Chronic and acute colitis

Health And Medical Video: Ulcerative Colitis - Causes, Symptoms, Diagnosis, Treatment & Pathology (June 2019).


Lucky people who would not have known for their lives, what kind of pain in the intestine, accompanied by bloating and unpleasant grumbling, in the world, there is probably a bit. And this is one of the symptoms of colitis, which can manifest itself episodically, and constantly annoying.

Colitis is a chronic or acute inflammation of the inner colon of the large intestine, which often appears on the background of chronic inflammatory bowel disease, as well as bacterial and viral infections, and may be complicated by the inflammatory process in the stomach or small intestines. Many people are not right about the colitis, confusing it with ordinary colic in the stomach - only for the consonant names. But these two pathologies are completely different things.

Intestinal colic (severe pain) may also be disturbed by colitis, the name of which comes from the Greek word "kolon", which means the colon, and the ending "it" indicates inflammation.

Causes of colitis are diverse. In general, the disease develops as a result of regular consumption of acute food and alcohol, as well as as a result of chronic constipation leading to accumulation of fecal remains that are not exhausted. In the latter case, even laxatives do not help: they can only worsen the situation, intensifying the irritation of the large intestine.

Colitis may also have a bacterial or parasitic nature. Sometimes it occurs because of violations of sanitary rules, neuro-emotional disorders and stresses, allergic reactions to certain foods that have been previously infected with intestinal tract or due to inadequate medical therapy.

Forms and symptoms of the disease

Inflammation of the large intestine can occur in acute and chronic form. Causes of acute colitis are mainly salmonella, streptococcus, staphylococcus and dysenteric microorganisms. This form of the disease is characterized by a rapid start and rapid course and can last for a couple of days and weeks.

When it is usually inflamed small intestine and stomach, which causes a violation in the normal functioning of many organs of the gastrointestinal tract. Acute colitis is accompanied by sharp pain, rickety in the stomach, flatulence and high temperature (up to 38C). The patient has a general malaise and bad appetite.

Liquid chair usually contains impurities of mucus or blood. The patient is concerned about painful appetite for defecation, which may occur up to 15 times per day for right colic.

The chronic form of the disease is characterized by sluggish flow and episodic exacerbations, which may begin as a result of antibiotics, the consumption of "wrong" products or general fatigue. The main symptom of chronic colitis - unstable feces (alternation of constipation and diarrhea).

Often after a bowel movement, the patient experiences a feeling of incomplete bowel movement. With the exacerbation of the pathology, there are erroneous appetite for defecation, accompanied by the evacuation of gases, and sometimes small isolated lumps of feces, covered with flakes of mucus with blood veins. Pain in chronic form of colitis, as a rule, aching and dull.

It is localized mainly in the lower abdomen, less commonly in the left hypochondrium. Some patients complain of dyspepsia (nausea, bitterness in the mouth, bloating and flatulence), as well as headaches, fatigue, and reduced ability to work.

Due to the delicate diet and the fear of overeating in the "chronicles" there is a decrease in body weight. And frequent taking of antibiotics can cause hypovitaminosis or anemia.

Types of colitis

1 Infectious colitis. Its pathogens, in addition to intestinal bacteria, can also be microbial tuberculosis or cholera vibrios, worms or amoeba, which have got into the human body from contaminated water or poorly washed fruits and greens. This type of colitis has the most rapid flow. After getting into the mucous membrane of pathogenic microorganisms the gut wall swells. Harmful substances fall into the bloodstream, resulting in a rise in temperature. Often, the inflammatory process is facilitated by an earlier onset of intestinal infection (salmonellosis, dysentery, etc.) or the presence of chronic infectious diseases in the gastrointestinal tract.

2 Ischemic colitis. It occurs, as a rule, in the elderly due to a circulatory disorder in the large intestine. Its main cause is the narrowing of the vessels in the intestine due to their inflammation or atherosclerotic damage. Strong pain attacks are usually provoked by abundant food intake.

3 Medical colitis. It develops as a result of prolonged use of laxatives (in particular, the fruits of the jester, the rhubarb root, croissens, the leaves of the stool), salicylates, antibiotics and other medicines.

4 Toxic colitis. Provided by poisoning with various substances: lead, mercury, phosphorus, arsenic, phosphorus, and others.

5 Nonspecific ulcerative colitis. Quite a rare disease, which is an inflammatory process with the development of ulcerative-necrotic disorders in the mucous membrane of the rumen and rectum. The causes of the disease are not fully defined, but there is an assumption that the key to its development is allergies. Very often, an improvement in the state occurs after the elimination from the diet of food allergens (eggs, milk). And some foreign doctors associate nonspecific ulcerative colitis with artificial nutrition and infections infected at infancy.

Colitis treatment

The acute form of this disease requires inpatient treatment, since it is necessary to exclude the infectious nature of colitis. If an infection is detected, an antibiotic or antiparasitic therapy is prescribed to the patient. When toxic colitis, saline laxatives are prescribed.

Patients with an acute form of this disease, as a rule, hear from the expert three main recommendations:

  • Refrain from eating 1-2 days;
  • Adhere to the recommended diet;
  • Do not ignore physiotherapy courses.

Diet plays a special role in the treatment of colitis.

From the diet of the patient should be excluded fatty meat and fish, live and rye bread, boiled and fried eggs, any smoked meat, sour cream and milk, canned goods, legumes, macaroni, fatty broths, spices, sweet fruits, soda water, coffee. The diet is very rigid, and at the same time it should include all the necessary for the concerted activity of the body of matter - competently to make such a difficult diet can only a qualified specialist.

Aggravation of chronic colitis is treated with antibiotics, antispasmodic and cholinolytic drugs. But it should be remembered that overuse of antibiotics may end with diarrhea.

Chronic and acute colitis
Category Of Medical Issues: Diseases