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Ulcerative Colitis Corner

OVERVIEW

Ulcerative colitis is a type of inflammatory bowel disease that affects the large intestine and rectum.

CAUSES/RISK FACTORS

The cause is 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.

Risk factors include a family history of ulcerative colitis, or Jewish ancestry. The incidence is 10 to 15 out of 100,000 people.

SYMPTOMS

-Abdominal pain and cramping that usually disappears after a bowel movement
-Abdominal 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)
-Fever
-Tenesmus
-Weight loss

Other symptoms that may occur with ulcerative colitis include the following:

-Gastrointestinal bleeding
-Joint pain
-Nausea and vomiting

CARE/TREATMENT

The goals of treatment are to:

-Control the acute attacks
-Prevent repeated attacks
-Help the colon heal

Hospitalization is often required for severe attacks. Your doctor may prescribe corticosteroids to reduce inflammation.

Medications that may be used to decrease the number of attacks include:

-5-aminosalicylates
-Immunomodulators
-An intravenous medicine called infliximab has also been shown to improve symptoms of ulcerative colitis.

Surgery to remove the colon will cure ulcerative colitis and removes the threat of colon cancer. Patients may need an ostomy (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.

PREVENTION

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:

-8 years after you are diagnosed with severe disease, or when most of or the entire large intestine is involved
-12 - 15 years after diagnosis when only the left side of the large intestine is involved
-Have follow-up examinations every 1 - 2 years.

Source

Real Stories, Expert Advice

Health Corner Videos: Ulcerative Colitis

Mussels in White Wine & Garlic: ChefMD® Heart Healthy Recipe

Food as MedicineSM Tip: Ten ounces of fish weekly reduces ulcerative colitis disease activity.

Culinary Taste Tip: Cooking the mussels in a nice, dry white wine adds a terrific flavor to the garlic and oil; your favorite beer can also...
+ Ulcerative Colitis: Health Story

In the News: Ulcerative Colitis

WPI Researchers Take Aim At Hard-To-Treat Fungal Infections

Sat, 21 Nov 2009 01:00:00 PST
http://www.medicalnewstoday.com/articles/171703.php

A team of researchers at the Worcester Polytechnic Institute (WPI) Life Sciences and Bioengineering Center at Gateway Park has developed a new model system to study fungal infections. The system can be a powerful tool for screening potential drug targets for conditions like thrush, athlete's foot and vaginal yeast infections, which affect millions of people each year but are difficult to treat with existing medications.

Dietary Management In Eating Disorder Patients

Sat, 21 Nov 2009 00:00:00 PST
http://www.medicalnewstoday.com/articles/171676.php

Eating disorder (ED) patients display a high prevalence of gastrointestinal symptoms and functional gastrointestinal disorders such as irritable bowel syndrome. These symptoms may interfere with their nutritional management. Ingestion of fructose-sorbitol (F-S) is an established means of gastrointestinal symptom provocation in irritable bowel syndrome patients.

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