Pancolitis is an inflammatory disorder that affects the entire inner lining of the colon. It is usually caused by untreated ulcerative colitis and can lead to abdominal pain, chronic fatigue, and colon cancer. Treatment options include medication, dietary changes, and surgery.
Pancolitis is a type of inflammatory disorder that affects the entire inner lining of the colon. It usually appears as a less serious condition called ulcerative colitis that goes untreated and spreads throughout the large intestine. The exact causes of pancolitis are unknown, although doctors believe that autoimmune diseases and genetic predispositions may play a role in its development. A person with pancolitis is likely to experience abdominal pain, frequent bouts of bloody diarrhea, and chronic fatigue. A doctor will usually first try to treat the condition with anti-inflammatory and pain-relieving medications, although surgery is often needed to prevent long-term health problems.
Ulcerative colitis typically affects the inner lining of the rectum and the lower sections of the colon. Over time, however, the irritation can extend down the length of the colon, resulting in pancolitis. It is often impossible to identify the cause of ulcerative colitis, although many people with the condition have a family history of inflammatory bowel disorders. The condition is most common in adults between the ages of 30 and 50, although colitis can occur in people of any age.
An individual who develops pancolitis usually experiences severe abdominal pain and cramping. Chronic bloody diarrhea is common, which can lead to dehydration or anemia in some patients. A person may also experience frequent fevers, fatigue, nausea, and weight loss. Pancolitis can lead to colon cancer if left untreated. In order to prevent long-term problems, it is essential to seek medical evaluation when an individual notices any or all of the symptoms of ulcerative colitis.
A doctor can do a physical exam and blood tests to diagnose pancolitis. The physical exam usually includes a colonoscopy, a procedure in which a small camera and light are inserted into the rectum to check for signs of irritation and inflammation. A doctor may also decide to take a biopsy of colon tissue for laboratory analysis. Once ulcerative colitis is diagnosed, the doctor can discuss treatment options with the patient.
Many patients respond well to nonsurgical treatment, including prescribed anti-inflammatory medications and dietary changes. Certain foods, including dairy products and excessively spicy or fatty meals, can make colitis symptoms worse. Doctors usually recommend patients to avoid such foods, drink plenty of fluids, and take multivitamins to ensure digestive tract health. Since stress can also trigger symptoms, a doctor may recommend relaxing exercises or refer a patient to a psychologist to better manage stressful situations.
Severe pancolitis usually requires surgery. A surgeon can remove sections of scarred or severely damaged tissue and suture the healthy tissue back together. In some cases, the entire colon and rectum must be removed in a procedure called a proctocolectomy. The procedure involves connecting the small intestine and anus with an artificial tube that serves as a replacement colon. After surgery, ongoing counseling and medical checkups can ensure that patients recover from their symptoms and enjoy a normal lifestyle.
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