Colitis is inflammation of the colon caused by various causes. One of the leading symptoms of the disease is aching pain. Most often it is present in the lateral parts of the abdomen.
Colitis usually affects the entire large intestine, however, in some cases, pathology is observed only in one or several of its departments (proctitis, typhlitis, sigmoiditis, etc.). Most often, the disease appears in the left half of the colon. The main symptoms of colitis include: pain, stool disorders (constipation, diarrhea or alternation of these conditions), dyspeptic disorders, flatulence. Sometimes tenesmus is observed - painful false urge to defecate. With an exacerbation of the process, tenesmus is accompanied by the discharge of gases and lumps of feces, which may be covered with mucus flakes. Sometimes blood streaks appear in the mucus.
After a bowel movement, colitis patients often have a feeling of incomplete bowel movement. When the distal colon is involved in the process, the stool takes on a fragmented appearance (the so-called "sheep feces"). Pain in chronic colitis has a number of characteristics. It can be localized in various parts of the abdomen, periodically occurs during the day, most often in the second half (at the height of the daily rhythm of digestion). In rare cases, the pain takes on the character of attacks (intestinal colic). In the case of a prolonged course of the disease, some patients constantly experience pain.
By the nature of colitis pain is aching, bursting, pulling, cramping. It can give to the sacrum, sometimes to the left side of the chest. In some patients, the pain may be dull, constant and "spread" all over the abdomen. Then it intensifies, becomes cramping and is localized in the lower abdominal cavity: to the left or above the pubis. The attack may be accompanied by the appearance of the urge to defecate or the passage of gas. Pain sensations subside after passing gas, defecation, application of heat (heating pad, compress), after taking anticholinergics or antispasmodics.
Flatulence with colitis is caused by dysbiosis and impaired digestion of food in the small intestine. Also often observed: nausea, belching, anorexia, a feeling of bitterness in the mouth, psychovegetative disorders. The psychological status of patients with colitis is characterized by anxiety, irritability, a tendency to depressed mood, and sleep disturbances. General malaise, weakness, decreased ability to work, the appearance of astheno-neurotic syndrome, mild signs of anemia and polyhypovitaminosis may be observed. The course of chronic colitis can be prolonged, low-symptom, or gradually progressive, with alternating periods of remission and exacerbations. With timely treatment, the prognosis for colitis is favorable.