What does inflammatory bowel disease include?

summary

What does inflammatory bowel disease include? Inflammatory bowel disease is an idiopathic intestinal inflammatory disease involving ileum, rectum and colon. Clinical manifestations include diarrhea, abdominal pain and even bloody stool. This disease includes ulcerative colitis and Crohn's disease. Ulcerative colitis is a continuous inflammation of the colonic mucosa and submucosa. The disease usually first affects the rectum and gradually spreads to the whole colon. Crohn's disease can affect the whole digestive tract and is a non continuous full-thickness inflammation. The most frequently involved parts are the terminal ileum, colon and perianal.

What does inflammatory bowel disease include?

Diarrhea bloody diarrhea is the main symptom of UC, with blood, pus and mucus in feces. In mild cases, 2-4 times a day, and in severe cases, 10-30 times a day; CD diarrhea is a common symptom, most of the daily stool 2 ~ 6 times, paste or water, generally no pus blood or mucus, compared with UC, less blood, less fresh blood.

Abdominal pain UC is often confined to the left lower abdomen or lower abdomen paroxysmal spasmodic colic, pain after defecation may have a sense of temporary relief after defecation. Most of CD have abdominal pain, the nature of which is dull pain, paroxysmal aggravation or repeated attacks, some of which are more common in the right lower abdomen, related to terminal ileal lesions, followed by periumbilical or total abdominal pain.

Abdominal mass can be seen in part of abdominal mass CD, especially in the right lower abdomen and around the umbilical cord. Abdominal mass can be caused by intestinal adhesion, thickening of intestinal wall and mesentery, enlargement of mesenteric lymph nodes, formation of internal fistula and intra-abdominal abscess. Fever acute severe patients have fever with systemic toxic blood symptoms, 1 / 3CD patients can have moderate or low fever, intermittent, due to active intestinal inflammation and tissue destruction caused by toxin absorption. Malnutrition often causes emaciation, anemia and hypoproteinemia due to intestinal absorption disorder and excessive consumption. Young patients with growth retardation performance.

matters needing attention

Emphasis on diet conditioning and nutrition supplement, give high nutrition and less residue diet. Appropriate to give folic acid, B12 and other vitamins and trace elements. Patients with abdominal pain and diarrhea can be given anticholinergic drugs or antidiarrheal drugs when necessary, and patients with infection can be given broad-spectrum antibiotics by intravenous route.