He did not smoke, but he did chew tobacco. that the patient was taking was tramadol for a shoulder injury. He had no previous history of bowel problems or recent exposures. The following three cases from our practice are illustrative.ДЄ previously healthy 36-year-old man presented to the emergency department with a one-day history of crampy lower abdominal pain, tenesmus and bloody diarrhea without associated fever or vomiting. It is likely that primary care physicians will encounter ischemic colitis in their practices. In this younger population, nongangrenous ischemic colitis can be transient and benign. However, many others are relatively healthy. Some younger patients affected with this condition have underlying vascular disorders or a hypercoagulable state, such as a deficiency of protein C, protein S or antithrombin III. While colonic ischemia is not as common in adults under age 60, it is being recognized more frequently in this population. The severity may range from mild, with reversible mucosal changes (transient nongangrenous colitis), to severe, with transmural infarction and gangrene. Ischemic colitis is usually encountered in elderly persons and often occurs without a clear precipitating cause. Transient ischemic colitis in young adults Splenic-flexure syndrome often accompanies IBS.

Symptoms include bloating, muscle spasms of the colon, and upper abdominal discomfort. In medicine, splenic-flexure syndrome is a chronic disorder that seems to be caused by trapped gas at bends (flexures) in the colon.

Splenic-flexure syndrome: Transient ischemic colitis in young adults at The Medical DictionaryДЇind information on thousands of medical conditions and prescription drugs.

Splenic flexture