Microscopic colitis


microscopic colitisMicroscopic colitis is a form of colitis that does not fall within the traditional inflammatory bowel diseases and tends to affect mainly the subjects of advanced age. The highest incidence is in fact between 60 and 70 years of age and is prevalent in female subjects. In Western countries, a rather large percentage of the elderly is addressed to the family doctor for problems of chronic diarrhea. The microscopic colitis usually has a benign course but it is crucial to be diagnosed quickly because in the event of failure treatment can worsen the quality of life of elderly patients often already afflicted by diseases parallel.



Symptoms microscopic colitis

Symptoms of microscopic colitis include watery diarrhea applicant even at night, diffuse abdominal pain, weight loss and fatigue. The frequent urge to defecate often leads to episodes of incontinence. It is not uncommon that those afflicted by microscopic colitis suffer from comorbidities, such as diabetes, thyroid disorders or rheumatoid arthritis. In addition, there may also be a bile acid malabsorption, which can aggravate the symptoms.


Causes of microscopic colitis

To date, we do not know with certainty the causes of microscopic colitis. The inflammation of the colonic mucosa with an increase of T lymphocytes in the epithelium and in the lamina of the mucosa itself suggests that this condition can be derived from an immune response to some agents present in the colonic lumen. Numerous studies have also shown a relationship between microscopic colitis and prolonged use of aspirin, non-steroidal anti-inflammatory drugs, proton pump inhibitor drugs, and sertraline, and ticlopidine.



Remedies and Diet Anti microscopic colitis

Diet plays a vital role in the treatment of microscopic colitis. You first need to completely abolish the spices, alcohol and coffee from your diet. If symptoms show no sign of decrease, we recommend the use of symptomatic medications (always under strict medical supervision) as Loperamide, cholestyramine and Racecadotril. Budesonide has also shown an appreciable effect in alleviating the symptoms of microscopic colitis and improve the quality of life, but is not recommended for people who suffer from diabetes.