The number of bowel movements and the degree of blood in the stool reflect the severity of the disease, in the mild case, 2-4 bowel movements per day, there may be no blood in the stool or a small amount of mucus pus and blood, and in the severe case, there may be more than 10 bowel movements per day, with obvious pus and blood in the stool.

2. Abdominal pain: when the disease is mild, there may be no abdominal pain, and in severe cases, there may be mild to moderate paroxysms of pain in the left lower abdomen or lower abdomen, and there are few symptoms of total abdominal pain. Typical symptoms will have pain → stool → stool relief regular symptoms, often accompanied by a sense of urgency and heaviness, the appearance of this symptom suggests that the mucosa of the rectum is involved by inflammation. If the inflammation involves the peritoneum or is complicated by toxic megacolon, persistent severe abdominal pain may occur.

3. Other manifestations: often accompanied by loss of appetite, abdominal distension, nausea, vomiting and other symptoms, medium and heavy patients often have varying degrees of fever during the active period, and people with acute fulminant form sometimes have other complications and high fever. People with severe or persistently active disease will show emaciation, anemia, hypoproteinemia, electrolyte disorders, etc. Younger patients may also show growth retardation, and women may show primary amenorrhea.

In addition, ulcerative colitis can be accompanied by specific extraintestinal manifestations, mainly in the form of peripheral arthritis, ankylosing spondylitis, sacroiliac arthritis, erythema nodosum of the skin, gangrenous scleroderma, ocular scleral epiphora, anterior uveitis, recurrent ulcers of the oral cavity, and symptoms of diseases such as primary sclerosing cholangitis.

Ulcerative colitis is categorized into the following types depending on the severity of the condition:

1.Mild:Diarrhea less than 4 times a day, mild or no blood in stool, no fever, rapid pulse, mild or no anemia, normal blood sedimentation.

2. Moderate: Between mild and severe.

3. Severe: diarrhea more than 6 times a day with obvious mucus, pus and blood stools, body temperature >37.5°C, pulse >90 beats/min, hemoglobin <100g/L, blood sedimentation >30mm/h.

Depending on the extent of lesion invasion, it can be categorized as proctitis, rectosigmoiditis, left hemicolonitis, extensive colitis (lesions extending to the vicinity of the splenic flexure of the colon), and total colitis (lesions extending to the entire colon).

Ulcerative colitis can cause the following complications in severe cases :

1. Toxic megacolon: mostly triggered by patients with fulminant or severe ulcerative colitis, the incidence is not high, most of them have low potassium, barium enema, the use of anticholinergic or opioid drugs and other triggers, there are also no obvious triggers and happen. It is mainly due to the colonic lesions involving the muscle layer and intestinal muscle nerves from, resulting in the disappearance of peristalsis of the colon, intestinal contents and a large amount of gas accumulation, resulting in rapid dilatation of the colon caused. The main manifestation is the rapid aggravation of the condition, obvious toxemia, dehydration and electrolyte balance disorders, which may easily cause acute intestinal perforation.

2. Carcinoma: It is mostly seen in patients with a long course of the disease, and may be caused by gene mutation in the process of continuous damage repair. Therefore, patients with a long course of disease and wide range of lesions should undergo regular review.

3. Other complications:Ulcerative colitis can also be complicated by massive intestinal bleeding, intestinal perforation, intestinal obstruction and other complications, but rare, especially intestinal perforation is mostly related to toxic megacolon.

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This time there are a lot of friends have asked me, they often have diarrhea, and even sometimes blood in the stool, is not colitis, today Dr. Cui will give you a chat about colitis, I said colitis is ulcerative colitis, colitis is actually a chronic ulcerative disease of the colon, this disease will beDamage to the patient's intestinal mucosa, the condition is prolonged, causing great pain to the patient。

What are the symptoms of colitis?

1, the clinical manifestations of ulcerative colitis is different, this difference in addition to the different symptoms, there are also different degrees; but the main manifestations areDiarrhea or constipationIt is often possible to seeThere's something like mucus in the feces.Gradually, patients will find that their daily bowel movements are more frequent than before, and those with severe conditions may even need to have a bowel movement every day.A dozen times.Stool. And the more the disease is prolonged, the more symptoms appear; there can even be aA bowel movement that looks like blood.The stools are often sticky and pasty. Blood in the stool is also a common manifestation, which is caused by ischemia and necrosis of the intestinal mucosa. However, it is usually a very small amount of blood in the stools, except for individual severe patients who may have more serious bloody stools or bloody watery stools.

