Colitis


Which part of the body is moxibustion applied for colitis?
For patients with colitis, moxibustion can be performed. How should the moxibustion points be selected? First, local points can be used, which are on the abdomen. Commonly chosen points include the Tianshu and Dachangshu points, as well as Zhongwan and Daheng. Moxibustion can be performed using moxa sticks with suspension or ginger separation techniques. For distal points, the Sanyinjiao point can be chosen, as well as the lower union point of the large intestine and the Shangjuxu point for managing chronic colitis. Additionally, the Gongsun and Yinlingquan points can be selected to regulate the stomach and intestines, achieving the effects of warming the meridians, promoting circulation, relieving pain, and balancing the digestive system.


What are the symptoms of colitis?
Colitis can be divided into acute and chronic types. If it occurs acutely, it generally presents symptoms such as abdominal pain, diarrhea, vomiting, and bloating. Some may experience fever, chills, and body aches. These can be diagnosed with routine blood tests and stool tests. If diarrhea recurs over a period exceeding two months, it suggests chronic diarrhea, such as chronic colitis, which is also characterized mainly by abdominal pain and diarrhea. In the case of inflammatory bowel disease, besides abdominal pain and diarrhea, a significant feature often includes hemolytic disease. A definitive diagnosis can be made with a colonoscopy, often accompanied by symptoms such as weight loss, fatigue, or anemia.


What foods are good for colitis?
So, what kind of food is better for patients with colitis? First, we recommend high-protein, high-calorie foods, because colitis generally has a process of prolonged illness and long duration, which affects the digestion and absorption of food and causes substantial energy depletion in the body. Therefore, we recommend adopting a diet rich in protein and calories to meet our bodily needs. However, we must also note that if the amount of diet exceeds the intestinal tolerance of the patient, it may actually worsen the condition. Therefore, it is necessary to flexibly manage according to the specific conditions and symptoms of the patient, gradually increasing the supply of protein and calories is advisable. Additionally, we recommend high-vitamin foods. A diet low in residue often lacks vitamins, which can be supplemented with filtered vegetable soups and juices, such as tomato juice, to provide the necessary vitamins. On the other hand, we need to ensure adequate hydration. Normally, each person needs about 1200 to 1600 mL of water per day. If there is excessive water loss due to diarrhea, fluid therapy should also be supplemented. During acute flare-ups, we should eat a residue-free or semi-liquid diet, such as eggs, fish (except for those allergic), soy milk, tofu pudding, and other low-residue foods, along with noodles and sliced noodles, and it is appropriate to eat small meals frequently.


Can colitis turn into cancer?
Colitis is considered a benign lesion clinically and generally does not transform into cancer. Therefore, patients do not need to worry too much. The diagnosis of colitis mainly relies on colonoscopy. Most patients undergo colonoscopy due to abdominal discomfort or abnormal stools. The abdominal discomfort is primarily in the lower abdomen or lower left abdomen, presenting as pain and distension. Abnormal stools can clinically manifest as changes in the frequency of bowel movements, changes in stool texture to harder or thinner, and so on. Most patients do not exhibit alarming symptoms such as bloody stools, weight loss, or decreased appetite. Colonoscopy is frequently used clinically and can generally serve to differentiate between colitis and colon cancer. Most patients can tolerate a colonoscopy, so there is no need for patients to resist undergoing this examination.


Which part to massage for colitis?
Firstly, one can massage certain areas of the abdomen, such as Zhongwan, Tianshu, and Liangmen, as well as the Guanyuan point in the lower abdomen. The massage should progress from gentle to firm, using the small fish edge for rolling techniques or the large fish edge for pressing techniques, and finally pinpoint massage on certain abdominal acupoints. The second area for massage is the distal extremities, such as the legs where you can massage points like Zusanli, Shangjuxu, Xiajuxu, Sanyinjiao, and Yinlingquan, and in the hands at points like Sanli and Neiguan, to alleviate symptoms of colitis. Of course, if the massage is performed by another person, back acupoints such as Weishu, Dachangshu, and Sanjiaoshu can also be massaged to effectively relieve symptoms of colitis.


