Ischemic Enteritis Quiz
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Stomachache
Blood in stool
I have left lower abdominal pain
I have lower abdominal pain
Abdominal pain
Bloody stool
Pain specific to the lower left side of the abdomen
Not seeing your symptoms? No worries!
What is Ischemic Enteritis?
A condition in which the gut wall is damaged due to insufficient blood supply. Causes include low blood pressure, medications, or clots from the heart.
Typical Symptoms of Ischemic Enteritis
- Blood in stool
- Feeling the need to pass motion even though nothing comes out
- Stomach pain or tummy ache in a specific place
- Abdominal pain
- Lower left abdomen or tummy pain
- Lower abdominal pain
- Black, shiny stool
- Passing out blood from the anus
Diagnostic Questions for Ischemic Enteritis
Your doctor may ask these questions to check for this disease:
- Do you have blood in your stool?
- Do you frequently feel the need to have a bowel movement but can't?
- Is your stomach pain localized to one specific area?
- Do you have a stomach ache?
- Do you have pain in the lower left abdomen?
Treatment of Ischemic Enteritis
Emergency medical care is necessary. In mild cases, antibiotics and a liquid diet can be administered while monitoring for complications. Some patients may need "clot-buster" medications through an IV or a targeted procedure using a wire in the bloodstream. Other blood thinners may be used to prevent clot recurrence. Severe cases may require surgery to remove parts of dead intestines.
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Takeuchi K, Komatsu Y, Nakamori Y, Kotani T. A Rat Model of Ischemic Enteritis: Pathogenic Importance of Enterobacteria, iNOS/NO, and COX-2/PGE2. Curr Pharm Des. 2017;23(27):4048-4056. doi: 10.2174/1381612823666170220154815. PMID: 28228071.
http://www.eurekaselect.com/article/81864Nakamura M, Yamamura T, Maeda K, Sawada T, Mizutani Y, Ishikawa E, Kakushima N, Furukawa K, Ishikawa T, Ohno E, Honda T, Kawashima H, Ishigami M, Fujishiro M. Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy. Can J Gastroenterol Hepatol. 2021 Apr 14;2021:8875564. doi: 10.1155/2021/8875564. PMID: 33954155; PMCID: PMC8062203.
https://www.hindawi.com/journals/cjgh/2021/8875564/Aguila EJT, Francisco CPD, Co JT. Pancreatic cancer masquerading as ischemic enteritis on endoscopy. JGH Open. 2020 Sep 30;5(1):157-159. doi: 10.1002/jgh3.12421. PMID: 33490629; PMCID: PMC7812477.
https://onlinelibrary.wiley.com/doi/10.1002/jgh3.12421Fang C, Liao X, Lu X. An Acute Progressive Ischemic Enteritis in a Young Patient. Gastroenterology. 2021 Jul;161(1):e11-e13. doi: 10.1053/j.gastro.2020.12.033. Epub 2020 Dec 24. PMID: 33359884.
https://www.gastrojournal.org/article/S0016-5085(20)35574-8/fulltext