2. Most patients with ulcerative colitis are havingManifestations of abdominal pains, but this abdominal pain is still generally distinguished from the abdominal pain that occurs in other organs. Because this type of abdominal pain is usually more common in the lower left or lower abdomen, there are some patients who also have this particular condition, which is a stomach ache and thenGoing to the bathroom after a stomach acheAfter going to the bathroom.Relief from stomach painsThe patient may also have a feeling of urgency and heaviness after going to the toilet. There are also some serious cases of patients will appear in the urgent and heavy feeling, that is to say, suddenly want to go to the toilet, but to the toilet and can not pull pain, always feel that the stool in the anus can not come out, and the patient will not be able to go to the toilet.It goes back and forth and is very unpleasant and painful. This may be caused by inflammation that irritates the workplace.

3, Ulcerative colitis, in addition to the above gastrointestinal symptoms, will also appear to beindigestionmanifestations, such as the presence ofnot feel like eating, feel full after eating a little food, and also often have aHiccups, belchingEven the emergence ofNausea, vomitingThe symptoms of the disease are Fever and electrolyte disturbances are rarely seen in non-acute patients.

4, but I want to emphasize a situation that is ulcerative colitis in the less serious period of time the symptoms are relatively mild, and will only appearMild diarrhea or constipationSymptoms such as these can often be misdiagnosed asirritable bowel syndrome (IBS)The reason for this is that even if a colonoscopy is performed, the patient will only find a mild degree of congestion and edema in the colonic mucosa. Because at this time the patient even if the colonoscopy will only find that the mucosa of the colon appeared to a lesser degree of congestion and edema. There is no ulceration, which occurs more often in theHigher incidence in spring and fallIt is also a common condition in people with ulcerative colitis. If the condition is left unattended, bloody stools can occur if the condition persists, and the presence of blood is a good indicator of irritable bowel syndrome, which almost never occurs.

So how can you tell if you have ulcerative colitis and how can you differentiate it from other diseases?

• Since ulcerative colitis canDiarrhea, pus and bloodand other symptoms, so that it is possible to performExamination of fecesThe routine stools are a good way to find outLarge numbers of red blood cells, pus cells in the fecesThe patient's blood is usually normal, while hemoglobin can be lowered to varying degrees. However, the white blood cell profile of the patient's blood is usually normal, whereas hemoglobin can be lowered to varying degrees, as it has already been mentioned that the patient often has bloody or pus-filled stools, which can lead to achronic anemiaperformance.C-reactive protein is also an indicator of inflammationHowever, this indicator is highly sensitive for inflammatory diseases. That is, it is possible to identify functional gastrointestinal disorders or inflammatory bowel diseases, and C-reactive protein is usually elevated in ulcerative colitis.

• The more meaningful and diagnostic test is to perform acolonoscopyThis is the more commonly used screening tool in the clinical process. Because it is possible to visualizeObserve the colonic mucosa for lesionsYou can also view theLocation and extent of the lesionThe diagnostic role is great as the mucosal tissue can even be taken for pathologic examination. I would also suggest that patients with ulcerative colitis are to beRegular colonoscopyThe colonoscopy is not recommended in the acute phase of the disease. However, if there is a suspicion of perforation of the colon or significant dilatation of the colon, or if peritonitis is present, colonoscopy is not recommended in the acute phase.
• as a result ofHaving a colonoscopy generally causes considerable pain to the patientBitter, although there is now a painless colonoscopy, but because some patients may not be accompanied by their family members, so they can not be painless colonoscopy, then I can also be barium enema examination of the, but there is a disadvantage, that is, on theEarly lesion detection is not as good as colonoscopyThe. However, the overall detection rate is good. Plain abdominal radiographs alone are not effective, except in patients who have developed toxic megacolon, which can be monitored periodically.

• Of course, you're asking me if there are any simple tests, i.e., those that don't have to be painful for the patient. Actually there are, but they are not the tests of choice for this gastrointestinal condition, such asCT or MRIetc., but it is also possible to detect lesions to some extent.
• If you experience the symptoms I described above, you can't immediately tell that you have ulcerative colitis, because there is a disease calledCrohn's diseaseThe disease is also characterized by similar changes in the body. However, there are some points of differentiation if you are careful, such as the general Crohn's disease patients do not appear pus and blood stools, and often appear fever, and even in the abdomen can be touched to the enlarged mass, of course, these areA colonoscopy can be performed to differentiate。
• In addition, some patients must be worried about whether or not they have bowel cancer.After all, bowel cancer can present with bloody stoolsBut colon cancer patients present withBloody stools may not be as serious as ulcerative colitisIn addition, there are other accompanying symptoms, such as changes in stool pattern and duration of bowel movements, which are not limited to bloody stools.

