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ischemic colitis

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Q: Can anyone explain the treatment/s that may be required to treat “ischemic colitis?”?
My mother is in her late 50’s, and was hospitalized about 4 days ago with vomiting and bloody diarrhea. After being misdiagnosed with “ce difficile”, and having a colonoscopy, she was diagnosed with ischemic colitis. I’ve heard that this condition can range from extremely mild to needing surgery. She hasn’t kept solid food down in a week. Does anyone know what treatment/s she might require?

Thank you!!!

A: Ischemic colitis in general is caused by low blood flow to the intestines. There are two main reasons why this might occur -not enough blood to her intestines (example bad heart that doesn’t pump well enough), and clots in the arteries that feed the intestines.

If it’s mild and she’s just dehyrated you can give IV fluids, and bowel rest (no eating/drinking), and antibiotics. That’s mostly it. But if she starts developing a fever, or really painful or swollen abdomen, it’s become severe and she should go to the hospital right away as she may need to have surgery to cut out the dead bowel. This is pretty rare. Most get better without needing surgery.

Q: Can anyone explain to me what is “Ischemic Colitis”?
I just had an endoscopic evaluation of the esophagus, stomach and / or duodenum. Why, because I was bleeding rectualy and having severe stomack cramps. But before I could ask what is Ischemic Colitis, the doctor vanished. And no one there could answer my question. So here I am at home wondering what I have. Please can some out there help me on this. Thank you.

A: Ischemic colitis is a disorder in which part of your colon (large intestine) becomes inflamed and injured. The cause is usually a disruption or decline in blood flow to your colon, which can interfere with its normal functions.

Impaired blood flow to your colon can be either sudden and brief, or long-term. While ischemic colitis causes mild symptoms in many cases, the condition can become severe. If the deprivation of oxygen-rich blood is chronic, serious damage can result, with ulcers along the lining of your colon. The condition can even become life-threatening. Although this condition can affect any part of your colon, it involves pain on the left side of the abdomen in most people with the condition.

Also known as colonic ischemia, ischemic colitis occurs most often in people age 50 and older. In older adults, ischemic colitis is one of the most common medical conditions affecting the large bowel. Because ischemic colitis can be serious, see your doctor as soon as possible if you have serious bowel symptoms.

Q: What are some good NANDA nursing diagnoses for ischemic colitis?

A: alteration in nutrition

Q: Birth Control causing Ischemic colitis?
I’m a healthy 27 y/o who had a sudden onset of ischemic colitis. The only thing that the doctors could come up with was that I was on the pill. I went to a hematologist and had all sorts of bloodwork done and everything was normal. This was very serious and I could have lost a portion of my colon. I’ve since stopped taking all hormone type birth control. Could there be another reason for the ischemic colitis?

A: I’m sorry to hear about your health problems. I seem to recall reading in a few of my medical journals about IC being linked to birth control but have you ever been tested for diabetes? If I remember, there was a person who was around your age who was also taking birth control but also was diabetic. Maybe you should think about getting tested for that? Also, NSAIDs (Ibuprofen) are linked to colitis. If you take these on a regular basis for headaches or muscle pain then they can do some long term damage to your stomach.
You mentioned bloodwork but did you ever have stool tests run to check your Vasoactive Intestinal Polypeptide? or a 72-hour fecal fat is another test that is good to have. IC is mostly found in the elderly but *maybe* you have Celiac disease, which is mimicking symptoms of IC. Having a 72-hour fecal fat test would show if you are gluten-intolerant or not. Just something to think about. I’ve been misdiagnosed with colitis before. I hope that helped.

Q: details sign symptoms of pseudo membranous colitis&ischemic colitis.?
i want to know details about ischemic colitis&clinical features of Pseudomembranous colitis.

A: ischemic colitis-
Symptoms -
Abdominal pain
Fever
Vomiting
Bright red blood in the stool
Diarrhea

Investigations-
Colonoscopy or flexible sigmoidoscopy showing inflamed mucosa or ulcers in the colon
Angiography showing a vascular (blood vessel) lesion

pseudo membranous colitis-

Pseudomembranous colitis has been reported with nearly all antibacterial agents, and may range in severity from mild to life-threatening.
Therefore, it is important to consider this diagnosis in patients who present with diarrhea subsequent to the administration of antibacterial agents.
Treatment with antibacterial agents alters the normal flora ofthe colon and may permit overgrowth of clostridia. Studies indicate that a toxin produced by Clostridium difficile is one primary cause of ‘‘antibiotic-associated colitis.”

Q: What is ischemic colitis?
Pathophysiology, S/S

A: Check out this site:

http://www.nlm.nih.gov/medlineplus/ency/article/000258.htm

It has tons of info about ischemis colitis.

Hope this helps!

Q: How can I help a friend addicted to pain medicine?
My friend has been addicted to pain medicine but has ischemic colitis so she needs to take pain medicine sometimes to find relieve when her ischemic colitis flares up…what can help her stop taking pain medicine for her addiciton but still be able to take it for her illness?

