Medications treating ulcerative colitis include 1) anti-inflammatory agents such as 5-ASA compounds, systemic corticosteroids, topical corticosteroids, and 2) immunomodulators.
Life insurance companies can definitely deny coverage due to ulcerative colitis.Ulcerative Colitis falls into the "impaired risk life insurance" category. It is critical that anyone with ulcerative colitis considering life insurance, work with an impaired risk life insurance expert.Every life insurance company has its own set of underwriting guidelines. Some life insurance companies want nothing to do with you if you have ulcerative colitis, while there are a few companies available that understand ulcerative colitis and how to underwrite it and offer you life insurance.What Do Underwriters Look For:Date and Age at time of diagnosis?How many flare-ups or episodes have you had in the past 6 months, 2 years, and 5 years?Have you been hospitalized for UC?Do you take medications for UC? If yes, what do you take and how much?If you have taken steroids, when did you last take steroids, dosage, and for how long?Have you had surgery for UC? Dates, details needed.Colonoscopy - Dates and results.The right life insurance company will look at your UC and want to know if it is Mild, Moderate or Severe UC, and will make an underwriting determination based on your specific UC history.
Your quality of life is expected to drop a lot more than the quantity of it. However, I do know that approximately 5/10 people who have this disease die earlier than their counterparts. Source : I suffer from it and even my father had it. I know quite a lot about it.
the five dimensions of health arephysical healthmental healthspiritual healthsocial healthemotional health
It is typically not recommended to drink alcohol while taking prednisone because it can be very hard on the liver. It's also not recommended to drink alcohol if you are taking prednisone for Ulcerative Colitis because it can worsen your symptoms.
Nicotine tends to have a beneficial effect in colitis. Patients tend to improve with nicotine if they smoke 3-5 cigarettes or have nicotine patch during flare up of colitis
There are 6 dimensions, Physical Health, Emotional Health, Intellectual Health, Spiritual Health, Environmental Health, and Social Health How they interconnect adn affect each other is pretty self explanatory, for example, if you lack in emotional health, you might be depressed and that will cause you to stay in more which will affect your Physical Health. The key thing you want to know is what these 6 dimensions are, and that none of these components of wellness work in isolation, all six work closely together. If you know that, you'll easily know how they interconnect each other
The five dimensions of holistic health are physical, emotional, social, spiritual, and intellectual. Physical health involves the body's well-being and fitness, while emotional health pertains to managing feelings and coping with challenges. Social health emphasizes relationships and community connections, spiritual health focuses on meaning and purpose in life, and intellectual health encourages lifelong learning and mental stimulation. Together, these dimensions contribute to overall well-being and a balanced life.
One example of a drug that is a prodrug activated by colonic bacteria when given orally is sulfasalazine. In the colon, bacteria cleave the molecule, releasing the active components, sulfapyridine and 5-aminosalicylic acid, which are then absorbed and exert their therapeutic effects in conditions such as ulcerative colitis and Crohn's disease.
A type of inflammatory bowel disease, or IBD, ulcerative colitis has no known cause. It affects any age, primarily ages 15 to 30 and 50 to 70 years of age. It affects the colon and rectum lining, giving abdominal and gastrointestinal symptoms.SymptomsAccording to A.D.A.M. Medical Encyclopedia, the symptoms can include weight loss, rectal pain, fever, pus-filled stools, bloody stools, diarrhea, abdominal pain, cramping, and abdominal sounds. There can be other symptoms that aren't as common that include skin lumps, skin ulcers, mouth sores, nausea, vomiting, joint swelling, joint pain, and gastrointestinal bleeding.TreatmentThere are different treatments for ulcerative colitis, including hospitalization, diet, medications, and surgery. Hospitalization occurs for more severe attacks. Diet for this type of condition includes high fiber foods, limiting dairy and fatty greasy foods, and drinking plenty of water. Medications that may help include corticosteroids, immunomodulators, and 5-aminosalicylates. These drugs help lower the frequency and amount of attacks.Surgery OptionSurgery is an option, including the removal of the colon. This lowers the colon cancer threat and cures ulcerative colitis. This is typically an option only when there are attacks that aren't responding to diet, medication, and other lifestyle modifications. If there are pre-cancerous cells in the colon's lining, it can be done as well. Lastly, for severe bleeding and ruptures of the colon, surgery will help. When the colon is removed, patients will need an ileostomy which is an opening in the abdominal wall to help eliminate waste.If you are having symptoms of ulcerative colitis, the tests that the doctor will do include a colonoscopy. This is a screening test where a flexible tube with a camera is eased into the rectum to show the inside of the colon. It can be done alone or with other tests that include a barium enema, c-reactive protein test, sedimentation rate test, and a complete blood count.
DefinitionUlcerative colitis is a type of inflammatory bowel disease (IBD) that affects the large intestine (colon) and rectum.See also: Crohn's diseaseAlternative NamesInflammatory bowel disease - ulcerative colitis; IBD - ulcerative colitisCauses, 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.SymptomsAbdominal painand cramping that usually disappears after a bowel movementAbdominal sounds (a gurgling or splashing sound heard over the intestine)Diarrhea, from only a few episodes to very often throughout the day (blood and mucus may be present)FeverTenesmus(rectal pain)Weight lossOther symptoms that may occur with ulcerative colitis include the following:Gastrointestinal bleedingJoint painNausea and vomitingSigns 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:Barium enemaComplete blood count (CBC)C-reactive protein (CRP)Sedimentation rate (ESR)TreatmentThe goals of treatment are to:Control the acute attacksPrevent repeated attacksHelp the colon healHospitalization 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 NUTRITIONCertain types of foods may worsen diarrhea and gas symptoms, especially during times of active disease. Diet suggestions:Eat small amounts of food throughout the day.Drink lots of water (frequent consumption of small amounts throughout the day).Avoid high-fiber foods (bran, beans, nuts, seeds, and popcorn).Avoid fatty greasy or fried foods and sauces (butter, margarine, and heavy cream).Limit milk products if you are lactose intolerant,. Dairy products are a good source of protein and calcium.Avoid or limit alcohol and caffeine.MEDICATIONSMedications that may be used to decrease the number of attacks include:5-aminosalicylates such as mesalamine or sulfazineImmunomodulators such as azathioprine and 6-mercaptopurineCorticosteroids (prednisone and methylprednisolone) taken by mouth during a flareup or as a rectal suppository, foam, or enemaInfliximab (Remicade) to treat patients who do not respond to other medicationsSURGERYSurgery to remove the colon will cure ulcerative colitis and removes the threat of colon cancer. Surgery is usually for patients who have:Colitis that does not respond to complete medical therapyChanges in the lining of their colon that are felt to be precancerous.Serious complications such as rupture (perforation) of the colon, severe bleeding (hemorrhage), or toxic megacolonMost 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:Total prolectomy with ileostomyTotal proctolectomy and ileal-anal pouchSupport 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.ComplicationsAnkylosing spondylitisBlood clotsColorectal cancerColon narrowingComplications of corticosteroid therapyImpaired growth and sexual development in childrenInflammation of the joints (arthritis)Lesions in the eyeLiver diseaseMassive bleeding in the colonMouth ulcersPyoderma gangrenosum (skin ulcer)Tears or holes (perforation) in the colonCalling your health care providerCall 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:8 years after you are diagnosed with severe disease, or when most of, or the entire, large intestine is involved12 - 15 years after diagnosis when only the left side of the large intestine is involvedHave 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.
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