Learn about Chronic Irritable Colitis

This is an automatically translated article.

The article was professionally consulted by a doctor of the Department of Diseases & Internal Medicine, Vinmec Nha Trang International General Hospital.

Chronic spastic colitis is a benign disease, but it affects quality of life and causes many dangerous complications if not treated early. Currently, in Vietnam, up to 15-20% of the population has this disease.

1. What is chronic spastic colitis?

Ischemic colitis is a benign, functional disorder of the colon that causes discomfort in the colon, but no damage has been found in the colon. Irritable bowel disease is also known as irritable bowel syndrome, functional colon disease, chronic colitis or dysfunctional colon.
Colon disease is common in people who work in stressful, tired, or anxious, tired environments or people with irregular living habits, eating on time.

Trắc nghiệm: Bận rộn có ảnh hưởng đến sức khỏe của bạn không?

Cuộc sống hiện đại khiến chúng ta vì quá bận rộn mà quên chăm sóc sức khỏe cho chính mình. Ai cũng biết rằng lịch trình làm việc cả ngày có thể khiến bạn kiệt sức, nhưng cụ thể bận rộn ảnh hưởng thế nào tới sức khỏe? Hãy cùng làm thử bài trắc nghiệm dưới đây.

2. Are colitis and chronic spastic colitis the same thing?

Colitis and chronic spastic colitis have very similar symptoms but are very different.
Abdominal pain: Abdominal pain in people with colitis is usually only dull pain, pain fixed in one place, in the right or left iliac fossa. Meanwhile, the symptoms in people with chronic spasmodic colitis are severe pain, cramping, dull but not much pain. Occasionally, a raised lump will be palpable along the colonic framework. Diarrhea: People with colitis have an apple or loose stools but always feel comfortable after having a bowel movement. However, people with colitis may have bloody stools. Neurological factors: Little impact on people with colitis. People with chronic spasmodic colitis are more affected by neurological factors such as anxiety and stress that make symptoms worse. Other symptoms: Patients with colitis usually have only gastrointestinal symptoms. People with chronic spastic colitis often have digestive problems with symptoms of dizziness, headache, insomnia, heart palpitations, nervousness, ...

Viêm đại tràng co thắt hay hội chứng ruột kích thích.
Viêm đại tràng co thắt hay hội chứng ruột kích thích.

3. What causes chronic spastic colitis?

The cause of chronic IBS is not known, however, several factors are considered to cause the disease.
Hormonal changes: Changeable hormones are also a cause of chronic IBD. According to reports, 70% of people with chronic spastic colitis are women.
Increased serotonin levels: People with chronic spasmodic colitis may have a decreased serotonin level, while people with diarrhea may increase serotonin levels in the intestines. Serotonin is a neurotransmitter that is produced in the intestines and acts on the nerves of the digestive tract.
Eating in moderation: Eating too much indigestible food, greasy, poor hygiene, raw food or drinking too much alcohol, ... are considered the causes of disease.

4. Manifestations of chronic spastic colitis

Digestive disorders for many days, bowel movements lasting from 2 to 6 times per day. When you are constipated, when you go out, the stool is loose, the stool is not molded, crushed. You feel bloating, gas, sometimes abdominal pain, abdominal tightness, discomfort along the colon. There is a dull pain in the lower abdomen or along the colon. Pain that increases after eating or before having a bowel movement. Allergic to certain foods: due to allergies, it is easy to have abdominal pain, go out after eating sour, spicy, greasy foods, alcohol, beer, coffee,... Expression of loss of appetite , loss of appetite, fatigue, poor sleep, anger, memory loss, etc. are common symptoms of chronic spastic colitis. Rapid weight loss, excessively thin people is a serious condition of chronic spastic colitis caused. If the disease is left untreated for a long time, it can increase the risk of colon cancer.

Rối loạn tiêu hóa nhiều ngày, đi ngoài kéo dài từ 2 – 6 lần mỗi ngày là biểu hiện của bệnh viêm đại tràng co thắt mạn tính.
Rối loạn tiêu hóa nhiều ngày, đi ngoài kéo dài từ 2 – 6 lần mỗi ngày là biểu hiện của bệnh viêm đại tràng co thắt mạn tính.

5. How to detect chronic spastic colitis?

Chronic spastic colitis is not easy to diagnose due to the disease. Depending on the specific symptoms of the patient and the condition of the medical equipment, the doctor will order different tests to diagnose the disease.
The patient may be assigned a stool test to look for bacteria, worm eggs, flukes, ... if the patient is suspected of having dysbacteriosis.
Contrast colposcopy, colonoscopy if the patient suspects colitis with other reasons to detect colitis or chronic spastic colitis.

6. Is chronic spastic colitis dangerous?

Chronic spastic colitis, if not treated early, can cause many dangerous complications to the patient's health, even causing colon cancer.

7. Treatment for chronic spastic colitis

Currently, there is no specific treatment for chronic spastic colitis, the disease will be treated with drugs that inhibit smooth muscle, drugs to treat flatulence, abdominal distention, improve stools, loose stools, constipation, etc. ... according to the doctor's prescription and not to arbitrarily use the drug to avoid unnecessary consequences.
Because there is no specific medicine, improving diet and lifestyle changes are effective methods to prevent disease.

8. Food for people with chronic spastic colitis


Add rice, potatoes, carrots. Choose proteins such as lean meat, ca, soy milk, yogurt. Fishy foods such as shrimp, fish, crab, eggs should not be eaten much and eaten immediately after processing. Patients should add green vegetables such as water spinach, turnip greens, spinach, cabbage, radish. Ripe fruits such as banana, sapodilla, sweet mango. Drink enough water, minerals and vitamins every day.

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