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Ulcerative Colitis - Symptom, Treatment And Causes

Ulcerative colitis is an IBD (Inflammatory Bowel Disease). Inflammatory Bowel Disease comprises of a group of illnesses that affects the GI (Gastro-Intestinal) tract. Ulcerative colitis happens when the lining in the colon or bowel (large intestine) and the rectum gets inflamed. This inflammation on the GI tract, produces tiny sores known as ulcers on the whole lining of the colon. These ulcers generally develop in the rectum and then spreads upward. Ulcerative colitis rarely affects the small intestine.

This inflammation on the GI tract, causes the bowel to move its contents rapidly and empty frequently. Due to this disease as the cells on the surface of the bowel lining dies, it causes ulcers. These ulcers also often cause bleeding and discharge mucus and pus. Ulcerative colitis can affect people of all ages. However, it’s more common in people who are between 15 and 30 or between 50 and 70.

The cause of ulcerative colitis is unknown. In the past, though researchers were of the opinion that stress is one of the major causes of this disease, but of late researchers focuses on the heredity factors and immune system as a possible cause for this disease. It’s believed that you’re at a risk of getting affected by this disease if someone in your close family members also has his condition. This disease can develop in anyone of any race, but it has found that ulcerative colitis is more common in Ashkenazi Jews and Caucasians.

People suffering from this disease have increased risks of developing colon cancer. So most of the time doctor’s perform a colonoscopy on the patients affected with this disease, to check for cancer, if you are diagnosed with this disease. This screening lowers the risk of colon cancer, since it can detect the precancerous cells early and help in prognosis of the disease. Some of the complications found among the patients suffering from ulcerative colitis are sepsis, severe dehydration, thickening of the intestinal wall, swelling of the colon, hepatic disease, intestinal bleeding, inflammations of the joints and eyes, formation of kidney stones, ankylosing spondylitis and development of a hole in the colon.

As ulcerative colitis mimics the symptoms of other bowel ailments like Crohn’s disease, doctors run multiple tests to rule out other conditions while diagnosing this malady. In general stool tests, endoscopy, colonoscopy, biopsy, barium enema and blood tests are done to confirm the presence of this disease.

Blood tests that check for a high level of the C-reactive protein in done for determining the possibility of this disease.

Treatable by medical professional Require medical diagnosis Lab test required Chronic: can last for years or be lifelong
Increased abdominal sounds. Acute abdominal pain. Blood in stool. Fever along with diarrhea. Rectal pain. Malnutrition and sudden weight loss.

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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. Symptoms: Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus. Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping. Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement. 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 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. 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: 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. 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% (339 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).
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Ulcerative Colitis Diet - Foods To Eat And Avoid!

Dr. Vishal Khurana 92% (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: 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.
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Ulcerative Colitis: What Type Of Surgery Should You Opt?

Dr. Preetham Raj 91% (10 ratings)
MBBS, MS - General Surgery
General Surgeon, Bangalore
Ulcerative Colitis: What Type Of Surgery Should You Opt?
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: Colectomy: This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer. Proctocolectomy: This concerns the total removal of both colon and rectum and is usually the standard procedure when dealing with ulcerative colitis. 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.
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Foods To Avoid In Ulcerative Colitis

Dt. Neha Suryawanshi 94% (12043 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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Popular Questions & Answers

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 91% (87 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.

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 94% (32968 ratings)
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

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 88% (19141 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.
1 person found this helpful

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 88% (52 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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