Treatment for ischemic colitis depends on the severity of your condition.
Signs and symptoms often diminish in two to three days in mild cases. But your doctor may recommend:
- Antibiotics, to prevent infections
- Intravenous fluids, if you are dehydrated
- Treatment for any underlying medical condition, such as congestive heart failure or an irregular heartbeat
- Avoiding medications that constrict your blood vessels, such as migraine drugs, hormone medications and some heart drugs
Your doctor will schedule follow-up colonoscopies to monitor healing and look for complications.
If ischemic colitis is severe or your colon has been damaged, you may need surgery to:
- Remove dead tissue
- Repair a hole in your colon
- Bypass a blockage in an intestinal artery
- Remove part of the colon that has narrowed because of scarring, and is causing a blockage
The likelihood of surgery may be higher if you have an underlying condition, such as heart disease or low blood pressure.
Oct. 10, 2012
- Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed July 19, 2012.
- AskMayoExpert. What diagnostic studies should be performed in patients with ischemic colitis? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Feuerstadt P, et al. Colon ischemia: Recent insights and advances. Current Gastroenterology Reports. 2010;12:383.
- Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4377-1604-7..C2009-0-42832-0--TOP&isbn=978-1-4377-1604-7&uniqId=327451096-2. Accessed June 19, 2012.
- Theodoropoulou A, et al. Ischemic colitis: Clinical practice in diagnosis and treatment. World Journal of Gastroenterology. 2008;14:7302.
- Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. Aug. 28, 2012.
- Paterno F, et al. Ischemic colitis: Risk factors for eventual surgery. American Journal of Surgery. 2010;200:646.
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