Ischemic colitis
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Ischemic colitis | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, bloody diarrhea, nausea, vomiting |
| Complications | Bowel necrosis, perforation, sepsis |
| Onset | Sudden |
| Duration | Variable |
| Types | N/A |
| Causes | Reduced blood flow to the colon |
| Risks | Atherosclerosis, low blood pressure, dehydration, heart failure |
| Diagnosis | Colonoscopy, CT scan, MRI |
| Differential diagnosis | Infectious colitis, inflammatory bowel disease, diverticulitis |
| Prevention | N/A |
| Treatment | Supportive care, antibiotics, surgery |
| Medication | N/A |
| Prognosis | Generally good with treatment |
| Frequency | Common in older adults |
| Deaths | N/A |
Ischemic colitis is a medical condition that occurs when blood flow to the colon is reduced due to narrowing or blockage of the blood vessels (arteries). This lack of blood can cause pain and potentially damage the cells in the colon.
Causes
Ischemic colitis can be caused by a variety of conditions that can block or narrow the arteries that supply blood to the colon. These can include atherosclerosis, blood clot, low blood pressure, surgery, hernia, or tumors. Certain medications, such as estrogen, heart medication, and migraine medications, can also increase the risk of ischemic colitis.
Symptoms
The most common symptom of ischemic colitis is sudden abdominal pain, usually on the left side. Other symptoms can include nausea, vomiting, diarrhea, and blood in the stool. In severe cases, it can lead to dehydration, shock, and severe abdominal pain.
Diagnosis
Diagnosis of ischemic colitis typically involves a physical examination and a review of the patient's medical history. Additional tests may include blood tests, colonoscopy, CT scan, and angiography.
Treatment
Treatment for ischemic colitis depends on the severity of the condition. Mild cases can often be managed with rest, hydration, and antibiotics. Severe cases may require hospitalization, intravenous fluids, and possibly surgery to remove the affected part of the colon.
Prevention
Prevention of ischemic colitis involves managing risk factors such as high blood pressure, high cholesterol, and diabetes. Regular exercise, a healthy diet, and not smoking can also help reduce the risk.
See also
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD