Microscopic Colitis

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What Is Microscopic Colitis? Microscopic colitis is a medical condition that causes the colon to be swollen and irritated resulting in chronic non-bloody watery diarrhea. Types Of Microscopic Colitis There are two types of microscopic colitis: Lymphocytic colitis, which results in the formation of lymphocytes on the colon tissue. Collagenous colitis, which results in the […] Read More

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Microscopic Colitis

What Is Microscopic Colitis? Microscopic colitis is a medical condition that causes the colon to be swollen and irritated resulting in chronic non-bloody watery diarrhea. Types Of Microscopic Colitis There are two types of microscopic colitis:
  • Lymphocytic colitis, which results in the formation of lymphocytes on the colon tissue.
  • Collagenous colitis, which results in the formation of a  thick layer of collagen on the colon tissue,
Complications  If left untreated, microscopic colitis can lead to serious complications which may include: 
  • Dehydration
  • Malabsorption of food nutrients
  • Malnutrition
  • Weight loss 
Diagnosis Microscopic colitis is usually diagnosed by a gastroenterologist. The test that is most often used to make a definitive diagnosis of microscopic colitis is a colonoscopy with a biopsy. Other tests may also be carried out including
  • Blood tests
  • Lab tests
  • Stool tests
  • Imaging tests.
Treatments Microscopic colitis can get better on its own, but most patients have recurrent symptoms. If symptoms persist, experts suggest these steps:
  • Avoid certain foods, such as caffeine or artificial sugars.
  • Take fiber supplements.
  • Stop taking medication that could trigger symptoms.
The main treatment for microscopic colitis is medication. In many cases, the doctor will start treatment with an antidiarrheal medication such as Pepto-Bismol or Imodium, the doctor may also prescribe antibiotics, if the medications are not working, the doctor may recommend surgery to remove part or all of the colon

Symptoms

Signs & Symptoms

The main symptom of microscopic colitis is non-bloody diarrhea, which may persist for some time. Other symptoms include:

  • Weight loss
  • Pain and cramping in the abdomen
  • Fecal incontinence 
  • Nausea
  • Dehydration 

Causes

Causes Of Microscopic Colitis 

Microscopic colitis may have several different causes, including the following:

  • Smoking
  • Bacterial and viral Infections
  • Certain autoimmune diseases

Microscopic colitis can be hereditary in some cases. Also, some medications such as nonsteroidal anti-inflammatory drugs and certain drugs for the treatment of cancer or heart disease can cause microscopic colitis.

FAQ

What is Microscopic colitis?

Microscopic colitis refers to inflammation in the colon. There are two main types: collagenous and lymphocytic.

What are the symptoms of microscopic colitis?

Symptoms and signs of microscopic colitis may include:

  • Watery bloodless diarrhea
  • Abdominal bloating and discomfort
  • Fatigue
  • Bowel incontinence
  • Abdominal cramps
  • Nausea

Can my diet affect my microscopic colitis?

If your symptoms are aggressive and they continue without improvement some dietary changes may be made, and substances that irritate the colon must be avoided. Some substances and foods that may irritate the colon include:

  1. Caffeine
  2. Lactose
  3. Artificial sweeteners
  4. beans
  5. nuts
  6. raw vegetables

Also, it is very important to stay hydrated and eat soft foods as they are easy to digest. Some examples include:

  • Bananas
  • Rice
  • Melons

It is often advised that patients should eat frequent small meals throughout the day, rather than three large meals.

Is there a cure for microscopic colitis?

There is no known cure for microscopic colitis, but dietary changes and medical treatment, including drugs, can manage the symptoms in most cases. Treatment options depend on the severity of the symptoms, but may include:

  • Watchful waiting 
  • Dietary changes 
  • Switching medicines 
  • Anti-diarrhoea medication
  •  

What are the complications of microscopic colitis?

If left untreated, microscopic colitis can lead to serious complications which may include: 

  • Dehydration
  • Malabsorption of food nutrients
  • Malnutrition
  • Weight loss.