A: If she has a medical condition requiring pain medication, she IS NOT AN ADDICT. She is merely depoendant on the medication for the relief she needs. Chronic pain can be as debilitating to the person who suffers is as cancer is. Stop judging her as “an addict”. What she is is a chronic pain patient, not a junkie, and you need to butt out. We chronic pain patients have enough to deal with and are looked at as junkies by people who don’t know us way too much to have to deal with people who are supposed to be our friends and family judging us unfairly, too.

Q: Does anyone know much about Chronic Pancreatitis?
I have been having abdominal pain since Oct. 06 after many test they found the following I have ischemic colitis, diverticulitis and the pancreatitis. The doctor feels that my gallbladder has to come out after several high lipase readings, last reading was 271. The only confusing thing is all my gallbladder work has come back normal, but he says that since I am not a drinker it has to be the gallbladder. The pancreas being inflammed as also inflammed my small intestines. I had just posted a question about coccyx pain, between this digestive problem and the pain in my tailbone. I am truely at my witts end. I am scheduled to talk to the surgeon on Tues. about the gallbladder removal. Just curious if anyone else has experienced anything like this?

A: I truly sympathise with your pain… 8 years ago my abdonimal pain was so bad that i collapsed at school, picking up the kids… i was rushed into hospital to be tested and told it was pancreatitis. Not being a drinker neither, they said it was my gallbladder. However, they couldnt remove it (they wanted emergancy surgery) because I was pregnant, so i had to endure this pancreatitis for the next 7 months… with a growing baby kicking the life out of my pancreas!! After having my daughter, i went back to hospital for tests, and like yourself, my gallbladder seemed clear, but the pancreas was not. They said to me that as i had been following a low fat diet to reduce the symptoms and pain, the gallbladder had settled, but the damage to the pancreas was still there. They wanted to remove the gallbladder to give my pancreas a chance to recover and regain functionality, as it is more vital than the gallbladder. They went ahead with the operation, keyhole surgery, and I was home the next day. 11 days after surgery I was back at work behind the bar pulling pints, feeling healthier than i had done for at least 2-3 years.

If I was you, I would cut out as much fat out of your diet as possible, that actually causes pain. I lived for almost a year on pasta, potatoes, fish, chicken and salad…. Anytime I tried to cheat I ended up rolling around in agony… my advice to you is to cut back drastically on your fat intake till you have your gallbladder removed, and let them remove it as soon as… Oh, and drink plenty water to keep your system flushed…

You really are having a hard time just now, I’m really sorry, but I hope my ramblings help, and hope you find peace soon

Take care of yourself

Tracy xx

Q: Can Salmonella lead to Sepsis ?
Can it also cause Ischemic Colitis and Renal Dysfunction? Do you know of a website that explains how Salmonella can cause these symptoms?

A: “Bacteremia. This condition results when salmonella bacteria enter and circulate throughout your bloodstream. Infants and people with compromised immune systems are at special risk of developing serious complications, including infection of tissues surrounding the brain and spinal cord (meningitis) and infection within the bloodstream (sepsis).”

Q: digestive tract went hey wire.?
In Oct. of last year I passed blood in stool, had a colonoscopy done found ischemic colitis and diverticulitis. Pain persisted, then diagnoised with inflammed gallbladder, had that removed in Feb. Still no relief, during this time all my blood work was also showing pancreatitis. Next step is to have EUS and ERCP procedures done on pancreas. Does anyone have a clue what could make all of this go wrong all at once? Never had any digestive problems before.
Actually yes, they thought that after they did the light down the throat, but after further blood test, that was negative.

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Q: What did Obama mean when he spoke of chronic Illness?
And that some sort of panel to advise people since the cost of chronic illness and end of life illness consumed a huge proportion of medical costs. Twice I’ve seen these quotes, but does he even once combine the two terms, thereby conveniently leaving the door open to gosh only knows what. He was originally speaking of his grandmother and her co-morbid conditions, so it would be expected that the phrase he spoke would be , people which chronic multiple conditions that are near the end of their lives, but he didn’t. I can’t imagine this was as accident as we all know how craftily he prepares his speech. Was this an ignorant oversight, or was is an attempt to mislead. Here is a list of chronic illness’s Chronic fatigue syndrome
Chronic osteoarticular diseases: rheumatoid arthritis, osteoarthritis
Chronic respiratory diseases: chronic obstructive pulmonary disease, asthma
Chronic renal failure
Diabetes mellitus
Chronic hepatitis
Autoimmune diseases, like ulcerative colitis, lupus erythematosus
Cardiovascular diseases: heart failure, ischemic cardiopathy, cerebrovascular disease
And there are plenty more. The real jist of it all is to how much each ailment robs the public coffers.

A: No need to focus on the details of any government controlled health care plan. Its a bad idea to give governments this power regardless of how good any plan sounds.

Its really no different then you giving me control over your care. You have no idea what you’ll get.

Q: What causes ileitis?
Just recently had a colonoscopy with ileoscopy with biopsy. Lab results came back saying, “The ileal biopsies show an active ileitis with features suggestive of chronic ischemic injury. Although the differential diagnosis includes NSAID-induced damage and Crohn’s disease, NSAID-induced damage is favored in these biopsies.” My doctor has already ruled out Crohn’s and Ulcerative Colitis, and I don’t take any anti-inflammatory drugs. What else could cause the ulcer in my ileum? Thanks

A: Go to a different doctor for a second opinion. Good luck!!!!

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