Symptoms of colonic fistula

summary

Colonic fistula is a common gastrointestinal disease in our daily life. Colonic fistula refers to colitis disease caused by various reasons. The symptom of colonic fistula is diarrhea, long-term fecal obstruction, and even severe pain. There are many reasons for the occurrence of colonic fistula, and heredity is also a cause of colitis. Also has is this kind of disease possibly appears in some own immunity quite low body. When we have this situation, we should go to the hospital in time for examination and take measures for treatment in time. Let's talk about the symptoms of colonic fistula.

Symptoms of colonic fistula

After repair of colon injury, inflammation or tumor or intestinal resection and anastomosis, anastomotic dehiscence and leakage of colonic fistula often occur 4-5 days after operation. Abdominal pain is relieved after operation, and then persistent abdominal pain is aggravated. It is often accompanied by toxemia, such as increased body temperature, abdominal tenderness, rebound pain and abdominal muscle tension, Or it may form intestinal fistula. It is a reliable evidence of intestinal fistula that intestinal contents flow out from the drainage mouth of abdominal incision, but it is difficult to accurately determine the location of the fistula. Generally speaking, the outflow of ileal fistula is mostly yellow rice porridge like or paste like, and the discharge of colonic fistula is semi formed or non formed.

The fistulas on the intestinal wall can be single or multiple, and the external fistulas on the abdominal wall can be single or multiple. Although the intestinal fistula caused by operation or trauma is a single fistula at the beginning, it sometimes forms multiple fistulas due to abdominal incision dehiscence, intestinal loop exposure, intestinal wall infection, severe edema, injury during dressing change or intestinal pressure.

External colonic fistula is a kind of low position fistula. The severity of its harm is: on the one hand, abdominal infection causes severe peritonitis, followed by the loss of water and electrolyte and malnutrition.

matters needing attention

1. Keep the balance of nutrition, water and electrolyte in the whole body and improve the self-healing ability of intestinal fistula. 2. A large number of antibiotics were given to control the abdominal infection, and the drainage was completed at the appropriate time. 3. Try to know the location and size of fistula. 4. Protect the skin around the external fistula. 5. Try to find out the cause of intestinal fistula and treat it symptomatically. 6. For the intestinal fistula which is difficult to heal, the appropriate time should be chosen for surgical treatment.