During the Chinese New Year, when there is one dinner party after another, I believe many people have abnormalities in their stomach and intestines, and the number of “visits” to the toilet has increased, often with abdominal pain and increased bowel movements. How can the diagnosis be confirmed?
Both colitis and Crohn’s disease are inflammatory bowel diseases (IBD), and both diseases are characterized by recurrent intestinal ulcers, often manifesting as diarrhea, mucus and bloody stools, and abdominal pain, and the symptoms are so similar that it is sometimes difficult for even doctors to make a clear diagnosis. The difference between the two is that Crohn’s disease may affect all parts of the GI tract (such as the esophagus, stomach, small intestine, and colon), while the effects of ulcerative colitis are often limited to the large intestine.
Symptoms of colitis 1, diarrhea: mucus stools and pus and blood stools, 3 to 4 times a day in mild cases, dozens of times in severe cases or alternating diarrhea and constipation.
2, abdominal pain: mild patients without abdominal pain or only abdominal discomfort. Generally there is mild to moderate abdominal pain, is the left lower abdomen or lower abdominal paroxysmal pain, involving the whole abdomen there is pain a stool a stool after the relief of the pattern.
3, constipation: constipation 4 to 5 days once a bowel movement, feces like sheep stool, or even without laxatives can not pass stool.
4, other symptoms: abdominal distension, wasting, weakness, intestinal tinnitus, insomnia, dreaminess, fear of cold and other symptoms.
Examination 1, blood test: hemoglobin is mostly normal or mildly decreased in light cases, and there is a mild or moderate decrease or even a severe decrease in medium and heavy cases. White count may be increased in the active period. Accelerated hematocrit and increased C_reactive protein are signs of active phase. Serum albumin decreases in severe cases.
2, fecal examination: routine fecal examination often has mucus pus and blood to the naked eye, microscopic examination sees red and pus, and macrophages are seen during acute attacks. The purpose of fecal pathogenic examination is to exclude infectious colitis, which is an important step in the diagnosis of this disease and needs to be repeated several times (at least 3 times in a row).
3, colonoscopy: this test is one of the most important means of diagnosis and differential diagnosis of this disease. The whole colon and the end of the ileum should be examined to directly observe changes in the intestinal mucosa, take biopsies and determine the extent of the lesion.
Gastrointestinal diseases often cause lesions in the gastrointestinal tract, which can cause serious harm to the human body, and the initial stages of stomach cancer, intestinal cancer and other diseases are caused by this. Therefore, it is important to receive active treatment for the disease.