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Buy Wholesale and maintain an Active status for 2 months and we will refund your $39 Distributor Fee
07-SEPTEMBER-2008 03:17:44 - Colitis Colitis Classification and external resources ICD-10 K50. - K52 ICD-9 558 OMIM 191390 DiseasesDB 31340 MedlinePlus 001125 eMedicine ped/435 MeSH C06.405.205.265 Colitis is a chronic digestive disease characterized by inflammation of the colon. Colitis is one of a group of conditions which are inflammatory and auto-immune, affecting the tissue that lines the gastrointestinal system the large and small intestine. It is classed as an inflammatory bowel disease IBD, not to be confused with irritable bowel syndrome IBS. Contents 1 Signs and symptoms 2 Types 3 Treatment 4 Notes 5 See also 6 External links Signs and symptoms General signs and symptoms of colitis include pain, tenderness in the abdomen, depression, rapid weight loss, aches and pains within the joints, fatigue, changes in bowel habits increased frequency, fever; swelling of the colon tissue, erythema redness of the surface of the colon, ulcers on the colon in ulcerative colitis which can bleed, mucus in the stool, blood in stool and rectal bleeding. Diarrhea may present itself, although some forms of colitis are constipation so the stool and bowel movements can appear normal. Other symptoms may include: gas, bloating, indigestion, heartburn, reflux, Gastro oesophageal reflux disease GORD or GERD when using the alternative spelling esophageal, cramps, urgency and many other uncomfortable aches in the gastrointestinal system. Common tests which reveal these signs include X-rays of the colon, testing the stool for blood and pus, sigmoidoscopy, and colonoscopy. Additional tests include stool cultures and blood tests, including blood chemistry tests. A high erythrocyte sedimentation rate ESR is one typical finding in acute exacerbations of colitis. Types Types of colitis include ulcerative colitis UC, Crohn's colitis, diversion colitis, ischemic colitis, infectious colitis, fulminant colitis, collagenous colitis, chemical colitis, microscopic colitis, lymphocytic colitis, and atypical colitis. A well-known subtype of infectious colitis is pseudomembranous colitis, which results from infection by a toxigenic strain of Clostridium difficile c-diff.1 Parasitic infections can also cause colitis. Any colitis with a rapid downhill clinical course is known as fulminant colitis. In addition to the diarrhea, fever, and anemia seen in colitis, the patient has severe abdominal pain and presents a clinical picture similar to that of septicemia, where shock is present. Approximately half of these patients require surgery. Irritable bowel syndrome, a separate disease, has been called spastic colitis or spastic colon. This name causes confusion, since colitis is not a feature of irritable bowel syndrome. Treatment Treatment of colitis may include the administration of antibiotics and general non-steroidal anti-inflammatory NSAIDS medications such as Mesalamine Asacol or its derivatives; Azathioprine or similar immunosupressants; steroids such as prednisolone and prednisone; one or several of a number of other drugs that ameliorate inflammation and pain buscopan. As it is a chronic condition the objective is remission rather than cure. Surgery is required only when the patient suffers from regular or permanent flare ups, especially in cases of fulminant colitis. Surgery usually entails removing the colon and bowel and creating a pouch with a portion of the small intestine, which in time adopts the characteristics of the colon. Medical opinion is divided on the role of diet in colitis and IBD. Anecdotally, some sufferers find a change in diet can be effective at treating the symptoms of colitis and easing the side effects.2 These can include reducing the intake of carbohydrates, lactose products, soft drinks, caffeine and spicy foods. This approach has been championed by Elaine Gottschall. Notes ^ Clostridium Difficile Colitis - Overview, WebMD from Healthwise, September 2006, webpage: WebMD-clostridium-difficile-colitis. ^ Geerling BJ, Dagnelie PC, Badart-Smook A, Russel MG, Stockbrügger RW, Brummer RJ 2000. Diet as a risk factor for the development of ulcerative colitis. Am. J. Gastroenterol. 