How can gastric ulcerative colitis be treated if it has been diagnosed?

1, in fact, ulcerative colitis is a more difficult disease, because this disease is more prolonged and difficult to cure, a lot of people ran a lot of hospitals, using a lot of treatment, but still not cured. So I don't really have any special solutions. I can only provide you with some common treatments, which include medication and surgery.The more commonly used medications are salazosulfadiazine, also known as salicylates, mesalazine, etc.. However, this medication does not work the same for everyone, and of course, this type of medication is used both orally and anally. In addition, since ulcerative colitis may be accompanied by intestinal infections, some antibiotics are also used, thee.g. metronidazole, penicillin, etc.However, some people say that glucocorticosteroids are more effective, and there is nothing wrong with that, but hormones can cause a lot of trouble for patients, such as complications, but for that kind of acute and serious disease, hormone therapy is often needed.

2. When patients with ulcerative colitisIneffective medical treatmentThe patient with a recurring condition, who has been tortured to death, is also able toConsider surgical treatmentHowever, the surgery usually requires cutting out all the lesions, that is, basically cutting out the entire colon, which will cause a lot of pain for the patient, and not necessarily complete removal of all the lesions, if theIf there are lesions remaining, it can still cause the patient's condition to recur。

Finally, if symptoms related to colitis occur, try to go to the hospital as early as possible, early treatment is the key, and finally, I hope everyone can be healthy, thank you.

I'll answer that;

Colitis is caused by many factors and is a chronic inflammatory disease of the colon.The main factors are caused by immunization, infection, and misuse of antibiotics.

Some people have a low immune system and are not in very good physical condition, which can lead to a corresponding reaction in the intestines when irritating foods are eaten, and the likelihood of suffering from colitis will be higher;

There are some people who do not pay attention to personal hygiene in life, often mistakenly eat to eat food with bacteria or viruses, which is a great harm to our intestinal mucosa, but also will trigger the onset of colitis;

Generally colitis is often accompanied by these symptoms;

have the runs: Diarrhea is an early symptom of colitis and can be recurrent, ranging from soft or mushy stools 3-4 times a day in mild cases to dozens of times a day in severe cases, which can be diarrhea, constipation or alternating.

insomnia: constipation once every 4-5 days, only laxatives can pass stool; stool volume is small, dry and hard, difficult to discharge, and accompanied by abdominal discomfort or abdominal pain during defecation, but can be relieved after defecation.

abdominal pain: The nature of the pain is mild, usually based on the location of the colitis lesion to determine the location of the pain; abdominal pain is aggravated with the development of the disease, in the early stages of the disease, the patient does not have abdominal pain or the pain is relatively mild, with the aggravation of the disease the pain will become more and more intense.

Water electrolyte disorders: Severe patients can suffer from dehydration as well as water-electrolyte disturbances due to massive diarrhea and constipation, and when this occurs, they should be hospitalized in order to receive prompt intravenous hydration and correct water and acid-base balance disturbances.

Symptoms are not terrible, the fear is that you do not save in time, any condition can not be delayed, once delayed damage is their own, colitis is also aggravated if you do not timely preventive treatment.

Here are the dangers associated with colitis that should not be overlooked!

1.出Presenting intestinal stenosis, malformation, obstruction

Colitis, if left untreated and allowed to progress, can cause intestinal stenosis, malformation, obstruction, and in severe cases, the risk of lower gastrointestinal bleeding.

2. Leads to celiac disease, ulcers intestinal perforation

Colitis is the cause of intestinal inflammation abrasion, ulcers intestinal perforation, ulcers do not heal well or the disease is not effectively controlled, there will be perforation, intestinal perforation in turn will cause the occurrence of acute abdominal inflammation, and even cause infectious shock, but also cause hemorrhage.

3、Complicated colorectal polyps, intestinal cancer

Colitis can be complicated by colon and rectal polyps and even malignant transformation into colorectal cancer.

Bowel polyps usually have no performance, most people only find out during colonoscopy, and the appearance of polyps as precancerous lesions, for people's concern; bowel cancer is a common malignant tumor of the digestive tract, and it is life-threatening if not handled well.

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With the modern life has been the work pressure of tension, many people diet has become irregular, irregular, often overeating, plus usually like to order takeaway, eat some spicy food, it is particularly easy to patients with colitis.

I often come across some patients with colitis at work to have their stools tested, and they are often patients with diarrhea. In fact, colitis, also known as non-specific ulcerative colitis, in the final analysis is mainly due to dietary causes of inflammation of the colon, followed by a series of intestinal symptoms, these patients play with the bowel movement after the discomfort of the symptoms will be relieved.

