Colitis
Hello, doctor.
1.
In mid-August, I had a colonoscopy that showed localized inflammation in the colon.
The doctor said that I could avoid medication for treatment and should return for a follow-up only if I experience symptoms such as diarrhea, mucus in the stool, or blood in the stool.
If I do not take medication, will the inflammation resolve on its own? Thank you.
2.
Since childhood, my stools have almost always been pellet-like.
Recently, I started using chopsticks to examine my stool, and I noticed that the hard stools have a transparent or yellowish mucus on the outer layer.
Does this qualify as "mucus in the stool"? Thank you!
3.
When lying flat, I can feel a bit of hardness in the lower abdomen on both sides (I'm not sure if it's the colon).
Is this normal? Thank you!
Xiao Nu, 30~39 year old female. Ask Date: 2016/09/02
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1.
If there are no symptoms, there is no need to take medication; the intestines will naturally heal themselves.
2.
Clear or yellow mucus is normal.
3.
The hard lump you felt may not necessarily indicate a problem; not all organs in the abdominal cavity are soft, and some may be fecal matter.
If there are concerns, it is advisable to consult a gastroenterologist for a thorough examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2016/09/02
More Info
Understanding colonic inflammation is crucial for both diagnosis and treatment. Colonic inflammation can manifest in various forms, such as ulcerative colitis or Crohn's disease, and can lead to a range of symptoms including abdominal pain, diarrhea, and changes in bowel habits. Based on your questions, let's delve deeper into your concerns regarding colonic inflammation, its symptoms, and treatment options.
1. Self-Healing of Colonic Inflammation: It is possible for mild colonic inflammation to resolve on its own, especially if the underlying cause is temporary, such as a mild infection or dietary indiscretion. However, if the inflammation is due to chronic conditions like ulcerative colitis or Crohn's disease, it may not resolve without treatment. The decision to avoid medication should be made with caution. If symptoms such as diarrhea, mucus in stools, or blood in stools recur, it is essential to follow up with your healthcare provider. They may recommend monitoring the situation or starting treatment to prevent complications.
2. Understanding Mucus in Stools: The presence of mucus in your stool can be a normal occurrence, especially if you are experiencing changes in your bowel habits. Mucus is produced by the intestines to lubricate the stool and facilitate its passage. If you notice that your stools are hard and covered with a layer of clear or yellow mucus, this could indeed be classified as "mucus stools." This can sometimes indicate irritation or inflammation in the intestines. If this symptom persists or is accompanied by other concerning symptoms, it is advisable to consult your physician.
3. Palpable Hardness in the Abdomen: Feeling a hard area in your lower abdomen while lying down can be normal, especially if it corresponds to the location of the colon. The colon can sometimes feel firm due to gas, stool, or muscle tension. However, if you experience pain, tenderness, or any significant changes in your abdominal contour, it is important to seek medical advice. Abdominal palpation can provide clues about underlying conditions, and your physician may perform further examinations or imaging studies if necessary.
In summary, while some cases of colonic inflammation may resolve without medication, it is essential to remain vigilant for any worsening symptoms. The presence of mucus in your stool and the hardness felt in your abdomen should be monitored, and any significant changes should prompt a visit to your healthcare provider. Early intervention can help prevent complications and ensure better management of your gastrointestinal health.
In terms of treatment, if your symptoms persist or worsen, your doctor may consider prescribing anti-inflammatory medications, such as mesalamine or corticosteroids, depending on the severity and nature of the inflammation. Lifestyle modifications, including dietary changes and stress management, can also play a significant role in managing symptoms and promoting gut health.
Always remember that open communication with your healthcare provider is key to effectively managing your condition. They can provide tailored advice based on your specific situation and help you navigate any concerns you may have about your gastrointestinal health.
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