How long does it take for colic to heal?

If patients with intestinal pain want to recover quickly, they should pay attention to keeping a light diet, coordinate diet and medication, and adjust themselves reasonably. Try not to eat cold or hot, spicy or greasy food. As long as they pay attention to recovery, they will generally recover in about half a month. Do not overwork in the near future and avoid lack of sleep.

Dietary health care should mainly focus on light food and pay attention to dietary regularity.

Preventive care There is no effective prevention measure for this disease. Early detection and early diagnosis are the key to the prevention and treatment of this disease.

Pathological etiology The celiac artery, superior mesenteric artery and inferior mesenteric artery are the nutrient vessels of the gastrointestinal tract. The collateral circulation between them can provide sufficient blood supply to maintain the vitality and function of the affected intestine. Therefore, most isolated SMA chronic occlusions are asymptomatic. However, when the second blood vessel also has insufficient blood supply, the relatively ischemic intestine cannot meet the increased blood supply required for food intake. This is the cause of the typical "eating pain" of colic.

The main cause of the gradual occlusion of visceral arteries is atherosclerosis. Arterial angiography and autopsy have found that the incidence of chronic mesenteric ischemia caused by arteriosclerotic occlusion in the elderly population is on the rise. Hypertension and smoking are the main risk factors for arteriosclerotic occlusive disease.

Less common lesions include compression of the celiac artery by the celiac ganglion, dilated aortic pseudoaneurysm or isolated aneurysm, thromboangiitis obliterans, or periarteritis nodosa involving the celiac artery. There is a rare condition called medial arcuate ligament syndrome, which is caused by the high origin of the celiac artery, or the normal origin of the celiac artery but the low position of the ligament, which compresses the celiac artery and partially occludes it.

Disease diagnosis 1. It needs to be differentiated from peptic ulcer, cholecystitis, pancreatitis and abdominal masses.

2. It needs to be differentiated from mesenteric artery embolism and thrombosis.

Inspection method Laboratory examination:

Decreased hematocrit, hypoproteinemia, hypocholesterolemia and low immunity, etc. In some cases, jejunal or colonic puncture biopsy can reveal manifestations of chronic ischemia, including atrophy of intestinal mucosal villous, flattening of epithelial cells, and chronic swelling.

Other auxiliary examinations:

1. Selective visceral artery angiography

(1) Anteroposterior abdominal artery angiography: The catheter is inserted through femoral artery puncture to the upper part of the origin of the abdominal artery. After a small test dose is given to confirm that the catheter is properly positioned, 30-40 ml of 50% sodium gluconate diatrizoate is injected. Then, multiple rapid and continuous films are taken to show whether one or both of the abdominal artery and superior mesenteric artery are stenotic or occluded.

(2) Inferior mesenteric artery angiography: After celiac artery angiography, the catheter is inserted above the origin of the superior mesenteric artery and angiography is performed. If the inferior mesenteric artery is significantly dilated and elongated and the superior mesenteric artery is filled by collateral circulation, it indicates superior mesenteric artery occlusion.

(3) Lateral arterial angiography: For medial arcuate ligament syndrome, lateral arterial angiography can show compression of the superior edge of the celiac artery and caudal displacement of the artery, while the superior and inferior mesenteric arteries usually appear normal.