Can colitis be cured completely?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 27, 2024
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Colitis is quite common in clinical settings, especially in the gastroenterology outpatient department. Patients generally present with abdominal discomfort or abnormal stool, where the discomfort typically manifests as intermittent pain or discomfort in the lower left abdomen. Abnormal stool is characterized by an increase in frequency, a loose texture, and even a watery appearance, occurring more than three times a day. Typically, patients have mucus in their stools but no blood, and generally do not exhibit alarming symptoms such as fever or bloody stools. Treatment usually consists of two types: dietary adjustments and therapeutic remedies. It is generally advised for patients to consume easily digestible foods to maintain regular bowel movements and avoid spicy foods. Medication for colitis is symptomatic, potentially including anti-diarrheal agents, adjustments to the intestinal flora, or antispasmodic pain relief. The treatment outcomes for colitis are generally good and can often be completely curative. (The use of medications should be under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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Transverse colitis is located in the transverse colon.

If you are asking about the location of abdominal pain due to transverse colitis, let's first understand the anatomical position of the transverse colon. The ends of the transverse colon are located under the spleen and the liver. During a colonoscopy, when passing through the hepatic flexure or splenic flexure, cystic spots are often found, which are shadows of the liver and spleen. Generally, in patients who are short and stout, the internal abdominal fat tends to hold the free transverse colon relatively fixed, arranging it in a straight line like the Chinese character "一". For thin and frail patients, lacking support, the transverse colon can sag. In patients who have had abdominal surgery, the intestinal structure may be disordered. Therefore, the abdominal pain associated with transverse colitis generally centers around or below the umbilicus on either side.

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Written by Ren Zheng Xin
Gastroenterology
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Ulcerative Colitis Nursing Measures

Ulcerative colitis is a type of chronic nonspecific inflammation. Care measures include dietary care and emotional regulation. In terms of diet, it is best to eat at home as much as possible, eat less takeout and street food, and maintain a regular, nutritious diet with foods that are high in protein and calories, such as lean meats and eggs. It's also important to eat plenty of vegetables like cabbage and carrots, and avoid spicy, stimulating, and cold foods. During acute episodes, a light diet should be maintained to reduce irritation to the gastrointestinal tract. Additionally, attention should be paid to emotional regulation. Patients should maintain a positive and optimistic attitude, which is beneficial for the treatment and prognosis of ulcerative colitis.

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Written by Zhu Dan Hua
Gastroenterology
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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.

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Written by Zhu Dan Hua
Gastroenterology
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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.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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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.