Best ulcerative colitis treatment in Raipur, Chhattisgarh

What is ulcerative colitis?

 

Ulcerative colitis (UC) causes irritation and ulcers (open sores) in the large intestine. It belongs to a group of conditions called inflammatory bowel disease (IBD). It often causes diarrhoea with blood, cramping and urgency. Sometimes these symptoms can wake a person up at night to go to the bathroom as well. The inflammation in ulcerative colitis usually starts in the rectum, which is close to the anus (where stool leaves your body). The severity of UC depends on the amount of inflammation and the location. Everyone is a little different. You could have severe inflammation in the rectum (small area) or very mild inflammation in the entire colon (large area).

If you have ulcerative colitis, you may notice a pattern of flare-ups (active disease), when symptoms are worse. During times of remission, you might have little to no symptoms. The goal with therapy is to remain in remission as long as possible (years). About half of the people diagnosed with ulcerative colitis have mild symptoms. Others suffer frequent fevers, bloody diarrhea, nausea and severe abdominal cramps. Ulcerative colitis may also cause problems such as arthritis, inflammation of the eye, liver disease and osteoporosis.

Ulcerative colitis can occur in people of any age, but it usually starts between the ages of 15 and 30, and less frequently between 50 and 70 years of age. It affects men and women equally and appears to run in families, with reports of up to 20% of people with ulcerative colitis having a family member or relative with ulcerative colitis or Crohn’s disease. In addition, about 20% of patients are diagnosed before they are 20 years old and it can occur in children as young as two years of age.

What’s the difference between colitis and ulcerative colitis?

 

Colitis means your colon is inflamed, or irritated. This can be caused by many things, such as infections from viruses or bacteria. Ulcerative colitis is more severe because it is not caused by an infection and is lifelong.

 

Who gets ulcerative colitis?

 

Anyone at any age, including young children, can get ulcerative colitis.

Your chance of getting it is slightly higher if you:

 

  • Have a close relative with inflammatory bowel disease (IBD).
  • Are between 15 and 30 years old, or older than 60.
  • Are Jewish.
  • Eat a high-fat diet.
  • Use frequent nonsteroidal anti-inflammatory drugs (NSAIDS) like ibuprofen
ULCERATIVE COLIITS

What causes ulcerative colitis? 

 

Researchers think the cause of ulcerative colitis is complex and involves many factors. They think it’s probably the result of an overactive immune response. The immune system’s job is to protect the body from germs and other dangerous substances. But, sometimes your immune system mistakenly attacks your body, which causes inflammation and tissue damage.

What are the symptoms of ulcerative colitis?

 

Ulcerative colitis symptoms often get worse over time. In the beginning, you may notice:

 

  • Diarrhea or urgent bowel movements.
  • Abdominal (belly) cramping.
  • Tiredness
  • Nausea
  • Weight loss.
  • Anemia (reduced number of red blood cells).
  • Blood, mucous, or pus in bowel movements.
  • Severe cramping.
  • Fever
  • Skin rashes.
  • Mouth sores.
  • Joint pain.
  • Red, painful eyes.
  • Liver disease.
  • Loss of fluids and nutrients.

How is ulcerative colitis diagnosed?

 

Imaging tests: Your healthcare provider may need a picture of your colon and rectum. You may have tests including a magnetic resonance imaging (MRI) scan or computed tomography (CT) scan.

Endoscopic tests: An endoscope is a thin, flexible tube with a tiny camera. Specialized doctors can slide the endoscope in through the anus to check the health of the rectum and colon. Common endoscopic tests include colonoscopy and sigmoidoscopy.

 

Who diagnoses ulcerative colitis?

 

If you have symptoms of ulcerative colitis, your regular healthcare provider will probably refer you to a specialist. A gastroenterologist — a doctor who specializes in the digestive system — should oversee the care for adults.

 

How is ulcerative colitis treated?

There’s no cure for ulcerative colitis, but treatments can calm the inflammation, help you feel better and get you back to your daily activities. Treatment also depends on the severity and the individual, so treatment depends on each person’s needs. Usually, healthcare providers manage the disease with medications. The goal of medication is to induce and maintain remission, and to improve the quality of life for people with ulcerative colitis. Healthcare providers use several types of medications to calm inflammation in your large intestine. Reducing the swelling and irritation lets the tissue heal. It can also relieve your symptoms so you have less pain and less diarrhoea.

