Ulcerative Colitis is a chronic inflammatory disease that affects the lining of the intestine and the rectum. It is located just above the anus. Patients suffering from ulcerative colitis tend to have small ulcers in their rectum and the colon. These eventually flare up leading to diarrhea, bloody stools, anemia and abdominal pain. The inflammation starts from the rectum and eventually, spreads to the colon. Ulcerative Colitis tends to flare up and remit in an alternate phase. The remission can last from few weeks to few years.

Methods adopted to diagnose Ulcerative Colitis-
Ulcerative Colitis is very similar to an inflammatory bowel disease known as Crohn s disease. The only differentiating factor is the fact that, ulcerative colitis affects the colon whereas, Crohn s disease affects the digestive system and the small intestine. A doctor might prescribe certain tests such as the colonoscopy, blood tests, CT scan, pill camera, stool sample tests etc.

Why is surgery necessary to treat Ulcerative Colitis?
An estimated 40 percent of all Ulcerative Colitis patients need to undergo surgery to recover completely. The reason surgery becomes necessary to treat ulcerative colitis are the following:

Drug therapy and medication become ineffective.
Without undergoing surgery, the condition might increase the risk of developing cancer.
The colon has the risk of getting ruptured if surgery is not performed on time.
There could be excessive bleeding.
Toxic megacolon might set in.
Types of surgery available to treat Ulcerative Colitis
A procedure where the entire colon is removed is known as the colectomy. In case both the colons are removed, the procedure is termed as proctocolectomy. In this procedure, an external pouch needed to be attached to the stoma that collects the stools. There is another method known as pouch surgery. 

Pelvic pouch or ileal pouch is also termed as IPAA. This procedure doesn t involve permanent stoma. In this procedure, both the colon and the rectum are eradicated from the body. The small intestine is then used to form a J-shaped pouch, that serves as the new rectum. The pouch is then connected to the anus. The whole procedure is done via two surgeries.

What are the surgical complications of this procedure?

There could be an excessive bowel movement.
There are instances where an inflammation of the pouch is observed. This condition is known as pouchitis.
There could be a situation of intestinal blockage from adhesion due to surgery.
There could be pouch failure that can happen inside within 5 few years. This is observed in 4 out of 100 patients who are treated. In this case, the patient should go for a permanent ileectomy.

Ulcerative Colitis - What You Need To Know?

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

Side-effect of certain medicines
Hormonal imbalance, especially during pregnancy
Sudden withdrawal from medication
Any infection or other medical condition
How to deal with the UC flare-ups?

Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

Proctocolectomy and Brooke ileostomy.
Abdominal colectomy and ilcorectal anastomosis.
Proctocolectomy and Kock pouch.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.

Ways To Deal With Ulcerative Colitis!

It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

Peptic Ulcers are sores that develop in the lining of a stomach, small intestine or lower oesophagus. They usually crop as a result of inflammation caused by bacteria and also due to erosion from stomach acids. Peptic Ulcers affecting the stomach are also known as gastric ulcer, one in the duodenum is called a duodenal ulcer and an ulcer occurring in the oesophagus is called an oesophageal cancer. 

Talking about the causes, symptoms, tests and exams related to it and treatment options for peptic ulcers. Let s go ahead and take a look at them one by one:

There are certain symptoms for peptic ulcers and one of the most common ones being, indigestion-like pain in the abdomen. 
The pain tends to occur anywhere in the region between the belly button and breastbone and the duration can be brief or may even last for hours. 
A change in appetite could be noticed, wherein you may not feel like having anything
Feeling of uneasiness which can have an effect as if you are going to vomit.
You tend to lose weight for no apparent reason.Stools with dark red blood.
Causes Of Peptic Ulcers

Peptic ulcers can be caused as a result of different factors, which lead to the breakdown of lining of the stomach, oesophagus and small intestine. The causes are as follows:

Helicobacter pylori: It is a type of bacteria which causes stomach infection and inflammation. Helicobacter pylori produces urease, which is an enzyme that neutralizes stomach acid by making it less acidic. In order to compensate this, the stomach goes on to produce more acid which leads to irritation of the stomach lining. The bacterium makes the stomach s defense system weak and causes inflammation.
Overdose of drugs: If you are in the habit of using aspirin or ibuprofen along with other anti-inflammatory drugs on a regular basis, then you increase the chances of suffering from ulcer.
Smoking: Smoking leads to an increase in the production of stomach acids and that tends to reduce bicarbonate production. People who smoke are at risk of developing duodenal ulcers.
Increased Alcohol Consumption: When you have too much alcohol, then you are at a risk of developing all sorts of problems. Alcohol is basically a toxin which can damage almost every organ of the body. Digestive system can get hampered a lot through alcohol. Alcohol irritates the stomach lining, which leads to an increased risk of developing ulcer.
Treatment Of A Peptic Ulcer

Treatment would depend upon the underlying cause of ulcer. Your doctor would most probably suggest you to do an endoscopy and if the test shows that there is H.pylori infection, a combination of medicines would be prescribed. Medications would ideally continue for two weeks. There will be antibiotics to kill infections and Proton Pump Inhibitors (PPI) for reducing stomach acid. If the doctor feels that ulcer has not been caused as a result of H.pylori infection, then you might be asked to take over-the-counter medicines like Prilosec or Prevacid for close to eight weeks, which would not only reduce stomach acid but also heal your ulcer.

