Ulcerative Colitis is one of the severe and chronic forms of Inflammatory Bowel Disease (IBD) that can throw life in a jeopardy. The condition that mainly affects the rectum and the large intestine can cause severe inflammation, ulceration, and abscess formation. The ulceration or the inflammation of the colon and the rectum left unattended for too long can give rise to deleterious consequences including damage and perforation of the colon, osteoporosis. Various studies also suggest that ulcerative colitis can increase the risk of a person suffering colon cancer.

Like most of the IBD, there is no definite cure for ulcerative colitis. The illness is a chronic condition and can flare up or recur at any point in time. Though medications may help to control the damage and the complications triggered by ulcerative colitis, a surgery may be essential in case of

Severe damage to the colon.
The nonsurgical treatments could do little to improve the conditions.
There is an increased risk of colon cancer.
Ulcerative colitis has resulted in Toxic megacolon (a life-threatening condition where the large intestinal muscles have dilated with some swelling).
There are extreme discomfort and bleeding.
Surgeries to deal with Ulcerative Colitis

In the case of Ulcerative Colitis, the nature of the surgery depends on the extent to which the colon or the rectum or both have been affected and damaged.
In the case of extensive damage with a high risk of colon cancer, the surgeon may perform Proctocolectomy or colectomy
Colectomy may involve
Removal of all of the colon- Total Colectomy
Removal of the diseased part of the colon- Partial Colectomy.
Following the excision, the surgeon may carry out necessary rearrangements to reconnect the remaining portion of the colon to the abdomen through an opening known as stroma (the procedure is known as colostomy).
In case of Total Colectomy, the small intestine will be connected to the abdomen by a process known as Ileostomy.
Proctocolectomy involves the removal of both the rectum and colon to avoid further aggravation.
Following the proctocolectomy, the surgeon may carry out Ileoanal Anastomosis (Ileal Pouch-Anal Anastomosis). In this procedure, a pouch is created using a small part of the small intestine. This pouch is then connected to the anus to help in the elimination of the wastes.
General precautionary measures to control Ulcerative Colitis
Making healthy lifestyle and dietary modifications can go a long way to control ulcerative colitis and the associated symptoms.

Spicy foods can worsen the incidence of ulcerative colitis. Enrich your diet with lots of fruits, vegetables (squash, avocados, fish (especially salmon and tuna), meat, dairy products, olive oil, walnuts, flaxseed oil, almonds.
Make sure the diet is a low-fiber diet.
Avoid alcoholic and caffeinated drinks and beverages, foods high in sulfur content, refined sugar.
Research suggests stress and lack of physical activities can aggravate the ulcerative colitis. Mediation and daily exercise can produce fruitful results.
Make sure your sleep is not compromised (6-8 hours daily).

Ulcerative Colitis - How Surgery Can Help Manage It?

Peptic ulcer often referred to as stomach ulcer, is usually a misunderstood disease. Most people are unaware of the reasons why the ulcer is caused and are also unaware of the early symptoms of the disorder. Here is a look at some of the strange facts about peptic ulcers that you may not know.

Stress does not cause ulcers: The myth that stress causes ulcers is just that- a myth. Ulcers are not caused by stress and tension. However, if you are already affected by an ulcer, stress can alleviate the symptoms and make matter worse. Non-steroidal anti-inflammatory drugs can result in ulcers. So, if you have already been diagnosed with peptide ulcer, try not to stress too much.
Ulcer pain is not caused due to food: Contrary to popular belief, ulcer pain is not alleviated when you eat something. In fact, the pain increases if your stomach remains empty for a long period of time. So, if you are an ulcer patient, make a point of eating at regular intervals. In fact, the American College of Gastroenterology claims that people with ulcers do not need to follow a bland diet in order to recover from the condition.
Heartburn medication is effective against ulcer: Stomach acid is the common link between heartburn and ulcer, as both of these disorders are caused as a result of excess acid formation in the stomach. This is why physicians often prescribe antacids to ulcer patients.
Untreated ulcers can be problematic: Ulcers are easy to cure and can be completely treated with proper medication and adherence to restrictions. However, you should seek treatment for ulcers as soon as it is diagnosed. If left untreated, this ulcer may go on to cause severe issues for the patient. For instance, untreated ulcers may lead to internal bleeding and scar tissue. The same also impede the digestive process. So, do not leave ulcers untreated and think that they will be repaired automatically over time.
Endoscopy is the best way to diagnose ulcers: Even though X-rays may often reveal ulcers, a normal X-ray cannot detect certain smaller ulcers. Endoscopy is the best way to detect the disorder. In this process, a small tube, containing a light and a camera, is inserted inside the patient s oesophagus. The camera reveals any abnormal growth or infection inside the stomach. If you suspect an ulcer, book an appointment with the doctor as soon as possible.