So what are the symptoms of colitis?

Let's recognize the following, and you can also compare them, if you also have one of the symptoms, it means that you may also suffer from colitis.

● First symptom: diarrhea

Diarrhea is arguably one of the most common symptoms of colitis. When patients suffer from colitis, they often have repeated diarrhea, diarrhea can be more than a dozen times a day, and most of the stools are watery stools, that is, like water, and sometimes there will be mucus blood stools or mucus stools, which is mainly intestinal inflammation, pus so that the feces mixed with mucus, pus and even blood. Most of the causes of diarrhea are due to improper diet, such as eating unclean things or eating too cold things, or even food poisoning can also cause colitis.

:: Second symptom: abdominal pain

Abdominal pain is also one of the common symptoms of colitis, especially when the intestines are cold, or eat greasy food, or perhaps emotional fluctuations will be prone to abdominal pain symptoms, this abdominal pain is mostly mild to moderate spasmodic abdominal pain, mostly in the left lower abdomen, sometimes even involving the whole abdomen, most of the cases are paroxysmal, transient, mild abdominal pain pain, abdominal pain is often accompanied by a sharp and heavy situation, and have the feeling of wanting to stool, and after stooling will be relieved. In most cases, the pain is paroxysmal, transient and mild, and is often accompanied by a feeling of urgency and heaviness, and a feeling of wanting to have a bowel movement, which is relieved after having a bowel movement.

● Third symptom: constipation

Do not because of colitis patients only diarrhea, in fact, there are 5% of ulcerative colitis patients will appear constipation, mainly because of inflammation of the colon, affecting the normal peristaltic function of the colon, resulting in constipation, feces, like goat poop, like 4-5 genius defecation, and defecation is very difficult, and sometimes even with the help of a laxative in order to pass the bowels, in the defecation of the bowels and even easy to cause Blood in the stool.

● Fourth symptom: intestinal bleeding

It has been mentioned above that in colitis there is blood in the stool, this is mainly due to ulcers in the intestines, which is one of the main symptoms of early ulcerative colitis, and in most cases this blood is mixed in the stool. In case of constipation, there is often blood attached to the outside of the stool as well. This often comes back positive when we do a fecal occult blood test.

In addition to these common symptoms, abdominal distension, weight loss, fatigue, bowel sounds and other symptoms can occur, and in severe cases, even fever, anemia, dehydration, electrolyte balance disorders, nutrient absorption disorders and other symptoms, and there may be intestinal perforation of the symptoms, which can be life-threatening health.

Also, while we are talking about colitis, we have to talk about a disease that has very similar symptoms to colitis and it is theirritable bowel (medicine)The irritable bowel can also cause diarrhea, abdominal pain, constipation and other symptoms. This irritable bowel can also cause diarrhea, abdominal pain, constipation and other symptoms, but the irritable bowel itself is not caused by inflammation of the intestinal tract, it belongs to the neurosis, often associated with insomnia, anxiety, depression, headache and other factors, we often find that it is often found in the routine examination of the stool test results show that everything is normal, and did not find red blood cells, white blood cells, mucus, and other abnormal tissues, and often the mood will become good! When the symptoms get better.

So what can you do when you have colitis?

Western medicine treats colitis, often using montelukast for relatively mild diarrhea; and for constipation caused by colitis, only laxatives such as polyethylene glycol, lactulose or sorbitol are used to improve symptoms.

But Chinese medicine for the treatment of colitis has better efficacy, in Chinese medicine, colitis is mostly due to the accumulation of dampness, heat and toxicity in the intestinal tract, so the use of some of the heat and detoxification, swelling and drainage of pus Chinese medicine can be used to treat colitis, such as fish, Amaranthus and so on. For colitis caused by diarrhea, constipation also has a better efficacy, often a formula inside the problem of colitis can be solved.

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Colitis refers to inflammatory lesions of the colon caused by various reasons. It can be caused by bacteria, fungi, viruses, parasites, protozoa and other organisms, and can also be caused by metabolic reactions and physical and chemical factors, according to the different etiological factors, it can be divided into specific inflammatory lesions and non-specific inflammatory lesions, the former refers to infectious colitis, ischemic colitis and pseudomembranous colitis, etc., and the latter includes ulcerative colitis and colonic Crohn's disease. The incidence of ulcerative colitis in China is gradually increasing, with a long course of the disease and the risk of complication with colon cancer, so it has received more and more attention.

What are the causes of colitis?

