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The colon is the longest portion of the large intestine which is located towards the end of the human gut. Ascending colon – where contents from the cecum enter the colon and travel upwards (RLQ and RUQ). Transverse colon – where the colonic contents moves sideways from right to left (RUQ and LUQ). Sigmoid colon – where the colonic contents moves from left to right in a slightly downward orientation to empty into the rectum (LLQ).
The ascending colon starts in the right lower quadrant and runs up to the right upper quadrant. The left half of the transverse colon continues from the right upper quadrant to the left upper quadrant. Ask a Doctor Online Now!Pain in the ascending colon occurs on the right side of the abdomen. Pain in the sigmoid colon is felt on the lower left quadrant (LLQ) of the abdomen or left side of the pelvis. Infectious colitis is inflammation of the colon due to an infection usually caused with bacteria like E.coli (Escherichia coli), Salmonella, Shigella and Campylobacter species or parasites like Entamoeba histolytica (amoebiasis). Pseudomembranous colitis is not actually an infection but arises with an overgrowth of a type of bacteria known as Clostridium difficile usually after the use of antibiotics. Diverticulitis is inflammation of the outpouchings (diverticula) that develop in the colon, particularly the lower parts of the colon. Inflammatory bowel disease is among the most common, non-infectious inflammatory conditions of the colon. Microscopic colitis is an inflammation of the colon wall associated with thickening of the connective tissue (collagenous colitis) or a higher concentration of white blood cells in the colon (lymphocytic colitis). Injury to the colon may arise with abdominal trauma either due to blunt-force or sharp-force trauma. Colonoscopy or biopsy are diagnostic procedures that may cause pain after the procedure although this is short lived lasting a few days at most.
Radiation exposure to the abdomen in the treatment of cancer of the colon or other abdominal structures may injure the colon. Ischemic colitis is inflammation of the colon caused by an interruption of the blood supply to the colon. Bowel infarction is death of a portion of the colon wall usually following interruption of its blood supply (ischemic colitis) or sometimes with a bacterial infection. Volvulus is a twisting of the intestines causing an obstruction of the bowel and may also interrupt the blood supply to the bowel wall. Fecal impaction is an accumulation of stool in the sigmoid colon or rectum which turns into a hard, dry mass. Other causes of obstruction of the colon includes colon polyps, colon cancer and diverticulitis which have been discussed above.
Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. I have pain in my left side, under my rib cage toward the center of my stomach.Sever years ago it was noted that I had a calcified aneurysm near my spleen, but nothing ever came of it.Could this pain be connected to that? Hey I have been walking with severe pain in the left pelvic area for 5 months now I have constipation sometime hard to pass water and when I touch or press down on that left side pelvic area I get severe burning pain down my left leg and have short moment of air hunger they did a MRI and found that I had a slipped disc that also contributes to the pain.
I have been having pain on my right side at the flexor of large intestine and on left and have ran a low grade fever for about a month in the 99’s it hurts to bend sideways wondering of its just irritated or if it has somehow become twisted or something.
Have been hospitalized numerous time with symptoms of fever , nausea, severe pain and bleeding. In order to diagnose Toxic Megacolon, the treating physician will take a detailed history of the symptoms and perform a physical examination to look at the abdomen for signs or any tenderness and also listen to the bowel sounds to find out if they are normoactive or not.
The above mentioned complications are very serious and affect the overall prognosis significantly. To understand Sigmoid Colon Diverticulitis, it is extremely important to know what is diverticula.
Diverticula are small bulging pouches that tend to form in the lining of the digestive tract. An infected diverticula in the sigmoid colon is referred to as Sigmoid Colon Diverticulitis.
Diverticula is usually formed when the weakest part of the colon succumbs to constant pressure from other parts of the digestive tract resulting in pouches to protrude through the colon wall. Person suffering from sigmoid colon diverticulitis may experience symptoms of constant pain in the lower part of the abdomen which may persist for several days.
Person suffering from sigmoid colon diverticulitis may experience symptoms of changes in bowel habits with constipation alternating with diarrhea. If an individual presents with the above mentioned symptoms, then Sigmoid Colon Diverticulitis is certainly the differential diagnosis until other conditions are ruled out. In cases of severe forms of Sigmoid Colon Diverticulitis, the patient may need to be hospitalized where the patient will be given IV antibiotics and a tube inserted to drain if any abscess has been formed. Surgery is usually recommended for patients with Sigmoid Colon Diverticulitis if they have certain complications like perforation or bowel obstruction, frequent episodes of Sigmoid Colon Diverticulitis, the immune system of the patient is weak. Primary Bowel Resection: In this procedure, the surgeon will remove a part of the intestine that hs been diseased and reconnects the healthy segments. Bowel Resection with Colostomy: If there is enormous amount of inflammation that it becomes very difficult to reconnect the colon to the rectum then the surgeon will perform a colostomy in which an opening will be made in the abdomen and will be connected to the healthy part of the colon. In summary, in case if an individual experiences symptoms as described above and Sigmoid Colon Diverticulitis is diagnosed then getting the right treatment is important to prevent oneself from recurring episodes of Sigmoid Colon Diverticulitis.
