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Colitis

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Contents of this page:

Illustrations

Ulcerative colitis
Ulcerative colitis
Large intestine
Large intestine

Definition    Return to top

Colitis is an inflammation of the large intestine (colon).

Causes, incidence, and risk factors    Return to top

Colitis is an inflammation of the large intestine that is caused by many different disease processes, including acute and chronic infections, primary inflammatory disorders (ulcerative colitis, Crohn's colitis, lymphocytic and collagenous colitis), lack of blood flow (ischemic colitis), and history of radiation to the large bowel.

For more information about a specific type of colitis see:

Symptoms    Return to top

Symptoms can include abdominal pain, diarrhea, dehydration, abdominal bloating, increased intestinal gas, and bloody stools.

Signs and tests    Return to top

Colitis may be identified by flexible sigmoidoscopy or colonoscopy -- in both of these tests, a flexible tube is inserted in the rectum, and specific areas of the colon are evaluated. Biopsies taken during these tests may show changes related to inflammation.

Other studies that can identify colitis include:

Treatment    Return to top

Treatment is directed at the underlying cause of disease, whether it be infection, inflammation, lack of blood flow, or another cause.

See particular conditions listed above for specific recommendations.

Expectations (prognosis)    Return to top

The prognosis varies with each disease state, and thus depends upon the underlying disease.

Complications    Return to top

Colitis may result in bleeding, ulceration, perforation (a hole in the colon), or toxic megacolon.

Calling your health care provider    Return to top

Call your health care provider if you have symptoms like abdominal pain, abdominal distention, or blood in the stool.

Prevention    Return to top

Prevention depends upon the underlying cause of colitis. See the specific condition.

Update Date: 5/14/2004

Updated by: Christian Stone, M.D., Division of Gastroenterology, Washington University in St. Louis School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network.

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