What are the symptoms of colitis?
Colitis is relatively common in clinical settings, especially in the gastroenterology outpatient department, and it generally occurs in middle-aged and elderly patients. The disease typically begins with abdominal pain, diarrhea, or abnormal stools. The abdominal pain is characterized by episodic pain in the lower left or right abdomen, without persistent episodes and generally does not occur after the patient falls asleep at night. The diet is usually not related. Diarrhea manifests as watery stools or stools with a soft texture, without bloody stools. Abnormal stools are characterized by constipation, for instance, if the patient has not had a bowel movement for several days, with dry, sheep-dung-like stools that are difficult to expel. Typically, after a thorough colonoscopy, no colon tumors or polyps are found, but signs of congested and edematous colonic mucosa suggest a diagnosis of colitis. Generally, the condition isn't severe, and treatment primarily involves symptomatic management.


Colitis is what disease.
Colitis is caused by various reasons, leading to inflammatory lesions in the colon. Depending on the cause, it can be divided into nonspecific inflammatory changes and specific inflammatory lesions. It can be caused by bacteria, fungi, or parasites, with typical symptoms such as diarrhea and abdominal pain. Severe anemia and intestinal dysfunction may occur. Due to repeated diarrhea, an imbalance of acid-base equilibrium can happen. Patients generally see a gastroenterologist and require long-term treatment, as well as dietary adjustments.


What should you not eat with colitis?
So what foods should we avoid for patients with colitis? First of all, we should try not to eat milk and seafood, because milk and seafood are types of foreign proteins to the human body, which could potentially become allergens. Because colitis patients are likely to experience colonic allergies after consumption, resulting in worsened diarrhea, so it is advisable to avoid these foods as much as possible. Secondly, we should minimize the consumption of high-fat foods, because patients with colitis have poor digestive functions, particularly weak in digesting fats. Incompletely digested high-fat foods can cause "slippery gut" leading to diarrhea. Over time, the accumulation of fats can also induce complications such as fatty liver, etc. Therefore, foods high in fats such as lard, cream, walnuts, peanuts, almonds, etc., should be avoided or eaten sparingly. Third, it is important to eat less gas-producing food: because colonic inflammation in colitis, due to chronic and recurrent episodes, causes alternation of ulcers and scar fibrosis in the colonic mucosa, which reduces the elasticity of the colonic inner wall. Consuming more gas-producing foods, such as sweet potatoes and soybeans, may cause acute intestinal dilation due to the filling of gas in the intestines, or even lead to complications such as ulcer perforation. Fourth, eat fewer vegetables containing coarse fiber: the fiber in vegetables can absorb intestinal water and have a laxative effect, which might aggravate diarrhea. Therefore, foods high in coarse fiber like celery, crown daisy, cabbage, spinach, etc., should be consumed in limited quantities.


Can colitis be detected by an ultrasound?
Colitis cannot be definitively diagnosed with an ultrasound, as ultrasound is primarily used for diagnosing solid organs such as the liver, gallbladder, spleen, kidneys, and pancreas. For hollow organs, the diagnosis is obscured by gas and food inside the intestines, making ultrasound less effective. For patients suspected of having colitis, the best examination is a colonoscopy. A colonoscopy can clearly show the extent and severity of the inflammation. CT scans also hold diagnostic value as they can reveal thickening and edema of the colonic wall. CT scans are less painful compared to colonoscopies, which can be somewhat painful.


What medicine is used for colitis?
Colitis may involve choosing some medications that protect the intestinal mucosa and regulate the intestinal flora, along with other symptomatic treatments. If the intestinal inflammation presents as abdominal discomfort or significant illness, one might choose to use antispasmodic pain relief and antidiarrheal medications, which can generally achieve certain control. Ileitis is also relatively common clinically, with patients usually presenting with discomfort in stool or service and, after undergoing a thorough colonoscopy, inflammatory changes in the intestines are found, characterized by mucosal congestion, edema, and even scattered erosion and ulcer formation. Treatment options include oral medications, but in terms of diet, it primarily involves choosing clean, easily digestible foods and supplementing with some nutrients. Colitis generally presents with lower abdominal pain and discomfort in the lower left abdomen, typically occurring in paroxysmal attacks without specificity. (Please take medication under the guidance of a professional physician.)