Treatments and drugsBy Mayo Clinic staff
Treatment for ischemic colitis depends on the severity of your condition.
Signs and symptoms often diminish in two to three days in mild cases. But your doctor may recommend:
- Antibiotics, to prevent infections
- Intravenous fluids, if you are dehydrated
- Treatment for any underlying medical condition, such as congestive heart failure or an irregular heartbeat
- Avoiding medications that constrict your blood vessels, such as migraine drugs, hormone medications and some heart drugs
Your doctor will schedule follow-up colonoscopies to monitor healing and look for complications.
If ischemic colitis is severe or your colon has been damaged, you may need surgery to:
- Remove dead tissue
- Repair a hole in your colon
- Bypass a blockage in an intestinal artery
- Remove part of the colon that has narrowed because of scarring, and is causing a blockage
The likelihood of surgery may be higher if you have an underlying condition, such as heart disease or low blood pressure.
- Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed July 19, 2012.
- AskMayoExpert. What diagnostic studies should be performed in patients with ischemic colitis? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Feuerstadt P, et al. Colon ischemia: Recent insights and advances. Current Gastroenterology Reports. 2010;12:383.
- Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4377-1604-7..C2009-0-42832-0--TOP&isbn=978-1-4377-1604-7&uniqId=327451096-2. Accessed June 19, 2012.
- Theodoropoulou A, et al. Ischemic colitis: Clinical practice in diagnosis and treatment. World Journal of Gastroenterology. 2008;14:7302.
- Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. Aug. 28, 2012.
- Paterno F, et al. Ischemic colitis: Risk factors for eventual surgery. American Journal of Surgery. 2010;200:646.