It is a symptom of some underlying disease and may occur along with other symptoms like diarrhea, constipation, flatulence and abdominal distention. The abdomen can be broadly divided into four quadrants – (from top clockwise) right upper quadrant (RUQ), left upper quadrant (LUQ), left lower lower quadrant (LLQ) and right lower quadrant (RLQ).
It bends at the splenic flexure to become the descending colon and runs downwards to the left lower quadrant.

These conditions may affect the entire length of the colon and even other parts of the gut or be isolated to specific segments of the colon.
It may arise with an infection but can also occur for other non-infectious factors like ischemia (reduced blood supply to the outpouchings). Ulcerative colitis only affects the colon and rectum but Crohn’s disease may affect any part of the gut including the colon. It may arise from tissue in the colon wall (primary) or spread to the colon from cancer at a distant site (metastasis).
The low oxygen supply to the colon leads to ischemia which can occur over long periods of time. It tends to follow inflammation or may arise after abdominal surgery particularly with repeat procedures.
It is important to differentiate between buttock pain that may be arising from the skin, subcutaneous fat, muscles, joints and bones or pain from internal organs like the rectum, anus, bladder and so on. As you can see there are many possible causes of an inflamed colon and there is no way of saying for sure until a medical professional assesses you.
It is possible that your current situation is related to your previous history of chronic diarrhea. The physician will also perform tests in order to confirm the diagnosis of Toxic Megacolon. In case if an individual undergoes colectomy then that individual will require devices like anal anastomosis to remove the feces after the entire colon is removed.
It is intended for general informational purposes only and does not address individual circumstances. These diverticula are mostly formed in the lower part of the large intestine which is also called as colon. Sigmoid Colon Diverticulitis can result in severe abdominal pain, fever, nausea, and substantial change in the bowel patterns. To begin with, the physician will conduct a detailed physical examination and inspect the abdominal area to look for areas of tenderness. For milder forms of Sigmoid Colon Diverticulitis, the patient can be treated at home itself with antibiotics for treating infection, maintaining a soft liquid diet which is easy to digest and does not put pressure on the digestive system along with pain medication for pain relief. This procedure restores normal bowel movements in patients with sigmoid colon diverticulitis. In most instances it is difficult to attribute pain within the abdomen as arising from any specific organ especially if there are no other symptoms. Most activities that occur within the large intestine like the reabsorption of excess water and storage of waste (feces) happens in the colon.
Therefore the right side of the abdomen is occupied by the entire ascending colon and first part of the transverse colon.
These causes can be further categorized according to the nature of the diseases – infectious, inflammatory, trauma, vascular and growths. If the colonscopy has shown no abnormality, and there are no other bowel-related symptoms then it is possible that the pain is not from the bowels. Many conditions can cause pain in this region and it may not even be arising from the bowels.
You have not mentioned what caused that previous diarrhea – remember that diarrhea is a symptom of some disease and not a disease on its own. The large intestine finishes off the digestion process of the food by absorbing water and eliminating the waste products through the anus.
Inflammatory bowel conditions can be extremely painful and can permanently damage large and small intestines. Once the blood pressure is stabilized, surgical procedure will be done to repair Toxic Megacolon. What sets it apart is belly pain and diarrhea or constipation that comes back again and again.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
The colon is divided into four categories which are the ascending colon, the descending colon, the transverse colon, and the sigmoid colon. Mild forms of Sigmoid Colon Diverticulitis can be treated just with rest, dietary changes and antibiotics but advanced or severe forms of Sigmoid Colon Diverticulitis need to be treated with surgery.
Since sigmoid colon has quite a weak colon wall hence Sigmoid Colon Diverticulitis is quite common. Next, the physician will order certain laboratory tests to include blood and urine test to rule out infection, LFT to rule out any damage to the liver causing the symptoms, stool examination for people with persistent diarrhea. Once the inflammation calms down then the bag is removed and the colon is again connected to the rectum in the normal way. Colon pain is one such instance and should therefore be investigated as abdominal pain as a whole, preferably localizing the pain to a specific abdominal quadrant or region. You should follow up with the gastroenterologist who did the colonoscopy and you may require a referral to another specialist, like an orthopedist. The only way to know is for your doctor to examine the area and run further tests if necessary. There is no pain or any other symptoms, but it is very noticeable by just touching the right lower belly, and the inflammation and rigidity goes until almost the beggining of the ribs. The cause of your current symptoms could range from inflammatory bowel disease (IBD) to diverticulitis and even colorectal cancer is a possiblity.
However, it is equally possible that your current symptoms are unrelated to your previous diarrhea. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Generally, diverticula can form in any of these parts of colons but they are usually formed in the sigmoid colon. Apart from this radiological studies in the form of MRI and CT scan of the abdominal area will be done to virtually confirm the presence of Sigmoid Colon Diverticulitis.
From here it begins its transit through the different parts of the colon where it is transformed from a liquid mush into the solid yet soft feces that is eventually expelled into the environment.

