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.
While most cases resolve on their own, if your symptoms are 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. 13, 2015
- Brandt LJ, et al. ACG clinical guideline: Epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI). American Journal of Gastroenterology. 2015;110:18.
- Grubel P, et al. Colonic ischemia. http://www.uptodate.com/home. Accessed July 27, 2015.
- Navid K, et al. Ischemic colitis. Hospital Medicine Clinics. 2015;4:216.
- Yaddav S, et al. A population-based study of incidence, risk factors, clinical spectrum, and outcomes of ischemic colitis. Clinical Gastroenterology and Hepatology. 2015;13:731.
- Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. July 29, 2015.