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colitis Health Feed

Ulcerative Surgery - What Should you Know

MBBS, MS - General Surgery
General Surgeon, Pune
Ulcerative Surgery - What Should you Know

What Is Ulcerative Colitis?
Ulcerative colitis is a chronic, inflammatory condition of the colon and the rectum. It affects the mucosal lining of the large intestine (colon) and the rectum. The rectum is present just above the anus.
In this condition, patients have ulcers and abscesses in their colon and rectum.

Symptoms are seen periodically. The symptoms are severe pain in the abdomen, blood in stools and diarrhea. Anemia is seen due to decreased healthy red blood cells as a consequence of bleeding in stools.

When is surgery required?

  • The colon has ruptured
  • There is extensive bleeding
  • The treatment results in severe side effects affecting the patient's health
  • Drug therapy fails to provide results
  • When it progresses to colon cancer
  • Surgery for Ulcerative colitis

There are 2 types of surgeries:

  1. Colectomy: Surgery performed to remove the entire colon
  2. Proctocolectomy: Surgery is conducted to remove both the colon and rectum. It is considered as the standard treatment for ulcerative colitis.

Procedures for the surgery

  1. Ileostomy: The entire colon and rectum are removed and the surgeon creates an opening or stoma in the abdominal wall particularly below the waist. Stoma allows waste from the intestines to exit the body. The tip of the lower small intestine is brought through the stoma. An external bag, or pouch, is attached to the stoma. This is called a permanent ileostomy. Stools pass through this opening and collect in the pouch. The pouch must be worn at all times. Before an ileostomy, the surgeon will perform a proctocolectomy. They will perform the ileostomy in the hospital, and the patient receives a general anesthesia.
  2. Ileal Pouch Anal Anastomosis (IPAA): This is also called a J-pouch. This is a procedure that does not require a permanent stoma. The patient is still able to eliminate stool through the anus. A pouch is constructed at the end of the ileum and attached to the anus. This is called a J- pouch. As with the ileostomy, the patient will need a proctocolectomy before an IPAA. An IPAA is done in a hospital, and the patient will receive a general anesthesia.

Side-effects
Some people experience incontinence after the surgery. Medications may help control the function of the pouch.
Some women may become infertile after the procedure.

Recovery after Surgery
Both sets of the procedure will require a four-to-six-week recovery period.

  1. Keep your diet healthy: A healthy diet is essential because good nutrition can help the body heal faster and help avoid post-operation health issues. Absorption of nutrients can be an issue after these surgeries, so eating well will help in maintaining the proper level of nutrients.
  2. Keep yourself hydrated: Hydration is important for overall health, especially for the digestive health. Drinking six to eight glasses of water per day is recommended.
  3. Manage your stress: Anxiety or emotional stress can cause stomach issues, which can aggravate the complaint.

Colitis - Know The 5 Most Common Types!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Colitis - Know The 5 Most Common Types!

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. Tenesmus (constant urge to empty the bowels) is also quite common
  3. Occurrence of abdominal pain in regular intervals, thus resulting in diarrhea
  4. Constant abdominal pain
  5. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3357 people found this helpful

Ulcerative Colitis - Surgery And Post Surgery Care For It!

MBBS, MS - General Surgery, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellowship In HPB Surgery and Liver Transplant, PDCC Abdominal Ultrasonography, Hands on course on Microvascular Surgery
Liver Transplant Surgeon, Delhi
Ulcerative Colitis - Surgery And Post Surgery Care For It!

This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.

Symptoms:

  1. Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
  2. Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
  3. Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
  4. Bleeding from the rectum: Bleeding can be observed while passing stools.

The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.

Diagnosis:
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.

Treatment

  1. Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
  2. Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
    1. Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
    2. Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.

Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2501 people found this helpful

I have ulcerative colitis. I hav diagnosed before ten months back. I have rectum pain always from. Last one year. I feel very discomfort while I am sitting my stool is formed but its two times in. Morning.its not coming down to one stool from last one year. I hav lot of stress and anxiety. I hav lot of gas issues. Two much gas pass through rectum. I am taking allopathy and ayurveda together.

Dr. K V Anand 93% (22916 ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Ulcerative colitis is usually only in the innermost lining of the large intestine (colon) and rectum. Forms range from mild to severe. Having ulcerative colitis puts a patient at increased risk of developing colon cancer. Symptoms include rectal bleeding, bloody diarrhoea, abdominal cramps and pain. Treatment includes medication and surgery. Take care
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I am a male 61 years of age. I am suffering from UC for the last 18 years. Most of the time it has been under control even without medicine. But mild flare up occurs once or twice in a year. The medicine prescribed are Mescol 800 mg TDS. I also take Ayurvedic Medicine. With combination of Allopathic & Ayurvedic drugs the problem remained controlled. For the last one month the flare up has started and not getting settled. Doctor has given me Antibiotic Course for 5 days. But this time problem is still persisting a mild one. What is the advice - Medicine & Food. I am not allergic to any food and maintain a good health with a regular exercise. Whether any Permanent cure could be found for this condition. Pl advice next course of action.

Dr. Col V C Goyal 92% (9382 ratings)
CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
I am a male 61 years of age.
I am suffering from UC for the last 18 years. Most of the time it has been under control...
You have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning before brush 2. Take more water in day 3. Take meals at fixed hrs, chew food properly/ completely, no eating quickly 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No smoking, chewing gum, and carbonated beverages. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day 9. Do not drink/ store water in plastic bottles. 10.relax and walk for 30 mts daily 11. Take enough rest- do not lie down immediately after eating. Take dinner 3 hrs before sleeping. No late nights 11. Keep your weight under control. 13. Avoid tea, coffee, alcohol 15. Reduce physical and mental stress. Maintain healthy life style. Do exercise regularly. 16. No unnecessary medicines medicine can not be advised for open question for medicine contact on private chat good luck.
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Hi, When I having my dinner or lunch my bowels get blotted and flatulence why it's happened I do endoscopy there is gastritis and when I do colonoscopy there is ulcerative colitis what can I do.

Dr. Rajeev Prakash Mehra 90% (127 ratings)
ND, MD - Alternate Medicine
Alternative Medicine Specialist, Mumbai
start having COLLOIDAL SILVER WATER for atleast 2 months, along with whatever therapy you would like to be on. Get a BIOFEEDBACK diagnosis done to reveal the root cause of the problem.
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Colitis - Common Signs You Are Suffering From It!

DM - Gastroenterology, MD - Internal Medicine, MBBS Bachelor of Medicine & Bachelor of Surgery
Gastroenterologist, Noida
Colitis - Common Signs You Are Suffering From It!

Colitis is characterized by an inflammation of the large intestine (colon). It is generally caused due to the 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. Tenesmus (constant urge to empty the bowels) is also quite common
  3. Occurrence of abdominal pain in regular intervals, thus resulting in diarrhea
  4. Constant abdominal pain
  5. 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

Diagnosis of colitis

  1. Stool - Routine and microscopy 
  2. Stools - Culture & sensitivity 
  3. Sigmodoscopy or Colonoscopy 
  4. CT scan - Abdomen

Treatment for colitis

  1. Medications such as acetaminophen and ibuprofen can be recommended to ease the pain
  2. The drug ‘Loperamide’ can control 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2640 people found this helpful

Can you suggest some better Indian diet for Ulcerative Colitis patients. Diagnosed with Ulcerative Colitis till Recto Sigmoid region and is currently having some flareups. Gender - Male.

Dr. Jatin Soni 93% (36286 ratings)
MBBS
General Physician, Mumbai
Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and avoid milk and it’s products
1 person found this helpful
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