Peptic Ulcers - Common Causes Behind Them!

Eating good and healthy food always contributes to the overall wellbeing of a person. Same holds true for the patients suffering from ulcerative colitis (UC). Ulcerative colitis patients need certain dietary modification to bring about a change in their condition. Though this condition isn t directly caused by the food but the frequency of flare ups is influenced by the food taken. Below mentioned is the list of foods to eat and avoid.

Food to be Consumed
Usually, for ulcerative colitis, low fibre and low residue foods are considered the best since they are easy to digest. Here is a list of foods that can be included in the diet:

Vitamin D: This vitamin boosts the immune system to fight the risks of ulcerative colitis flare ups. Since the sun is the best source of Vitamin D, it is important that a person gets as much exposure to the sun as possible.
Probiotics: Maintain a balance between good and bad bacteria of the gut which in turn alleviates the symptoms of this condition.
Omega-3 fatty acids: Omega-3 fatty acids have an anti-inflammatory effect, which can help alleviate intestinal inflammation caused by ulcerative colitis. Salmon is one of the best sources of Omega-3.
Eggs: Eggs are typically easy to digest and offer a number of nutrients which makes them one of the best choices for the patients of UC.
Plenty of fluid: People with this condition need to drink extra fluid, as diarrhoea can lead to dehydration.
Supplements: Dietary supplements also help in balancing the nutritional needs of a patient. But do consult a 
And last but not the least there are many anti-inflammatory foods that help in reducing the ulcerative colitis flare-ups include turmeric, cloves, ginger and rosemary. 

Foods to be Avoided
A patient should closely monitor what s/he is eating as the studies have revealed that the symptoms of ulcerative colitis are closely associated with diet. The following list will help you cut off the chances of UC flare ups.

High Fibre Food: Are difficult to digest so should be cut off from the diet. It s best to moderate the intake of fruits and vegetables with insoluble fibres.
Oily and Fatty Foods: The greasy food can aggravate the symptoms of UC as well as can cause diarrhoea.
Spicy foods: Spicy foods may disturb your bowel movements, so it is best to limit the intake of chillies, chilli powder, paprika, peppers etc.
Dairy products: Patients of UC are mostly lactose intolerant. So, these patients should avoid dairy products.
Seeds and nuts: Seeds and nuts are hard to digest, and it is best to avoid them if you are suffering from ulcerative colitis.
Ulcerative Colitis is just a disease which can be avoided by maintaining a proper diet and making few dietary modifications. One should eat smaller meals a few times per days instead of eating large ones.

Ulcerative Colitis Diet - Foods To Eat And Avoid!

Ulcer pain can be uneasy and unbearable at times. It is caused by a bacterium known as the H. Pylori. Pain medication, lifestyle changes, and healthy eating habits can ensure pain relief from this condition. Here is a list of 4 best ways to get instant pain relief from an ulcer:

Medication - H. Pylori is often found in the digestive tract. Doctors suggest various combinations of antibiotics kill this bacterium. Some of those include tetracycline, levofloxacin, metronidazole, and tinidazole. These are prescribed as per the resistance rate of the bacteria. There are other sets of medication that blocks acid production in the body. These drugs which commonly go by the name of PPIs include esomeprazole, lansoprazole, and pantoprazole. The third set of medications reduces acidity in the stomach and gives instant relief. They are readily available over the counter and goes by the name antacid. The final line of medicines that are often prescribed by doctors includes Cytotec and Carafate. They protect the tissue lining of the intestine and the stomach.
Consumption of cranberry - Cranberry has multiple health benefits. One of those includes the ability to fight against bacteria of the urinary tract. They also do not allow the bacteria to settle on the surface of the bladder. Cranberry in the form of juice, supplement and as a whole can be consumed daily to get relief from the stomach ulcer. It should be taken in specific quantity as too much of cranberry consumption can upset the stomach. Packaged cranberry juice from the market can be avoided as they contain high level of fructose which can unsettle the stomach.
Flavonoids - A compound known as bioflavonoids are known to be extremely helpful for pain relief from an ulcer. These compounds naturally occur in many vegetables and fruits such as soybeans, berries, apples, legumes, green tea, broccoli and berries. Bioflavonoids available in red wine and citrus food should be strictly avoided as they can trigger ulcer pain. Bioflavonoids should be taken in measured quantities as too much consumption of it can cause harm in blood clotting. It can be consumed in the form of supplements if the body doesn t receive the same from the daily diet.
Deglycyrrhizinated licorice - This compound is nothing but licorice with the sweet flavour pulled out of it. A study showed that they are capable of completing curing the ulcer containing bacteria by inhibiting their growth. Deglycyrrhizinated Licorice is available in the form of candy and can be consumed once the pain starts. Supplements too are available in the market. Not more than 2 ounces of Deglycyrrhizinated Licorice should be consumed in a day as they can cause fluctuation in blood pressure and lead to heart diseases.



Stomach Ulcer - 4 Best Ways To Get Pain Relief!

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