Signs and Symptoms
Three progressive phases of ischemic colitis have been described:
- A hyper active stage occurs first, in which the primary symptoms are severe abdominal pain and the passage of bloody stools. Many patients get better and do not progress beyond this phase.
- A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowel motility decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.
- Finally, a shock phase can develop as fluids start to leak through the damaged colon lining. This can result in shock and metabolic acidosis with dehydration, low blood pressure, rapid heart rate, and confusion. Patients who progress to this phase are often critically ill and require intensive care.
Read more about this topic: Mesenteric Ischemia
Famous quotes containing the words signs and/or symptoms:
“Chaucer sawed life in half and out tumbled hundreds of unpremeditated lives, because he didn’t have the cast-iron grid of a priori coherence that makes reading Goethe, Shakespeare, or Dante an exercise in searching for signs of life among the conventions, compulsions, self-justifications, proofs, wise saws, simple but powerful messages, and poetry.”
—Marvin Mudrick (1921–1986)
“The human condition is such that pain and effort are not just symptoms which can be removed without changing life itself; they are the modes in which life itself, together with the necessity to which it is bound, makes itself felt. For mortals, the “easy life of the gods” would be a lifeless life.”
—Hannah Arendt (1906–1975)