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 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?

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!

There are many different Ayurvedic medicines used in the treatment of ulcerative colitis, and one of the most common ways of treatment is to use a combination of the four best medicines, which work in unison to get rid of the disease.

Kutazghan vati: This medicine is derived from the tree Kutaz. Its scientific name is Halorrhreana anti dysentrica. The name itself suggests how effective the tree is in treating the disease. Diarrhea can occur due to many reasons, and one of the reasons is ulcerative colitis. If diarrhea is due to this, then it can get treated by taking Kutazghan Vati tablets, which are made from the bark of the tree.
Pitta balance with calcium compounds: When pitta or the gastric juices flow more inside the intestines, it leads to bleeding due to the ulcers inside, which needs to be balanced and controlled. The use of calcium compound rich Ayurvedic medicines serve the perfect remedy. Calcium is extracted from naturally occurring things like pearls and corals. When the tablets made from such calcium compounds are consumed, the inflammation within the colon goes down, bleeding reduces and gradually stops, and the internal irritation diminishes.
Vatsakadi churna: Tablets made from elements like fennel, coriander, Aegle Marmelos, Nutmeg, pomegranate, Green Cardamom, work like magic in treating ulcerative colitis. These are all ulcer healing items, proven beneficial for ages, and cure fast. The main function of a combination of these herbs is in restoring the metabolic imbalance carried on in the body. The ulcers are healed soon with their use, and the body balance is restored.
Arjuna capsules: One of the wound healing barks, really very famous in Ayurveda, is the bark of the Arjuna (Terminalia Arjuna) tree. This helps in many ways to heal wounds, and specially the endothelial layer inside the body arteries are healed from injuries related to free radicals, stress and other toxins. The same effects of the Arjuna tablets are seen inside the inner layers of the intestines. The ulcers are cleaned with time with the consumption of these tablets, while the bleeding also stops, and the diarrhea which was due to the inflamed colon gets cured. Moreover, the hemoglobin level is also normalized in the body, which was once affected due to bloody diarrhea.
Ulcerative colitis is a painful situation, but can be healed totally with proper administration of Ayurvedic medicines. These 4 essential medicines must be taken in combination without suddenly stopping them. They must be continued until the symptoms and irritation go away.

Ayurvedic Treatment For Ulcerative Colitis!

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!

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!

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