Amino salicylates: For mild to moderate ulcerative colitis, your doctor may prescribe mesalamine. The medications come in both pill form and enema or suppository form, which can better reach the inflammation low down in the colon.

Corticosteroids: If you have a severe form of ulcerative colitis, you may need a corticosteroid or budesonide.

Immunomodulators: Your healthcare provider may recommend an immunomodulator. These medicines include azathioprine, or methotrexate. These medications help calm the overactive immune system.

Biologics: Biologics treat moderate to severe ulcerative colitis by targeting parts of the immune system to quiet it down. Medications like infliximab and adalimumab are biologics.

Janus kinase (JAK) inhibitors: Drugs like tofacitinib stop one of your body’s enzymes (chemicals) from triggering inflammation.

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Can I get surgery for my ulcerative colitis?

 

Surgery is an option if medications aren’t working or you have complications, such as bleeding or abnormal growths. You might develop precancerous lesions, or growths that can turn into colorectal cancer. A doctor can remove these lesions with surgery (a colectomy) or during a colonoscopy.

Research shows that about 30% of people with ulcerative colitis need surgery sometime during their life. About 20% of children with ulcerative colitis will need surgery during their childhood years.

 

There are two kinds of surgery for ulcerative colitis:

 

  • Proctocolectomy and ileoanal pouch
  • Proctocolectomy and ileostomy

 

 

What causes ulcerative colitis flare ups?

 

When you’re in remission from ulcerative colitis, you’ll want to do everything you can to prevent a flare up. Things that may cause a flare up include:

Emotional stress: Get at least seven hours of sleep a night, exercise regularly and find healthy ways to relieve stress, such as meditation.

NSAID use: For pain relief or a fever, use acetaminophen instead of NSAIDs

Antibiotics: Let your healthcare provider know if antibiotics trigger your symptoms.

What role does diet and nutrition play in ulcerative colitis?

 

Diet does not cause the development of ulcerative colitis nor can any special diet cure the disease. However, the foods you or your child eat may play a role in managing symptoms and lengthening the time between flare ups. Some foods may make symptoms worse and should be avoided, especially during flare ups. Foods that trigger symptoms are different from person to person. To narrow down what foods affect you, keep track of what you eat each day and how you feel afterward (a food journal).

Problem foods often include:

  • Greasy foods.
  • High sugar foods and drinks.
  • Carbonated beverages.
  • High fibre foods.
  • Alcohol
  • Salt
  • Dairy products.

What can I expect if I have a diagnosis of ulcerative colitis?

 

Ulcerative colitis is a lifelong condition that can have mild to severe symptoms. For most people, the symptoms come and go. Some people have just one episode and recover. A few others develop a nonstop form that rapidly advances. In up to 30% of people, the disease spreads from the rectum to the colon. When both the rectum and colon are affected, ulcerative symptoms can be worse and happen more often.

When should I call my doctor about my ulcerative colitis?

 

  • Heavy, persistent diarrhea.
  • Blood leaking from your anus with clots of blood in your stool.
  • Constant pain and a high fever.

 

What is the best diet for ulcerative colitis?

 

There’s no single diet that works best for ulcerative colitis. If the disease damages the lining of the colon, your body might not absorb enough nutrients from food. Your healthcare provider may recommend supplemental nutrition or vitamins. It’s best to work with your provider and nutritionist to come up with a personalized diet plan.

How often do I need a colonoscopy?

 

Especially when you have symptoms or are just starting or changing medications, your doctor may want to periodically look at the inside of the rectum and colon to make sure the treatments are working and the lining is healing. How often this is needed is different for each person. Ulcerative colitis also increases your chance of developing colon cancer. To look for early cancer signs, your healthcare provider may have you come in for a colonoscopy (a procedure to check the health of the colon) every one to three years.

Does ulcerative colitis make you immunocompromised?

 

Ulcerative colitis doesn’t make you immunocompromised. Some of the medicines that treat it may change the way your immune system responds. This change is different for each medication. Some of these changes may increase the risk of certain infections or other issues. A discussion with your health care team before starting a medication is the best way to understand these risks and ways to prevent them.

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To get more information about Ulcerative Colitis  use the links below

Vidya hospital and kidney centre 

Address: Shankar nagar Main road, Raipur(CG)
Email: [email protected]
Phone: 9111181250, 07714281198,9827197924

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