95 4: 1008-13. PMID 10763951. See also CDAD External links Crohn's Colitis Foundation of Canada Crohn's Colitis Foundation of America The National Association for Colitis and Crohn's Disease UK Blog for people suffering from Colitis. Colitis at GPnotebook Ulcerative Colitis, National Digestive Diseases Information Clearing House, National Institutes of Health in the public domain v d e Digestive system - Digestive disease - Gastroenterology primarily K20-K93, 530-579 Upper GI tract Esophagus Esophagitis Candidal - Boerhaave syndrome - UES Zenker's diverticulum - LES Barrett's esophagus, Mallory-Weiss syndrome - Esophageal motility disorder Nutcracker esophagus, Achalasia, Diffuse esophageal spasm, GERD - Esophageal stricture - Megaesophagus Stomach Gastritis Atrophic, Ménétrier's disease, Gastroenteritis - Peptic gastric ulcer/Dieulafoy's lesion - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy - Gastric antral vascular ectasia - Gastric dumping syndrome - Gastric volvulus Intestinal/ enteropathy Small intestine/ duodenum/jejunum/ileum Enteritis Duodenitis, Jejunitis, Ileitis Peptic duodenal ulcer Malabsorption: Coeliac - Tropical sprue - Blind loop syndrome - Whipple's - Short bowel syndrome - Steatorrhea Large intestine appendix/colon Appendicitis - Colitis Pseudomembranous, Ulcerative, Ischemic Functional colonic disease IBS, Intestinal pseudoobstruction/Ogilvie syndrome Megacolon/Toxic megacolon - Diverticulitis/Diverticulosis Large and/or small Enterocolitis Necrotizing - IBD Crohn's disease vascular: Abdominal angina - Mesenteric ischemia - Angiodysplasia Bowel obstruction: Ileus - Intussusception - Volvulus - Fecal impaction Constipation - Diarrhea Rectum/anus Proctitis Radiation proctitis - Proctalgia fugax - Rectal prolapse - Anal fissure/Anal fistula - Anal abscess Accessory Liver Hepatitis Viral hepatitis, Autoimmune hepatitis, Alcoholic hepatitis - Cirrhosis PBC - Fatty liver NASH - vascular Hepatic veno-occlusive disease, Portal hypertension, Nutmeg liver - Alcoholic liver disease - Liver failure Hepatic encephalopathy, Acute liver failure - Liver abscess - Hepatorenal syndrome - Peliosis hepatis Gallbladder Cholecystitis - Gallstones/Cholecystolithiasis - Cholesterolosis - Rokitansky-Aschoff sinuses - Postcholecystectomy syndrome Bile duct/ other biliary tree Cholangitis PSC, Ascending - Cholestasis/Mirizzi's syndrome - Biliary fistula - Haemobilia - Gallstones/Cholelithiasis common bile duct Choledocholithiasis, Biliary dyskinesia Pancreatic Pancreatitis Acute, Chronic, Herary - Pancreatic pseudocyst - Exocrine pancreatic insufficiency - Pancreatic fistula Hernia Diaphragmatic: Congenital diaphragmatic - Hiatus Abdominal hernia: Inguinal Indirect, Direct - Umbilical - Incisional - Femoral Obturator hernia - Spigelian hernia Peritoneal Peritonitis Spontaneous bacterial peritonitis - Hemoperitoneum - Pneumoperitoneum GI bleeding Upper Hematemesis, Melena - Lower Hematochezia See also congenital, neoplasia v d e Inflammation Acute Plasma derived mediators Bradykinin - complement C3, C5a, MAC - coagulation Factor XII, Plasmin, Thrombin Cell derived mediators preformed: Lysosome granules - vasoactive amines Histamine, Serotonin synthesized on demand: cytokines IFN-γ, IL-8, TNF-α, IL-1 - eicosanoids Leukotriene B4, Prostaglandins - Nitric oxide - Kinins Chronic Macrophage - Epithelioid cell - Giant cell - Granuloma Processes Traditional: Rubor - Calor - Tumor - Dolor pain - Functio laesa Modern: Acute-phase reaction/Fever - Vasodilation - Increased vascular permeability - Exudate - Leukocyte extravasation - Chemotaxis Specific types Cardiovascular Endocarditis - Myocarditis - Pericarditis - Vasculitis Arteritis, Phlebitis Digestive mouth Stomatitis, Gingivitis, Gingivostomatitis, Glossitis, Tonsillitis, Sialadenitis/Parotitis - tract Esophagitis, Gastritis, Gastroenteritis, Enteritis, Colitis, Enterocolitis, Duodenitis, Ileitis, Caecitis, Appendicitis, Proctitis - accessory Hepatitis, Cholangitis, Cholecystitis, Pancreatitis - Peritonitis Musculoskeletal Arthritis - Dermatomyositis - soft tissue Myositis, Synovitis/Tenosynovitis, Bursitis, Enthesitis, Fasciitis, Capsulitis, Epicondylitis, Tendinitis, Panniculitis - Osteochondritis Osteitis, Chondritis Integumentary Dermatitis Folliculitis - Hidradenitis - Mastitis Nervous Encephalitis - Meningitis - Myelitis - Neuritis - Otitis - eye Dacryoadenitis, Scleritis, Keratitis, Choroiditis, Retinitis, Chorioretinitis, Blepharitis, Conjunctivitis, Iritis, Uveitis Respiratory upper Sinusitis, Rhinitis, Pharyngitis, Laryngitis - lower Tracheitis, Bronchitis, Bronchiolitis, Pneumonitis, Pleuritis Reproductive female: Oophoritis - Salpingitis - Endometritis - Parametritis - Cervicitis - Vaginitis - Vulvitis male: Orchitis - Epididymitis - Prostatitis - Balanitis - Balanoposthitis pregnancy/newborn: Chorioamnionitis - Omphalitis Urinary Nephritis Glomerulonephritis, Pyelonephritis - Ureteritis - Cystitis - Urethritis Retrieved from http://en..org/wiki/Colitis Categories: Inflammations | Digestive diseases | Conditions diagnosed by stool test Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages БългарÑ?ки Deutsch Esperanto Français Bahasa Indonesia Italiano Lietuvių Nederlands 日本語 РуÑ?Ñ?кий Svenska Türkçe This page was last modified on 22 August 2008, at 15:5
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