ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Terminal Ileitis - Treatment, Symptoms, Causes, Pictures

Updated on January 9, 2014

What is Terminal Ileitis?

Terminal ileitis is also referred as Crohn’s disease that affects the terminal ileum or the rear part of the small intestine. It is a disease that is closely related to ulcerative colitis and both are referred to as inflammatory bowel disease.

Terminal ileitis is a common disease that equally affects male and female with the peak onset between the ages of 15 and 35 years. The disease also tends to run in the family wherein two or more members of the family can suffer from terminal ileitis.

The terminal ileum is the end and most distal part of the small intestine that leads to the cecum which adjoins the small intestine to the large intestine. The terminal ileum is responsible for absorbing the materials that are not digested by the jejunum or the middle part of the small intestine. It also facilitates the absorption of Vitamin B12 including the bile salts produced by the liver. It is a part of the digestive system that is potential for negative effects of medical conditions known as Crohn’s disease.


The onset of symptoms of terminal ileitis may come in gradually or may occur suddenly. The range and severity of the symptoms varies and depends on the extent of the inflammation.

Abdominal pain is the most common symptom of terminal ileitis which is often perceived in the lower right area of the abdomen. The abdominal pain can be so severe which may have a debilitating effect on the patient. Cramping is also exhibited and is due to the inflammation and ulceration affecting the walls of a part of the bowel. The abdominal pain and cramping can go from mild to moderate resulting to intestinal discomfort or the pain can be so severe and may be accompanied by nausea and vomiting.

Diarrhea is also expected and is often the result of large absorption of water and salt that cannot be absorbed by the colon. Intestinal cramping is also another factor that can result to diarrhea.

Diminished appetite and weight loss is another symptom of the disease which resulted from an inflammatory reaction in the wall of the bowel including the abdominal pain and cramping affecting the appetite and the ability to absorb the food and its nutrients.

Blood in the stool is also noted at the onset of terminal ileitis. It is the result of the aggravation of the food moving through the digestive tract passing to the inflamed tissue that causes the bleeding. The stool may be noticed mixed with a bright red or darker color of blood.

Other less common symptoms of terminal ileitis include the following:

  • Pain in the joint and the spine
  • Abdominal distention
  • Fatigue
  • Onset of fever
  • Skin problems
  • Liver or bile duct inflammation
  • Mouth sores


The exact cause of terminal ileitis remains unidentified and was previously suspected to be associated with diet and stress. The suspicion however was not clearly confirmed but the factors were instead considered to initiate the onset of the disease.

Hereditary factor is among the factors considered in the cause of the disease. The characteristic of the disease to be running in the family raised the suspicion of terminal ileitis linked with the genes in the family.

Immune system is another factor believed to play a role in the incidence of terminal ileitis. It is believed that the immune system is also attacking the digestive tract while it is warding off microorganisms from viral or bacterial infection.


Terminal ileitis has no known cure just like the other inflammatory bowel disease. The aim of treatment is to relieve the symptoms that resulted from the inflammation.

Treatment of terminal ileitis includes the following:

Anti-inflammatory agents such as corticosteroid, sulfasalazine and mesalamine are the first line of treatment for terminal ileitis to reduce the inflammation causing the symptoms.

Immunosuppressant drugs such as methotrexate, cyclosporine, infliximab and azathioprine are considered to reduce the inflammation by suppressing the immune response of the body.


    0 of 8192 characters used
    Post Comment

    No comments yet.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)
    ClickscoThis is a data management platform studying reader behavior (Privacy Policy)