Definition and causes
Bleeding twitch is a chronic disease with inflammation and ulcers in the colon mucosa. Inflammation caused by bacteria not, and why the disease is unknown.
In Denmark diagnosed around. 400 new cases per. years, and the disease environment a little more often women. The vast majority who are diagnosed with bleeding twitch is between 15-30 years, but people of all ages can be affected.
Bleeding twitch involved almost always end the intestine, where the disease is spreading up the intestine to varying degrees. In bad cases, entire large bowel affected, while the small intestine are never affected. In some cases it may be difficult to differentiate bleeding twitch from the case of Crohn's disease, where there is a case where only the colon is affected (but may be more deeper wounds in Crohn's disease).
Symptoms of bleeding twitch
The disease has many difficulties (see progress), and the symptoms are then. Frequently seen:
- Bloody diaréer.
- Mucus in the stools.
Pain in the abdomen, particularly in connection with stool (tenesmi).
- Fever, weight loss or general initiativløshed can be seen in severe cases.
At between 10 and 25% of people with bleeding twitch seen signs outside the thick-end and intestine.
- Ledsymptomer (from 10-20%) in the form of joint pain (arthralgia) and arthritis (arteritis). Get percent develop Bechterews disease.
- Eye Symptoms in the form of inflammation in different locations in the eye (typically rainbow skin inflammation seen in some. 4-8%).
- Hudsymptomer typically in the form of erythema nodosum (sore red knot in front of the shin) is also reflected in approximately. 4-8%).
Precautions and diagnosis
If you have blood in stool, you should consult a doctor. This may be a sign of bleeding twitch or other more serious ailments. However, there is most likely that the case of hemorrhoids or bacterial or parasitic infections in the intestine, which usually can be processed relatively easily. Infection with the virus can also give diaréer, but these are of short duration and almost never bloody.
First tested stool for parasites and bacteria. When it is possible that there is infection, made the diagnosis by blood tests and kikkertundersøgelse (colonoscopy or sigmoideoskopi), which simultaneously removed a tissue (biopsy). Mucous membranes seen red and raised. Hosp. can be supplemented with an X-ray with contrast.
Treatment of bleeding twitch
Treatment consists of drugs that inhibit inflammation (typically sulfasalazine). In addition, the adrenal cortical hormones (prednisone) for severe disease (long-term treatment with this is to be avoided as much as possible, since there are many side effects). In addition, applying for severe illness also stronger medikamina, which is also used in cancer treatment. These substances also dampens inflammation condition (immune system reacts to the state by causing an inflammation).
In cases of severe bleeding twitch, where it is not possible to curb the disease with medical treatment, surgery will be considered. Often, one removes the large bowel. In cases where you also have to remove the intestine end, to make a linkage between the small intestine and anus. In the latter case is cured of the disease, but we will have a somewhat higher stool frequency (6-8 times per. Day) than otherwise.
Select and complications
The disease, like Crohn's disease characterized by having active periods with many symptoms and periods when you are asymptomatic or have only a few symptoms. In the vast majority of the disease is chronic and has a cycle of active periods and asymptomatic periods. There is great variability among people with bleeding twitch of how often the disease is active and severity of the disease. For the majority, it is possible to achieve a normal life with good quality of life.
At about 10% with bleeding twitch develop the disease themselves suddenly more violent with strong symptoms and are constantly active. This development can be viewed at any time in the course of the disease, but if this happens, it is typically in the early course of the disease. This condition can be life-threatening, requires hospitalization and is a specialist task.
Get percent have only one attack and then no more marks to the disease. There may be several complications of the disease, and they may be more common at the severe form. There can be seen abscesses (abscesses) in the intestine and the constrictions of the intestine due to shrinkage are caused by healed the wounds (constrictions can result tarmslyng).
Additionally, go hole in the intestine (perforation) with bacteria in the belly and the risk of peritonitis. This is a very serious complication that requires urgent surgery because it can evolve into blood poisoning. Bleeding is a rare but serious complication. Also seentoxic megacolon, Who is a prevention of a portion of the colon due to paralysis of this part. If that prevention is not in itself soon be operated as there is a high risk that there are holes in the intestine.
Finally, bleeding colon inflammation associated with an increased risk of cancer of the thick-end and intestine.
This article is formed on the Health Guide on 18.09.06