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Post Surgery Care for Ulcerative Colitis

Dr. Jagat Pal Singh 87% (10 ratings)
MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery
General Surgeon, Agra
Post Surgery Care for Ulcerative Colitis

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.


  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.

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.


  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.

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Ulcerative Colitis - How Surgery Can Help Manage It?

Dr. Sandeep Jha 90% (336 ratings)
DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Ulcerative Colitis - How Surgery Can Help Manage It?

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).

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

3402 people found this helpful

Ulcerative Colitis Diet - Foods To Eat And Avoid!

Dr. Vishal Khurana 89% (19 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Ulcerative Colitis Diet - Foods To Eat And Avoid!

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:

  1. 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.
  2. Probiotics: Maintain a balance between good and bad bacteria of the gut which in turn alleviates the symptoms of this condition.
  3. 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.
  4. 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.
  5. Plenty of fluid: People with this condition need to drink extra fluid, as diarrhoea can lead to dehydration.
  6. Supplements: Dietary supplements also help in balancing the nutritional needs of a patient.

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.

  1. 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.
  2. Oily and Fatty Foods: The greasy food can aggravate the symptoms of UC as well as can cause diarrhoea.
  3. Spicy foods: Spicy foods may disturb your bowel movements, so it is best to limit the intake of chillies, chilli powder, paprika, peppers etc.
  4. Dairy products: Patients of UC are mostly lactose intolerant. So, these patients should avoid dairy products.
  5. 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.

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

3605 people found this helpful

I am suffering from ulcerative colitis from last 15 years now and even after visiting the best gastroenterologist in town I yet keep having flares. The elongated medicinal course has damaged my liver too. Can you suggest a natural remedy for the same that would control my situation.

Dr. Surbhi Agrawal 89% (19078 ratings)
General Physician, Nashik
While there is no known cure for ulcerative colitis and flare ups may recur, a combination of treatment options can help you stay in control of your disease and lead a full and rewarding life. Treatment for ulcerative colitis and other IBD varieties is multifaceted and includes the use of medication, alterations in diet and nutrition, and sometimes surgical procedures to repair or remove affected portions of your GI tract. Kindly revert for detailed assessment and guidance.
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Hello sir I'm 35 years old I have ulcerative colitis and my hight 170. 0 cm and weight 75.2 so I want to know my Wight graf is good with my body or I want to try lost my weight? Please sir give me advice about my ulcerative colitis treatment and about my body weight. Sir I'm continues taking medicine about ulcerative colitis. Thank you sir.

Dr. Pulak Mukherjee 91% (3243 ratings)
Homeopath, Hooghly
Hello sir
I'm 35 years old I have ulcerative colitis and my hight 170. 0 cm and weight 75.2 so I want to know my Wigh...
Take gluten free food,,avoid veggies,and ur weight is just 3-4 kgs higher than ideal,,,u need proper homoeopathic treatment to cure ur problem permanently
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I have ulcerative colitis. Please sir I want to know my diet plan and about medicine. Now my weight 73.5 and I want to grow up my weight.

Dr. Ankita Gupta 89% (42 ratings)
MD - Gastroenterology
Gastroenterologist, Delhi
If your disease is controlled, you can take normal diet. Take turmeric with milk and water. If disease is not controlled, increase your medicine after consulting a gastroenterologist. contact us for further treatment and life long follow up.
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Please suggest Ulcerative colitis natural treatment and how many days it will take to heal?

Dr. Ankita Gupta 89% (42 ratings)
MD - Gastroenterology
Gastroenterologist, Delhi
It depends upon how severe the disease is. Mind disease can be treated naturally but severe disease requires lot of medicine. Use of turmeric is beneficial. Fecal transplant is a promising cure naturally.
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What is ulceration of intestine. Is apc a successful procedure? Are solitary rectal ulcer syndrome and ulcerative colitis the same?

Uphi 88% (34 ratings)
Gastroenterologist, Gurgaon
Hello sir, An ulcer in the upper (small) intestine is a raw place or sore in the lining of the part of the intestine that connects to your stomach, yes apc is a successful procedure. No, ulcer syndrome and ulcerative colitis is not same.
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Hi sir I am from delhi my problem is ulcerative proctactis. Nd ibs also I am felling tired weakness always nd burning in my stomach I hv to use washroom 4ya 5 times in a daily sometimes with little mucous nd sir what should I eat please suggest me thanks sir.

General Physician,
Hello lybrate-user Irritable bowel syndrome happens when muscle in your bowel does not squeeze normally, which affects movement of your stool. So first of all please understand don't take stress as it will make your symptoms worse. And 1 Don't smoke 2 Add fiber in your diet fruit, vegetables, nuts 3 Avoid caffeine totally 4 Drink atleast 1L of water in whole day 5 Do exercise and meditation to de-stress yourself 6 Eat smaller meals frequently instead of large meals 7 Avoid spicy food and red pepper completely This will help you alot. As medicines will work only for symptomatic relief. For diarrhoea you can take Tab Imodium 2 mg OD If still symptoms are not improving then consult gastroenterolgist for workup.
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Foods To Avoid In Ulcerative Colitis

Dt. Neha Suryawanshi 94% (11386 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Foods To Avoid In Ulcerative Colitis

Foods To Avoid In Ulcerative Colitis

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