Of course colon cancer is one of the more serious conditions that need to be considered but there is a host of other diseases that can cause pain in this region.
There are many possible causes of your symptoms and the final diagnosis will depend on the results of various tests, such as a stool test, colonoscopy and so on.
I used to have chronic diarrhea for years, in fact, but taking probiotics seems to have gotten rid of that for the most part.
Pain that is relieved with defecation may occur in a number of different conditions, including IBS, IBD, diverticulitis and so on. One condition which causes the large intestine to malfunction is called as Toxic Megacolon, in which the colon gets dilated. Toxic Megacolon develops when inflammatory bowel diseases cause the colon to become dilated as a result of which the colon is unable to dispense body waste causing buildup of feces in the colon causing a rupture of the intestine. Diverticula as a single entity is usually harmless until they become infected and result in a pathological condition called as diverticulitis. When the colon is diseased, passage of waste obstructed or cannot be emptied from the colon then pain may occur. It is best that you don’t leave it unattended for too long as complications could arise which may at times be life threatening due to the delay. As you can see from the article above there are so many possible causes for the symptoms that you are experiencing. Remember that the abdominal cavity is packed with organs so it is difficult to pinpoint your symptoms to a specific organ when only pain is present. Colonic rupture is a potentially serious condition as when the intestines rupture the bacteria present in the intestines get released into the abdomen causing serious infections and at times even death.
What It Feels LikeThe main symptoms of IBS are belly pain along with a change in bowel habits. You will need to consult with your doctor and possibly undergo a colonoscopy by a gastroenterologist to be sure.
Postsurgery, antibiotics will be given to prevent further infections or development of sepsis. This miscommunication may trigger contractions in the intestinal muscles (seen on the right) that result in cramping, pain, and changes in the speed of digestion.
Or it may be that the intestinal nerves are extra-sensitive to certain triggers, such as some foods or stress.
Who Gets It?Anyone can get irritable bowel syndrome, but the condition is twice as common in women as in men. It's uncommon for people over 50 to get IBS for the first time.  How It's DiagnosedThere is no single test to check for IBS. How It Affects Your LifeIt’s uncomfortable, and it can make you feel anxious about being able to get to a bathroom on time, or nervous about having symptoms strike at a bad time, like when you’re commuting, at work, or in any situation where it’s hard to leave.
The Role of StressEveryone gets nervous -- like when you have an exam, or have to give a presentation, or are under pressure. It can also be a good idea to work with a counselor to learn helpful ways to respond to stressful situations.
What Are Your Triggers?The first step toward managing IBS is to figure out what makes your symptoms worse.
Besides stress, common triggers include eating a meal, hormonal changes, and certain medications. So, write down what you eat in a "food diary" to help you pinpoint which foods are a problem for you.
Should You Change Your Diet?Your treatment plan will depend on your specific symptoms and triggers, but many people start with diet changes. You may want to avoid alcohol or caffeine, and foods that make you gassy (such as beans, broccoli, Brussels sprouts, and cabbage).
Physical activity can help with digestion, reduce stress, and improve your mood.Go for low-impact activities at first that won't jar the digestive tract, and use the bathroom before you start.
Drugs That Treat DiarrheaIf diarrhea is one of your IBS symptoms, there are medicines to help. Your doctor may also consider prescription drugs like eluxadoline (Viberzi), or an antibiotic called rifaximin (Xifaxan), or “bile acid sequestrants” (such as cholestyramine, colesevelam, and colestipol) for more help.
Drugs for ConstipationYour doctor may recommend an over-the-counter medicine that softens stool so it’s easier to pass (like docusate), a fiber supplement (such as methylcellulose or psyllium), or polyethylene glycol (PEG).If other options don’t work, the drugs linaclotide (Linzess) and lubiprostone (Amitiza) boost the amount of fluid in your intestines.
Antidepressants and AntispasmodicsIf a doctor prescribes antidepressants for IBS, that doesn't suggest your symptoms are "all in your head" or caused by depression. Antidepressants act on the chemical messengers in the digestive tract and can ward off pain and cramping. Look for enteric-coated capsules, which are less likely to cause heartburn -- and check with your doctor first if you take other medications.
Psychotherapy Can HelpIf IBS gets to you -- like, if you start to feel down about it or avoid social situations because of it -- you might find it helpful to talk with a counselor, at least a few times.
They can help you with the stress of the condition and teach you new ways to manage your triggers and flare-ups.
HypnosisAn expert will guide you through this technique, helping you learn how to relax your colon’s muscles. It might help you learn to relax certain muscles in your pelvic “floor” when you have a bowel movement, if your IBS constipation happens because you squeeze those muscles without realizing it. Make Time for MindfulnessConsider trying meditation, deep breathing, or other relaxation techniques. There’s not a lot of research on the topic, but if it helps you manage stress, it’s a good idea to give it a shot and see how you do.
Keep a personal diary of food, feelings, and symptoms -- that can help you uncover hidden triggers when you're first diagnosed, and if IBS begins to interfere with your daily life again.
IBS is not life-threatening and does not lead to more serious conditions, such as inflammatory bowel disease or cancer.

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