1, genetic: the disease of blood family incidence is higher, according to the European and American literature statistics, ulcerative colitis patient's immediate blood relatives, about 15-30% of the people onset. In addition, twin studies show that monozygotes are more likely to develop the disease than dizygotes, suggesting that the occurrence of the disease may be related to genetic factors.

2, infection: the pathological changes and clinical manifestations of this disease and some colon infectious diseases (such as bacillary dysentery) are similar, and thus some people believe that infection is the cause of this disease. In bacteria, fungi and viruses and other factors, current research shows that the possibility of infection with viruses is greater.

3, autoimmune response: most scholars believe that this disease belongs to autoimmune disease. Because this disease is complicated by autoimmune disease (such as autoimmune hemolytic anemia) more people, adrenocorticotropic hormone can make the condition relieved, in some patients' serum can be detected anti-colonic epithelial cell antibodies, so it is thought that the occurrence of this disease may be related to autoimmune reaction. In addition, some patients infected with enterobacteria can react with colon epithelial cell antigens and damage the colon mucosa, and the lymphocytes of patients have cytotoxic effects on fetal colon epithelial cells, suggesting that the suspicion that the occurrence of colitis may also be related to cellular immune abnormalities.

4, neuropsychiatric factors: some people believe that mental factors play a role in the development of patients with certain personality traits, for the life of the major events in the mental capacity and adaptability is poor, belongs to the category of psychosomatic diseases, psychosomatic diseases emphasize the psychological factors in the occurrence of the disease or the course of the disease plays an important role.

What are the symptoms of colitis?

1, dyspepsia: non-specific symptoms, mainly anorexia, epigastric fullness, nausea and vomiting, belching and acid swallowing.

2, in the urgent and serious: is the main symptom of proctitis, this disease is also more common.

3, blood in the stool: is one of the main symptoms of the disease, light blood attached to the surface, heavy blood downstream, to shock.

4, abdominal pain: diarrhea before the symptoms of abdominal pain, abdominal pain is diarrhea, diarrhea after the pain to reduce. The pain is mainly distending, mostly fixed, mostly confined to the left lower abdomen or the left lumbar abdomen, persistent hidden pain is not uncommon, and the mild ones have no abdominal pain.

5, diarrhea: the most important symptom, but also a common symptom, often recurring or persistent, light. Those who are 2-5 times a day, the heavier 20-30 times, the nature of feces individual differences, soft stools, thin paste, watery, mucus stools vary, but the stools to mucus pus and blood stools are common, and some show dysentery-like pus and blood stools.

6, constipation: constipation once in 4-5 days, feces such as sheep's poop, or even do not eat laxatives can not pass stools. Fewer stools, less volume, dry and hard stools, difficult to discharge, defecation is accompanied by abdominal discomfort or abdominal pain, but can be relieved after defecation. It should be noted that constipation and diarrhea are both early symptoms of colitis, and in severe cases, they may occur alternately with each other, so extra attention should be paid.

7, other symptoms: abdominal distension, emaciation, fatigue, intestinal chirping, insomnia, dreaminess, fear of cold, severe cases may have fever, rapid heartbeat, as well as debilitation, anemia, dehydration, electrolyte balance disorders and nutritional disorders and other manifestations.

Types of colitis

1. Mild type: This syndrome type is the most common, usually only involves the distal part of the colon (i.e. sigmoid colon), with slow onset and mild symptoms. Mild diarrhea can be seen, less than 4 times a day, or alternating with constipation, with no or only a small amount of blood mucus in the stool. There are no systemic symptoms.

2、Moderate type: between mild and severe, with sudden onset, diarrhea more than 4 times a day, mostly dilute and bloody stools, and severe abdominal pain. There are mild systemic symptoms, such as low fever, weight loss and loss of appetite.

3、Severe type: the onset of the disease is acute, with significant diarrhea, more than 6 times a day, accompanied by bloody stools or mucous pus and blood stools, and severe abdominal pain. There are systemic manifestations such as fever, lethargy, emaciation and anemia.

Precautions for patients with colitis

1, the food should be easy to digest, soft and less slag is appropriate; diet should be light, avoid spicy, greasy food; attention to supplement protein and vitamins; avoid eating gas-producing food; avoid cold fruits and vegetables.

2, pay attention to the combination of work and rest, should not be overworked.

3. Regular physical exercise to enhance physical fitness and improve immunity.

4, maintain a good state of mind, avoid anger, depression, irritation and other adverse emotional stimuli.

Conclusion: If symptoms such as persistent recurrent abdominal pain, diarrhea, difficulty in defecation, or blood in the stool occur, you should seek prompt medical attention.

Colitis, also known as non-specific ulcerative colitis, is often slow in onset and varies in severity.

