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!

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!

Peptic ulcers are wounds that develop in the stomach lining, less esophagus or small intestine. They are usually due to inflammation caused by bacterial H. pylori, in addition to corrosions from stomach acids. An ulcer is generally rooted in the stomach or inner layer of the small intestine. A stomach ulcer is the most visible sign of peptic an ulcer disease.

People with an ulcer may have a really hard time dealing with it. It is an open wound on the outer or internal surface of the body, which causes excessive pain. It is due to a breakdown in the mucous membrane or skin which fails to recover.

Causes of peptic ulcer:
Several reasons can cause stomach, esophagus, and small intestine to break. Contains:

Helicobacter pylori (H. pylori), a type of bacteria that can cause stomach infections and swelling
Continuous use of Aspirin (Bayer), Ibuprofen (Advil), and other anti-inflammatory drugs (the risks linked with this behavior among women and people over 60 years of age)
Smoking
Alcohol drinking
radiation therapy
stomach cancer
Symptoms of peptic ulcer:
The most common symptom of peptic ulcer is burning abdominal pain, which spread from navel to chest, which can range from light to severe. In few circumstances, the pain can get you up at night. Small peptic ulcers cannot develop any symptoms in initial stages.

A burning, grinding pain in the upper middle part of the stomach and is comforted just by eating or taking antacids.
Change in taste
Sickness
Bloody or dark stool
Ambiguous weight loss
Indigestion
Vomit
Pain in chest
Below are the ways to you from Peptic ulcers?
Stomach ulcer pain is not a joke: it can leave you weak. Fortunately, following these steps are ways to reduce your risk of getting ulcer.

Avoid some foods such as spicy, lemon, fatty, etc., because they can be burdens your stomach. Specifically, if you have seen that particular types of food disturb your stomach, keep away from it.
Improve the quality of your life by including exercise, stress-free activities, yoga etc. in your daily routine.
The heavy consumption of alcohol can cause ulcers. They have been contributing to the development of ulcers, so it is good to reduce the consumption of alcohol.
Taking no steroid anti-inflammatory medicines can reduce the risk of disturbing your stomach lining and thus avoiding the growth of ulcers.
Management of anxiety level avoids the expansion of ulcers. Do yoga and other comforting arts that help prevent the ulcer.
Some lifestyle choices and habits can reduce your risk of developing the peptic ulcer. 

5 Things You Can Do To Protect Yourself From Peptic Ulcer!

What is Colitis?
Colitis is a chronic bowel disease that causes inflammation in the lining of your colon i.e. the large intestine.

Prevalence in India -
Once prevalent in Western countries, colitis is on the rise in India among other Asian countries. The causes for this rise are mainly the degrading environment and the consequent changes in your genes. Colitis brings many changes to your lifestyle. Therefore, it is important to arm yourself with all the information about the disease to better manage it and lead the life you want.

What are the causes?
The common causes of colitis are -

Infection due to virus, bacteria and parasites
Decreased blood supply
Allergic reactions
What are the signs and symptoms of Colitis?
The signs and symptoms of colitis include the following-

Extreme pain before, during or after diarrhoea in the lower abdomen
Aches in joints and muscles
Tender abdomen
Swelling of colon
Redness on the colon surface
Bleeding from stool
Diarrhoea or constipation
Loss of appetite
Weight loss
Fever, fatigue
Dehydration
Eye and skin inflammation
What can you do to prevent it?
In order to prevent the occurrence of colitis, you can adopt a few steps. Precautionary measures mostly include dietary changes. You should avoid intake of certain foods to eliminate the symptoms of the disease.

Avoid the consumption of dairy products
Avoid eating spicy foods
Avoid including vegetables like cabbage, dried beans, peas in your diet
Refrain from drinking alcohol, caffeine and carbonated drinks
Instead, include white bread, white rice, pureed vegetable soup, canned fruits, etc
Depending on the diagnosis and the treatment, people do get better. Many people can build successive careers after getting treatments. However, initially, the symptoms will cause a problem in your daily life. It is important to know how you can identify the early signs and what you can do to manage or prevent them.

Know More About Colitis!

Ulcerative colitis is a chronic inflammatory condition whereby, tiny abscesses and ulcers are formed on the inner lining of the large intestine, or on the colon or rectum. These ulcers may burst frequently resulting in diarrhea and bloody stools. This disease may also be responsible for causing anemia as well as harsh abdominal pain.

Ulcerative colitis normally alternate periodically from flaring up to receding quickly. These periods of remission can either last for weeks or maybe, even for years at a stretch. They are, however, not permanent and although the disease may seem to have disappeared completely, it can soon show up again in no time. Usually beginning in the rectum, it can, by and by, spread rapidly to other parts of the colon. If it is, however, limited only to the rectum, then it is more commonly referred to as ulcerative proctitis.

Surgery is generally obligatory and mandatory when it comes to treating ulcerative colitis. If surgery is not performed, you may suffer from long-lasting side effects, including cancer and colon rupture. Here are the different types of surgery that you may undergo:

1. Colectomy: This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer.

2. Proctocolectomy: This concerns the total removal of both colon and rectum and is usually the standard procedure when dealing with ulcerative colitis.

3. Ileal Pouch Anal Anastomosis: If the treatment does not require a permanent stoma, and if you can still manage to let out stool from your anus, then this surgery, also called restorative proctocolectomy would be most appropriate.

Here, both colon and rectum are removed, but at the same time, the small intestine is utilized to form an internal reservoir, called a J-pouch, which is linked to the anus and can hereafter serve as your new rectum.

Types Of Ulcerative Colitis Surgery

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?

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