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Ischemic Bowel Disease

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  • Start suddenly, or happen over several days or years.
  • Start about 1 hour after eating, and last about 2 hours. Eating a big meal can make this pain even worse.
  • Nausea, vomiting, or both
  • Blood in bowel movements " � This can be bloody diarrhea
  • Weight loss, when not trying to lose weight
  • Eating problems, such as:
    • Food fear " � Not wanting to eat because pain starts after eating
    • Feeling full too quickly when eating

  • Will I need tests? " � Yes. The doctor or nurse will ask about the symptoms and do an exam. He or she will also order one or more tests. These can include: � �
    • X-ray, CT scan, or ultrasound of the belly " � These imaging tests create pictures of the inside of the body. They can help show the cause of symptoms.
    • Blood tests " � These can show signs of not enough nutrition. Or they might show that a different condition is causing symptoms.
    • Tests called "endoscopy, " � "upper endoscopy, " � "sigmoidoscopy, " � or "colonoscopy " � (figure 2) - For these tests, the doctor puts a thin tube down your throat and into your stomach, or up your rectum and into your colon. The tube has a camera attached so the doctor can look inside your body. The tube also has tools attached to it, which the doctor can use to take samples of tissue. These samples can go to the lab to be checked for problems.
    • A test called an "arteriogram " � - For this test, the doctor injects a dye into the arteries that carry blood to the bowel. This dye can be seen with an imaging test such as a CT, MRI, or fluoroscopy (a moving X-ray). The test can show if arteries around the bowel are blocked. If they are, this could be keeping part of the bowel from getting enough blood.
    • Laparoscopy " � This is a procedure that the doctor does in the operating room. The doctor makes a small cut near the belly button. Then he or she puts a small device called a "laparoscope " � inside. The doctor looks through the laparoscope to see if he or she can find the cause of symptoms.

    How is ischemic bowel disease treated? " � Treatment for ischemic bowel disease depends on: � �
    • What is blocking the arteries around the bowel
    • Whether the symptoms started suddenly or came on over a long time

    Most people with ischemic bowel disease need treatment in the hospital. In the hospital, the doctor can: � �
    • Give you fluids and nutrition through an "IV " � (a small tube that goes into your vein)
    • Put a thin tube called a "nasogastric tube " � in your nose, down your esophagus, and into your stomach. If there is extra fluid and air in your stomach or intestines, the tube can suck it up. This will make you feel better and help keep you from vomiting.

    Other treatments can include: � �
    • Antibiotics to treat infection
    • A procedure to open a blocked artery
    • Surgery to take out part of the bowel if it is not healthy

    These treatments can help the bowel work correctly again. � �
    All topics are updated as new evidence becomes available and our peer review process is complete. � �
    This topic retrieved from UpToDate on: Nov 04, 2014. � �
    Topic 83034 Version 2.0 � �
    Release: 22.8 - C22.208 � �
    � � 2014 UpToDate, Inc. All rights reserved. � �


    figure 1

    Digestive system

    This drawing shows the organs in the body that process food. Together these organs are called "the digestive system," or "digestive tract. " � As food travels through this system, the body absorbs nutrients and water.

    Graphic 66110 Version 4.0

    View Originalfigure 1

    Digestive system

    This drawing shows the organs in the body that process food. Together these organs are called "the digestive system," or "digestive tract. " � As food travels through this system, the body absorbs nutrients and water.

    Graphic 66110 Version 4.0

    View Original
    figure 2

    Colonoscopy

    During a colonoscopy, you lie on your side and the doctor or nurse puts a thin tube with a camera into your anus (from behind). Then the doctor or nurse advances the tube into the rectum and colon. The camera sends video pictures from inside your colon to a television screen.

    Graphic 52258 Version 4.0

    View Originalfigure 2

    Colonoscopy

    During a colonoscopy, you lie on your side and the doctor or nurse puts a thin tube with a camera into your anus (from behind). Then the doctor or nurse advances the tube into the rectum and colon. The camera sends video pictures from inside your colon to a television screen.

    Graphic 52258 Version 4.0

    View Original

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