The main clinical manifestations are:

Abdominal pain, diarrhea, mucus and pus and blood stools, acute and severe, or even constipation, can not pass stools within a few days, etc.; sometimes diarrhea and sometimes constipation, the patient is often accompanied by lethargy and fatigue, etc., and recurrent episodes.

Abdominal pain, on the other hand, is usually mostly vague or colicky and is often located in the lower left abdomen or around the lower abdomen.

Other manifestations include loss of appetite, abdominal distension, nausea, vomiting, and hepatomegaly; sometimes a spastic colon can be palpated.

Common systemic symptoms include lethargy, fatigue, fever, and anemia.

In a small number of patients, the disease suddenly worsens in the course of a chronic illness, manifesting severe diarrhea, with daily10-30 timesand discharge of feces containing blood, pus, and mucus with high fever, vomiting, tachycardia, heart failure, water loss, electrolyte disturbances, coma, and even colonic perforation.Untreated can result in death。

A specific case is explained to the questioner below:

case (law)

17-year-old Xiaojun (a pseudonym) is a college freshman in Changsha, binge drinking during the holidays, drink a lot of wine, and gradually began to abdominal pain, diarrhea, diarrhea 4-5 times a day, abdominal pain is mainly in the left lower abdomen.

Xiaojun thought that he had eaten the wrong thing and his stomach was bad, and that he would be fine in 2 days, so he didn't care.

However, the diarrhea was not good for several days in a row, and the abdominal pain worsened, accompanied by vomiting, and immediately came to the end of the holiday.Hunan Second People's HospitalAttendance.

Dr. Tu Sanying, Professor of PediatricsDetailed questioning of the medical history, understood that Xiaojun not only abdominal pain, diarrhea, vomiting, stools and mucus, accompanied by acute and severe symptoms, judgement is not the gastrointestinal discomfort caused by eating the wrong thing, it is likely to be intestinal diseases.

Hospitalized for a detailed examination, the medical staff found that Xiaojun had occult blood in the stool, and in the abdominal CT examination found diffuse thickening of the wall of the ascending colon tube, surrounded by foci of exudation, and the imaging physician considered inflammatory lesions.

After consulting with Associate Professor Geng Ying of the Department of Gastroenterology, we learned that Xiaojun has a history of constipation and occasional diarrhea, and comprehensively considered that Xiaojun has colitis.

Spanish jasmine (Jasminum grandiflorum)

Associate Professor Geng Ying, Department of GastroenterologyAs a reminder, ulcerative colitis is a chronic nonspecific inflammatory disease of the colon and rectum whose etiology is not well understood, and the lesions are confined to the mucosa and submucosa of the large intestine.

The lesions are mostly located in the sigmoid colon and rectum, but may also extend to the descending colon or even the entire colon.

The course of the disease is long and often recurrent. The disease is seen at any age, but20-30 years oldMost common.

Diet is key to preventing ulcerative colitis.

要Eat regularly, don't overeat, eat fewer late-night snacks, andThis facilitates intestinal digestive balance and avoids intestinal dysfunction due to uncontrolled eating.

dietary supplementLight taste, easy to digest, less greasy main。Eat fewer cold beverages and less bloating-prone foods。

Eat less food with high fat contentThis is to avoid aggravating the gastrointestinal burden due to its indigestibility.Eat more vegetables and fruits. Prohibit excessive alcohol consumptionetc.

(Web image, for reference only)

Hunan Medical Chat Special Q&A with Li Ying from Hunan Second People's Hospital

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We all know that almost all diseases related to the intestines will have the symptom of "abdominal pain", so this abdominal pain covers a wide range. What are the symptoms of colitis?

1. Digestive system:Abdominal pain and diarrhea are still the predominant clinical manifestationsAbdominal pain is usually vague or colicky, mainly in the lower left abdomen and lower abdomen; there is a sense of urgency and heaviness, easy to diarrhea, diarrhea frequency can reach more than 10 times a day.

2. Systemic symptoms: body wasting, electrolyte disorders, anemia, vomiting.

3. Early symptoms:Blood in the stool as one of the most critical early symptomsMucous stools are also a frequent symptom.

Colitis has a slow onset and complex etiology, with the two most important factors:①Infectious factors: the invasion of various pathogens. ② autoimmune factors: decreased resistance, immune function disorders.

The diagnosis of colitis relies on clinical symptoms and laboratory tests to confirm the diagnosis. Laboratory tests are:(1) Routine stool tests (2) Stool bacterial culture (3) Sigmoidoscopy (4) Fiberoptic colonoscopy (5) Colon x-ray examinationetc.

