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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.
I am 4 weeks pregnant now I have abdominal pain and white discharge I am worried because of this will affect my pregnancy. On this time having contact with partner is good or bad can anyone clear my doubt.
Is surgery the only remedy for Anal Fistula? What are cause/cure/? How much time it takes to heal completely!
My age is 22 years. Male.My problem is Blood coming from anus it is not regularly. It occurs for once/twice a 15 days or sometimes twice a month. Is it serious? I am scaring.
C/o acidity reflux disease. Only concern is vomiting at empty stomach white fluid out. And also constant clearing throat in early morning. Please provide any remedy.
Bowel with blood and constipation after 26 days of laparoscopy surgery of gall bladder stone. It is very difficult to emptying bowel and pain after bowel. Please help me with your valuable advice and prescribe some medicine.
Many a times the stomach becomes very tight most probably due to gas and it pains excessively from stomach to lower back.
I am 21 year old male I saw few blood droplets in my stool due to small cut at the bottom end of my anal but having no pain or swelling kind of hence I reduced spicy content food and started taking more water content but still the cut is bleeding even though a piece of stool touches it. How to stop that bleeding.
Lateral anal sphincterotomy only give one time healing of anal fissures? Or this surgery helps to prevent fissure occurring in later stage and if still fissures occurs this surgery gives very quick healing than other people who do not do LIS surgery?
I have Chronic cough and acid reflux and unable to eat and drink since one month even heart burn throat burn chest pain.
I develop acidity whether I eat or do not eat. Its always there. I feel like my head is not with me and during this condition my joints like knee, ankle and finger joints also start aching. No medicine work on me all antiacidic gels and ayurvedic medicines are of no use for me. My stomach is always full of gas. I do exercise for one to one and half hour daily but my condition hasn't changed a little. Please help me.
Why there are different opinion regarding anal fissures when some colorectal surgeons say after LIS surgery anal fissures do not come if occasionally stool becomes hard where other say it can come if stool get hard? But the fact is fissures occurs due to high resting pressure of internal sphincter muscle and during LIS surgery this high resting pressure reduce to normal pressure so why after surgery still fissure comes if stool get hard? But generally all people do not get fissures or ulcers if stool becomes hard, some people are habitually constipated still no anal fissures face.
After many tests doctor diagnosed functional dyspepsia and he also told that this disease has no cure and he prescribed medicines 1-colospa 135 2- dimol 40 but after taking those medicine my stool becomes hard and as I have a tendency of anal fissures or anal ulcers occurring if my stool get little hard that occurs after passing dry stool and I stop taking medicine but my problem is going on. My symptoms are- frequent air belching comes both empty stomach and full stomach and after drinking water belching must. 10-15 times flatulence pass in a day. Little burning and hot sensation continue for all time after first meal of the day though endoscopy report shows nothing found. So how I can live in this situation? I am very very anxious both of my diseases 1- functional dyspepsia and if stool becomes little dry then fissures or anal ulcers occurring tendency.
I am having bloating and incomplete bowel movement from past 6-7 months. Now there is light pain in my left abdominal area from past 2 days.
After 20 days of laparoscopy surgery of gall bladder stone I am suffering from leg pain. Please help me with your valuable advice.
I am suffering from fissures from last 2 years. I am afraid of surgery. Pls suggest me some best fibre cereals, fibre rich fruits, food and medicine which is available in indian market. Suggest me medicine and cream from which I can get rid of this or anything from which I can get rid of this. Thank you.
Irritable bowel syndrome is a disorder that is diagnosed on the basis of its symptoms. It is characterised by intense abdominal pain, discomfort, bloating and change in bowel habits. One of the primary symptoms of IBS is abdominal pain. It may also be accompanied with frequent diarrhoea or constipation. There might also be a feeling of partial or incomplete evacuation. The symptoms are sometimes relieved by the proper bowel movement. Other symptoms, in this case, include depression and anxiety. In rare cases, there is also a possibility of sexual dysfunction and a reduced libido.
Causes of Irritable Bowel Syndrome–
The exact reason behind the occurrence of IBS is not known. It is a disruption of the brain-gut axis that is known to cause the problem. It is also caused due to small intestinal bacterial overgrowth.
IBS is intensified or triggered by the following factors:
Foods: Edibles like chocolate, milk and alcohol might lead to constipation or diarrhoea. One must also avoid carbonated beverages and some fruits and vegetables. These might lead to bloating and discomfort.
Stress: The condition gets worse with any type of stress.
Hormones: In women, the symptoms occur as a result of the hormones during menstrual periods.
Complications: It is not associated with any fatal condition. But it can lead to diarrhoea and constipation and aggravate hemorrhoids.
Adverse Impacts of the Disease-
IBS has an adverse impact on your lifestyle. It will limit your ability to get social or carry out your daily professional activities. You will find it difficult to cope up with the symptoms while living away from your comfort zone or home. You will not have a good sex life. You will get depressed and may even feel suicidal in extreme cases.
Treatment of Irritable Bowel Syndrome-
IBS is treated broadly by bringing in certain changes in the lifestyle. To begin with, you are advised to check your diet. Include fibre in your diet, if you are suffering from constipation. Also, avoid oily, spicy and hot food items. Besides, you are prescribed medicines such as stool softeners and laxatives and antispasmodic drugs and proton pump inhibitors.
Homeopathic medicines-IBS requires prolonged treatment. Homoeopathy works best to get you relief from the symptoms and cures it, from the roots. Here are certain homeopathic remedies that are helpful in treating the disorder.
It has to be kept in mind that these are just basic remedies. There are over 150 Homeopathic medicines that can be used for treating IBS. Thus, consult a doctor for the best remedy for you as per the symptoms.