1. Colitis leads to toxic expansion: this is a serious complication of the disease, which mostly occurs in patients with pancolitis, with a mortality rate as high as 44% and prone to intestinal perforation.
2. Colitis leads to intestinal perforation: The use of corticosteroids is considered as a risk factor for intestinal perforation.
3. Colitis leads to colon diseases: about 5% cases have lesions.
4. Abdominal pain is a symptom of colitis: mild patients have no abdominal pain or only abdominal discomfort. Generally, there is mild to moderate abdominal pain, which is left lower abdominal pain, which can be related to the law that the whole abdomen can be relieved after defecation.
5, constipation is serious: constipation defecates every 4-5 days, feces such as sheep manure, even if you don't take laxatives, you can't relax.
6, diarrhea: diarrhea is the main symptom of colitis in the early stage. Recurrent attacks are often induced by improper diet, emotional excitement and excessive fatigue.
7. Massive hematochezia: refers to massive intestinal bleeding in a short period of time, accompanied by increased pulse, decreased blood pressure and low hemoglobin, which requires blood transfusion treatment.
8, intestinal stenosis: clinical symptoms are generally asymptomatic, severe cases can cause intestinal obstruction, in the case of intestinal stenosis, we should be alert to tumors.
9. Other symptoms: abdominal distension, emaciation, fatigue, bowel sounds, insomnia, dreaminess and fear of cold. Severe cases include fever, rapid heartbeat, fatigue, anemia, dehydration, electrolyte balance and nutritional disorders.
These are all symptoms of colitis. Colitis is not a serious illness, but it can be cured by taking medicine. If you don't go to the hospital for treatment quickly, you will miss the best treatment period. If colitis becomes colon cancer, it will do great harm to the body and may be life-threatening. Therefore, timely examination and treatment after onset can not be ignored.
Some common mistakes in treating colitis.
1. Waiting too long before consulting a surgeon.
Early surgical consultation is very important. This doesn't mean that you need surgery now, it means that you should consult with the surgeon and listen to various options. The ideal consultation with the surgeon is in the first few days of admission, so it will be very important when it is necessary to make a major decision on the treatment plan.
In addition to early surgical consultation, it is also common for patients to delay to the IBD center. Usually, because the number of patients is too small, there is no experience in operating acute severe ulcerative colitis, or if there is not much experience in treating IBD, the death rate will increase if the waiting time in the hospital is too long.
2. Treat the wrong disease
It is necessary to consider whether the disease is affected by other factors, such as Clostridium difficile and cytomegalovirus infection or other acquired infections.
It is important to ensure that patients do not suffer from another disease, such as ischemia, functional bowel disease or anxiety, whose symptoms may be similar to ulcerative colitis. Due to the intestinal injury of chronic ulcerative colitis, patients may suffer from intestinal stenosis or dyskinesia.
When some of these symptoms overlap, it may start to look like acute severe ulcerative colitis. If you don't question the diagnosis and make sure that there are no other infections missed or mistaken for other diseases, you may make a wrong judgment.
3, the application of hormones for too long.
Intravenous hormones are not suitable for everyone. If we give it longer, the situation will not get better. About 30% ~ 40% of patients with acute severe ulcerative colitis have no response to hormones, and the response of patients to hormones after 3 or 4 days is very likely to predict whether hormones will work.
Long-term use of hormone therapy will not bring any benefits to patients. Previous studies have shown that high-dose hormone therapy for more than 7 to 10 days has no added value and may increase the incidence of complications.
4. Delaying rescue treatment
There are many reasons for delaying rescue treatment. I hope hormones can work; Biological agents are too expensive; Worried about the side effects of other drugs, worried about the side effects and risks of surgery.
Whether the patient's stool frequency exceeds 8 times or 3 to 8 times a day, and whether the C-reactive protein level exceeds 45 mg/L, it should be used to evaluate whether rescue treatment should be taken.
When carrying out rescue treatment, we must ensure that it is done correctly. Too much suspicion of other infections and failure to take timely measures, or too high expectations of drugs such as biological agents to save, treat and control diseases, sometimes delay the timing of surgery. Rescue treatment without IBD operation is very dangerous.
5. Failure to prevent complications
It is possible to use hormones at the right time, treat patients well and give medication at the right time. But there are other things that need to be considered with the patient. Some common problems need to be considered, including prevention of deep vein thrombosis and opportunistic infection, and failure to give patients proper nutrition.