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Dr. Duan Q&A Online 🍀Chat About Colitis 🍀

Modern medicine is a discipline that is constantly evolving and improving, especially in the understanding and diagnosis of diseases. What we usually call colitis or chronic colitis is merely a vague diagnostic designation that combines colonoscopy, X-rays and histology, and refers mainly to ulcerative colitis.

Highly valued because of the seriousness of the situation

Ulcerative colitis is characterized by high morbidity (the incidence of which has increased significantly in recent years), rejuvenation (occurring mostly in young people between the ages of 20 and 40 years), and recurrence (with a tendency to recur throughout life).

What are the symptoms of colitis?

(1) Recurrent episodes of diarrhea and mucus-pus-blood stools, with bowel movements ranging from 2 to 4 times/day in mild cases to >10 times/day in severe cases.

(2) Abdominal pain: often accompanied by a feeling of urgency and heaviness, and the pain is relieved after a bowel movement.

(3) It may be accompanied by other gastrointestinal symptoms such as bloating, loss of appetite, nausea, and vomiting.

(4) Symptoms of malnutrition, such as weakness, wasting, or water-electrolyte disturbances due to diarrhea.

The above are the clinical manifestations that we are better able to recognize and grasp in our life, when encountering the above situation, we should pay more attention to observe a little, and go to the hospital in time to get a clear diagnosis.

What causes colitis?

(1) Lifestyle and dietary factors: long-term consumption of moldy, spoiled or unclean food; single diet and food with strong irritation to the intestines; irregular lifestyle and lack of exercise. Because of the high metabolic rate of the colon mucosa, it is very susceptible to the above factors and suffer damage.

(2) Genetic factors: According to statistics, the incidence of ulcerative colitis in the patient's immediate family members is 5% to 15%.

(3) Infection: Although the exact causative agent has not been found, the clinical symptoms are similar to those of infectious diseases of the colon.

(4) Stress factors: manifested in patients with major trauma or shock, because the body itself is stressed causing ulcerative damage to the colon.

How do we diagnose ulcerative colitis?

Colonoscopy! The important diagnostic tool for ulcerative colitis continues to be colonoscopy and, if necessary, biopsy.

Dr. Duan's special reminder

(1) We can't change our genetics but we can change our habits. One more good living and eating habit and we are one step further away from the disease.

(2) Early diagnosis and treatment remains a prerequisite for many diseases to get better, so be sure to get on the dotted line when the above symptoms appear.

(3) Colitis many times takes a long time to treat and the results vary from person to person, so be prepared.

(4) When modern medical treatment is not effective, TCM treatment can be considered, but it is recommended to seek professional TCM practitioners for evidence-based treatment.

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And what are the symptoms of chronic colitis?

1. Gastrointestinal symptoms of enteritis. Often present intermittent abdominal pain, abdominal distension, abdominal pain as the main manifestation of enteritis. When cold, into the greasy food or encounter emotional fluctuations, or after exertion, especially. The number of bowel movements increases, several times a day or dozens of times, the anus falls, bowel movement is not refreshing. In the acute attack of chronic enteritis, high fever, abdominal cramps, nausea and vomiting, stools are as urgent as water or sticky frozen blood.

2. Systemic symptoms. Chronic consumptive symptoms, face color not flashy spirit, less breath and lazy speech, limb weakness, like warmth and fear of cold. If in the acute inflammatory period, in addition to fever, can be seen in water loss, acidosis or shock hemorrhagic manifestations.

3. Signs of enteritis. Prolonged abdominal discomfort or vague pain in the lesser abdomen, examination of the abdomen, periumbilical or lesser abdomen is seen to be predominant, with mild pressure pain, bowel sounds hypertonic, prolapse.

So what should you pay attention to in your normal chronic colitis diet?

1. Avoid cold, control emotions, diet is a very important aspect. This disease in the onset, remission period can not eat beans and soy products, wheat and pasta products, as well as garlic, leeks, yams, eggs, cabbage, peanuts, melon seeds and other easy to produce gas food. Because once eaten, the gastrointestinal tract gas increase, gastrointestinal power is affected, can trigger the disease, and even exacerbate the symptoms.

2. Chronic colitis patients are mostly weak and have poor resistance. In particular, the gastrointestinal tract is prone to complications of infection, and thus should pay more attention to dietary hygiene, do not eat raw and cold, hard and spoiled food, prohibit alcohol and spicy stimulating condiments.

3. Patients with chronic colitis should also closely observe their adaptability to various foods and pay attention to individual differences. If you eat some of the food should not have an impact on the intestinal tract after diarrhea aggravation, we must find out the reasons, feel the law, and try not to eat in the future.

