Ulcerative colitis is a type of inflammatory bowel disease (IBD) that affects the large intestine (colon) and rectum.
See also: Crohn's disease
Alternative NamesInflammatory bowel disease - ulcerative colitis; IBD - ulcerative colitis
Causes, incidence, and risk factorsThe cause of ulcerative colitis is unknown. It may affect any age group, although there are peaks at ages 15 - 30 and then again at ages 50 - 70.
The disease usually begins in the rectal area and may eventually extend through the entire large intestine. Repeated swelling (inflammation) leads to thickening of the wall of the intestine and rectum with scar tissue. Death of colon tissue or sepsis (severe infection) may occur with severe disease.
The symptoms vary in severity and may start slowly or suddenly. Many factors can lead to attacks, including respiratory infections or physical stress.
Risk factors include a family history of ulcerative colitis, or Jewish ancestry.
SymptomsOther symptoms that may occur with ulcerative colitis include the following:
Signs and testsColonoscopy with biopsy is generally used to diagnose ulcerative colitis.
Colonoscopy is also used to screen people with ulcerative colitis for colon cancer. Ulcerative colitis increases the risk of colon cancer. If you have this condition, you should be screened with colonoscopy about 8-12 years after being diagnosed. You should have a follow-up colonoscopy every 1-2 years.
Othe tests that may be done to help diagnose this condition include:
The goals of treatment are to:
Hospitalization is often required for severe attacks. Your doctor may prescribe corticosteroids to reduce inflammation. You may be given nutrients through an intravenous (IV) line (through a vein).
DIET AND NUTRITION
Certain types of foods may worsen diarrhea and gas symptoms, especially during times of active disease. Diet suggestions:
MEDICATIONS
Medications that may be used to decrease the number of attacks include:
SURGERY
Surgery to remove the colon will cure ulcerative colitis and removes the threat of colon cancer. Surgery is usually for patients who have:
Most of the time, the entire colon, including the rectum, is removed. Afterwards, patients may need an ileoostomy (a surgical opening in the abdominal wall), or a procedure that connects the small intestine to the anus to help the patient gain more normal bowel function.
See also:
Support GroupsSocial support can often help with the stress of dealing with illness, and support group members may also have useful tips for finding the best treatment and coping with the condition.
For more information visit the Crohn's and Colitis Foundation of America (CCFA) web site at www.ccfa.org.
Expectations (prognosis)About half of patients with ulcerative colitis have mild symptoms. Patients with more severe ulcerative colitis tend to respond less well to medications.
Permanent and complete control of symptoms with medications is unusual. Cure is only possible through complete removal of the large intestine.
The risk of colon cancer increases in each decade after ulcerative colitis is diagnosed.
ComplicationsCall your health care provider if you develop persistent abdominal pain, new or increased bleeding, persistent fever, or other symptoms of ulcerative colitis.
Call your health care provider if you have ulcerative colitis and your symptoms worsen or do not improve with treatment, or if new symptoms develop.
PreventionBecause the cause is unknown, prevention is also unknown.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may make symptoms worse.
Due to the risk of colon cancer associated with ulcerative colitis, screening with colonoscopy is recommended.
The American Cancer Society recommends having your first screening:
Have follow-up examinations every 1 - 2 years.
ReferencesGraham L. AGA reviews the use of corticosteroids, immunomodulators, and infliximab in IBD. Am Fam Physician. 2007;75:410-412.
Moyer MS. Chronic ulcerative colitis in childhood. J Pediatr. 2006;148:325.
Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 50.
Rutgeerts P, Vermeire S, Van Assche G. Biological therapies for inflammatory bowel diseases. Gastroenterology. 2009 Apr;136(4):1182-97. Epub 2009 Feb 26.
Ulcerative colitis is a type of inflammatory bowel disease (IBD) that affects the lining of the large intestine (colon) and rectum.
See also: Crohn's disease
Alternative NamesInflammatory bowel disease - ulcerative colitis; IBD - ulcerative colitis
Causes, incidence, and risk factorsThe cause of ulcerative colitis is unknown. People with this condition have problems with the immune system, but it is not clear whether immune problems cause this illness. Although stress and certain foods can trigger symptoms, they do not cause ulcerative colitis.
Ulcerative colitis may affect any age group, although there are peaks at ages 15 - 30 and then again at ages 50 - 70.
The disease usually begins in the rectal area, and may involve the entire large intestine over time.
Risk factors include a family history of ulcerative colitis, or Jewish ancestry.
SymptomsThe symptoms vary in severity and may start slowly or suddenly. About half of people only have mild symptoms. Others have more severe attacks that occur more often. Many factors can lead to attacks, including respiratory infections or physical stress.
Symptoms include:
Children's growth may slow.
Other symptoms that may occur with ulcerative colitis include the following:
Colonoscopy with biopsy is generally used to diagnose ulcerative colitis.