Strange Things About Peptic Ulcer!

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!

Colitis is characterized by an inflammation of the large intestine (colon). It is generally caused due to reduced blood supply, autoimmune reactions (wherein the immune system erroneously starts attacking the body s healthy tissues) and infections in the large intestine.

Symptoms of colitis
1. Presence of blood traces in the stool.
2. Acute colitis can itself be a symptom of hemorrhoids (inflamed and swollen veins in the anus or the rectum)
3. Tenesmus (constant urge to empty the bowels) is also quite common
4. Occurrence of abdominal pain in regular intervals, thus resulting in diarrhea
5. Constant abdominal pain
6. Fever and sudden chills throughout the day

Types of colitis
1. Inflammatory bowel disease: This condition is characterized by inflammation of the intestines or all the parts of one s digestive tract
2. Microscopic colitis: This involves inflammation of the large intestine (colon), resulting in a cramping sensation that can be painful
3. Chemical colitis: This condition is caused due to prolonged exposure to certain harsh chemicals which results in intestinal swelling and inflammation
4. Ischemic colitis: The most common form of colitis, this occurs mainly due to an insufficient blood supply to the large intestine
5. Infectious colitis: Caused due to certain bacterial or parasitic infections

Treatment for colitis
1. Medications such as acetaminophen and ibuprofen can be recommended to ease the pain
2. The drug  Loperamide  can control the diarrhea. However, this should not be consumed if there is presence of blood in the stool
3. Colitis reduces your appetite. Thus, it is important to maintain a healthy diet in this regard. Avoid consuming dairy products or high fiber foods because they further inflame the large intestine.
4. Colectomy (surgically removing a part of the whole of the colon) is recommended in the most severe of cases.

Colitis - 5 Common Types!

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?

Amlapitta is the Ayurvedic term for a medical condition when your stomach produces more acids than you need for digesting food. It is a very common disorder today, which is triggered by our unhealthy lifestyle choices. Amlapitta or acid peptic disorder needs medical attention because if it continues for too long, you could end up with painful peptic ulcers.

What are the causes behind Amlapitta?

According to Ayurveda, your diet and lifestyle mainly lead to Acid Peptic Disorder-

Diet -

Consuming spicy, fried food

Excessive consumption of pickles and oily food

Excessive intake of sour and salty foods

Eating fermented, stale food

Intake of hot beverages, like tea/coffee and soup

Skipping meals

Irregular meal times

Lifestyle -

Lack of sleep at night

A fast-paced lifestyle with no time to rest

Overexposure to fire and sun

Excessive anxiety and stress

Signs and Symptoms - 

The obvious signs and symptoms of the acid peptic disease include  

Bitter or sour blenching

A burning sensation in the chest 

Nausea and vomiting

Throat burn

Abdominal pain

Foul-smelling bowel movement

Fatigue and tiredness

Giddiness

How is the condition cured?

Since the primary causes of acid peptic disease are dietary, Ayurveda suggests the selection of the right kinds of food and healthy lifestyle changes to cure the condition.

Follow these guidelines to get rid of amlapitta  

Take small meals twice a day

Eat your food in a loving manner with awareness and attention

Eat at fixed time regularly

You should eat your meal during Pitta period i.e. between 10 AM and 2 PM
Eat light food like Rajgira Laddoo, Dry black resins decoction in morning 

Pomegranate is useful in Amlapitta 

Coconut sweets is also eaten in Smlapitta to get rid of it

Drink plenty of water and juice of raw vegetables

Avoid eating/drinking foods that are too hot or too cold

Avoid consumption of carbonated beverages 

Cut back on fatty meat

Include sufficient amount of rice, wheat, bitter gourd, cucumber, pumpkin and cow s milk in your diet

Ayurveda also believes that yoga and exercise can heal the condition from within and restore the balance of the doshas causing the disease. 

Exercising regularly helps to control acidity. Morning walks are good for health and may prevent the occurrence of acid peptic disease. 

Yoga works well to keep your digestive system healthy. As we know, certain mental disorders like anxiety and depression can worsen acid peptic disease, it is imperative that you live a happy and stress-free life. Yoga helps relieve stress and elevates your mood, and helps to strengthen your overall system.

Some yoga postures that may help include  

Bhujangasana 

Naukasana - 

Suryanamaskara

Vajrasana

 Amlapitta or acid peptic disease can be distressing and extremely uncomfortable to live with. The best way to treat and prevent the condition is to adopt Ayurvedic remedies and precautionary measures. These not only help reduce the symptoms of acidity but also build your immune system.

Know More About Amlapitta / Acid Peptic Disease!

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