4. Keep the abdomen warm.

Colitis is not a deadly disease! All tried to use a variety of Western medicine, and even surgery, but people who have used these methods have the same feeling, that is, [recurrence], the most terrible thing about colitis is not the blood in the stool, pain, ulcers, but back and forth, once more than once serious.

Scientific understanding of misconceptions in the treatment of colitis:

Myth 1: The onset of the disease is not taken seriously in the early stages

As the early stage of colitis for the incubation period, the symptoms are not very obvious, even if there is some intestinal diarrhea, but also do not get people's attention, either go to the pharmacy to buy some medicine to eat, or is to procrastinate and procrastinate to see if you can recover on their own. And did not catch the first signs of enteritis in the first time to kill it in the cradle.

Myth 2: Long-term use of antibiotics

The vast majority of colitis sufferers have tried antibiotics such as berberine hydrochloride tablets, montelukast, minocycline hydrochloride, mesalazine, etc., which work at first, but then become increasingly disappointing and worsen the discomfort. This is because these are broad-spectrum antibiotics, meaning that they have a wide range of antimicrobial activity, and they eliminate both the harmful and the beneficial bacteria, and the effect of the antibiotic gradually diminishes as the harmful bacteria become tolerant to it.

Myth 3: Probiotics vs. prebiotics class

Probiotics replenish the intestinal tract with several populations of beneficial bacteria, and prebiotics are nutrients for the beneficial bacteria. Most probiotics and prebiotic products go through fermentation and digestion in the mouth, esophagus, and stomach, retaining small numbers, low activity, and little effect. The increasing number of harmful bacteria and decreasing number of beneficial bacteria is a dynamic process. For people with moderate to severe intestinal inflammation, the harmful bacteria are already in absolute dominance and growing, so supplementing with certain probiotics and prebiotics is minimal.

Everyone has a different physique, different causes of colitis, and naturally different treatment methods! Using the wrong method, even if the temporary relief, later will rebound, even more serious! So I advise you not to blindly treat the intestine, never blindly use drugs.

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Colitis is an inflammatory lesion of the colon caused by various reasons.These can be caused by bacteria, fungi, viruses, parasites, protozoa and other organisms, as well as by allergic reactions and physical and chemical factors. There are various types of colitis, depending on the cause of the diseaseatopic inflammatory lesion和Non-specific inflammatory lesions.

Specific inflammatory lesions refer to infectious colitis, ischemic colitis, and pseudomembranous colitis.

Nonspecific inflammatory lesions include ulcerative colitis and Crohn's disease.

What are the symptoms of colitis?

The specific symptoms of colitis depend on the cause, duration, and severity of the particular colitis, and the typical symptoms are:

1. Ulcerative colitis

It manifests as persistent or recurrent diarrhea, mucopurulent and bloody stools, accompanied by abdominal pain, urgency and heaviness, often accompanied by different degrees of systemic symptoms, such as arthritis, iridocyclitis, hepatic dysfunction and fever.Mucus, pus, and blood are the most common symptoms.. The duration of the disease is mostly more than 4-6 weeks

2. Crohn's disease

The main manifestations of abdominal pain, diarrhea, abdominal pain in the right lower abdomen or pain around the umbilicus, recurrent episodes, varying degrees of severity, in addition to fever, lethargy, anemia and other symptoms, a few patients have anal, perirectal fistula, abscess formation, anal fissure and other lesions.

3. Ischemic colitis

Sudden colicky pain in the left lower abdomen, urgency to defecate, passing bright red or dark red blood stools or even bloody diarrhea within 24 hours, abdominal pain often precedes the appearance of blood in the stool, usually mild to moderate abdominal pain.

4、Pseudomembranous enteritis

Diarrhea is the most important symptom of pseudomembranous enteritis, the degree and frequency of diarrhea varies, often accompanied by abdominal pain, mostly in the lower abdomen, dull, distended or cramping pain, can also be accompanied by abdominal distension, nausea, vomiting, fever, etc., severe and fulminant cases can be seen in the hydroelectrolyte disorders, hypo-proteinemia, toxicity and hypovolemic shock. The disease occurs more often in the elderly, critically ill patients, immunocompromised and patients after major surgical operations.

5. Infectious enteritis

It presents with an acute onset, often accompanied by fever and abdominal pain, and usually resolves on its own, with effective antimicrobial drug therapy.

In fact, the above mentioned diarrhea and abdominal pain are the manifestations of many intestinal diseases, and these symptoms are similar. Therefore, once the above symptoms occur, you must go to a specialized hospital for consultation and examination in order to clarify the cause of the disease and avoid misdiagnosis.

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