Ischemic colitis
Ischemic colitis develops when the blood supply to a certain part of the intestine is blocked due to the narrowing or protection of a blood vessel. Due to the interruption of blood supply, the intestine is not supplied with oxygen Ischemic colitis is characterized by pain At this time, the intestinal segment is damaged This segment can be in any part of the intestine, but most patients complain of pain on the left side
Ischemic colitis is most common in people over 60 years old Sometimes, the diagnosis is not made because ischemic colitis resembles other diseases Ischemic colitis may resolve on its own, but if the bowel is damaged, you may need medication to prevent infection and surgery in severe cases.
The exact cause of the blockage of blood supply to the large intestine cannot always be determined Several factors increase the risk of ischemia:
- Fatty deposits in the walls of blood vessels - atherosclerosis
- Low blood pressure (hypotension) associated with heart failure, surgery, trauma or shock
- A blood clot in an artery or, less commonly, a vein (venous These include:
- Non-steroidal anti-inflammatory drugs
- Heart and migraine medicines that cause blood vessels to constrict
- Hormonal drugs, eg Estrogen
- Antibiotics
- Pseudoephedrine
- Irritable Bowel Syndrome Medication
- Chemotherapy
Signs and symptoms of ischemic colitis include:
- Pain, aching, rounding sensation in the abdomen – sudden or gradual
- Light red or dark burgundy blood in stool, sometimes blood without stool
- Increased urge to defecate
- Diarrhea This is due to the fact that the right-sided colon and small intestine are supplied by common blood vessels When blood supply to the large intestine is cut off, the small intestine is also cut off, resulting in more massive ischemia. The pain is more severe in this type of ischemic colitis
Interruption of blood supply to the small intestine quickly leads to tissue death (necrosis). If this life-threatening situation develops, you may need surgery to remove the blockage or remove part of the affected intestine.
When to see a doctor
Seek emergency medical help if you have sudden, severe abdominal pain Also ask for help if the pain does not allow you to find a comfortable position
Talk to your doctor if you have symptoms such as bloody diarrhea Early diagnosis and treatment can help prevent complications
