(Colonic Angiodysplasia, Arteriovenous Malformations [AVM] of the Colon)
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Angiodysplasia of the colon occurs when enlarged and fragile blood vessels in the colon result in occasional bleeding in the gastrointestinal (GI) tract.
Angiodysplasia of the colon can be caused by:
- Increased age
- Colon spasms that enlarge blood vessels in the area
Factors that increase your risk of angiodysplasia of the colon include:
- Age: over 60
- Injury to the GI tract
- Heart problems
- Kidney problems
- Lung problems
- von Willebrand's disease—a disorder of the blood
- Blood vessel problems
- Normal contractions of the colon
Symptoms of angiodysplasia of the colon may include:
- Bleeding from the rectum
- Shortness of breath
- Dark, tarry stools
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Your bodily fluids and waste may be tested. This can be done with:
- Blood tests
- Stool tests
Your internal structures may need to be viewed. This can be done with:
Talk with your doctor about the best treatment plan for you. Treatment may not be necessary, since about 90% of cases of angiodysplasia of the colon stop bleeding on their own. Treatment options include the following:
Your doctor can often burn tissues with heat to seal bleeding blood vessels during a colonoscopy.
The blood supply to the bleeding area can be clotted through angiography.
Hormonal therapy with estrogen can be helpful for some causes.
Surgery to remove the affected area of the colon may sometimes be necessary.
There is no known way to prevent angiodysplasia of the colon.
Last reviewed July 2013 by Daus Mahnke, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.