Colonoscopy is also used to screen people with ulcerative colitis for colon cancer. Ulcerative colitis increases the risk of colon cancer. If you have this condition, you should be screened with colonoscopy about 8 - 12 years after being diagnosed. You should have a follow-up colonoscopy every 1 - 2 years.
Other tests that may be done to help diagnose this condition include:
The goals of treatment are to:
Hospitalization is often needed for severe attacks. Your doctor may prescribe corticosteroids to reduce inflammation. You may be given nutrients through a vein (intravenous line).
DIET AND NUTRITION
Certain types of foods may worsen diarrhea and gas symptoms, especially during times of active disease. Diet suggestions include:
STRESS
You may feel worried, embarrassed, or even sad or depresed about having a bowel accident. Other stressful events in your life, such as moving, or losing a job or a loved one can cause digestive problems.
Ask your doctor or nurse for tips on your to manage your stress.
MEDICATIONS
Medications that may be used to decrease the number of attacks include:
SURGERY
Surgery to remove the colon will cure ulcerative colitis and removes the threat of colon cancer. Surgery is usually recommended for patients who have:
Most of the time, the entire colon, including the rectum, is removed. Afterwards, patients may need a surgical opening in the abdominal wall (ileostomy), or a procedure that connects the small intestine to the anus to help the patient gain more normal bowel function.
See also:
Social support can often help with the stress of dealing with illness, and support group members may also have useful tips for finding the best treatment and coping with the condition.
For more information, visit the Crohn's and Colitis Foundation of America (CCFA) web site at www.ccfa.org.
Expectations (prognosis)About half of patients with ulcerative colitis have mild symptoms. Patients with more severe ulcerative colitis tend to respond less well to medications.
Permanent and complete control of symptoms with medications is unusual. Cure is only possible through complete removal of the large intestine.
The risk of colon cancer increases in each decade after ulcerative colitis is diagnosed.
ComplicationsRepeated swelling (inflammation) leads to thickening of the intestinal wall and rectum with scar tissue. Death of colon tissue or severe infection (sepsis) may occur with severe disease.
Call your health care provider if:
Because the cause is unknown, prevention is also unknown.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may make symptoms worse.
Due to the risk of colon cancer associated with ulcerative colitis, screening with colonoscopy is recommended.
The American Cancer Society recommends having your first screening:
Have follow-up examinations every 1 - 2 years.
ReferencesSands BE, Siegel CA. Crohn's disease. In: Feldman M, Friedman LS, Brandt, LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 111.
Burger D, Travis S. Conventional medical management of inflammatory bowel disease. Gastroenterology. 2011 May;140(6):1827-1837.e2.
Mowat C, Cole A, Windsor A, Ahmad T, Arnott I, Driscoll R, et al. Guidelines for the management of inflammatory bowel disease in adults. Gut. 2011 May;60(5):571-607.
Rutgeerts P, Vermeire S, Van Assche G. Biological therapies for inflammatory bowel diseases. Gastroenterology. 2009;136(4):1182-1197.
Reviewed ByReview Date: 10/16/2011
George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
10% of people who have an IBD have ulcerative colitis
There are several sites that have information about colitis and diets for colitis. Here are two websites that might be able to help you: http://colitis.emedtv.com/ulcerative-colitis/ulcerative-colitis-diet.html AND http://www.webmd.com/ibd-crohns-disease/ulcerative-colitis/creating-an-ulcerative-colitis-plan
Ulcerative colitis can be a horrible disease to have, but there are things that you can eat to help the situation. www.webmd.com/ibd-crohns-disease/���ulcerative-colitis/���creating-an-ulcerative-colitis-plan
Ulcerative colitis does not affect sperm quality.
Yes ulcerative colitis is a life time illness
Colitis is a general term referring to inflammation of the colon, which can be caused by various factors such as infection or autoimmune conditions. Ulcerative colitis is a specific type of colitis that is a chronic inflammatory bowel disease characterized by ulcers in the colon and rectum. Ulcerative colitis is a subset of colitis.
Patients who suffer from an inflammatory disease of the colon known as ulcerative colitis are also at increased risk
Ulcerative colitis usually affects the large intestine.
Long term medication with Mesalazine is needed for keeping ulcerative colitis in remission
Yes, there are diets for ulcerative colitis! WebMD as well as MayoClinic.com will show you great diets for ulcerative colitis! These sites will guide you and provide you with a diet plan suitable for your condition.
Ulcerative colitis will not affect catching HPV; it is very contagious and nearly all that are exposed to the virus catch HPV.
http://www.mayoclinic.com/health/ulcerative-colitis/DS00598/DSECTION=lifestyle-and-home-remedies is an excellent article full of information on what to eat and what to avoid when troubled by ulcerative colitis.