Colitis (large intestine inflammation)


Description

Inflammation of the colon; common causes including infection, low blood flow (ischemia), or inflammatory bowel disease (such as Crohn's disease or ulcerative colitis). Colitis may be of unknown cause.

Symptoms

Diarrhea, abdominal pain, nausea, vomiting, blood in stools, weight loss, fever.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Stool studies will be done to identify triggers for colitis such as bacteria, parasites or clostridium difficile toxin. A colon biopsy may be done to rule out inflammatory bowel disease or ischemic colitis.

Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan

Other Specific Tests: Colonoscopy, stool cultures, stool for clostridium dificile, colon biopsy


Specialists:
Gastroenterology, Internal Medicine, Pediatrics, Family Practice, Pediatric Gastroenterology, Colon and Rectal Surgery

Treatment

Treatment depends on the cause of the colitis but may include: antibiotics, anti-inflammatory medications, or steroids. If severe, surgical resection may be necessary. 
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