Ulcerative colitis

108. Ulcerative colitis: bleeding in bowel movements, diarrhea, enteritis?


Ulcerative colitis self-diagnosis

  1. Diarrhea persists more than 4 times a day for more than 4 weeks.
  2. There is mucus or bleeding in the stool.
  3. Even after defecation, there is a feeling of residual stool.
  4. Urgency to defecate, where a person suddenly feels the urge to defecate and goes to the burn room, or nocturnal defecation, where the patient feels the urge to defecate during the night and goes to the bathroom frequently, occurs.
  5. Patients complain of persistent nausea, vomiting, loss of appetite, fever, or severe abdominal distension.
  6. In addition to the above digestive symptoms, arthritis and abnormal skin changes are accompanied.


If any of the symptoms below apply, we recommend that you visit a hospital and consult a doctor.


Ulcerative colitis can be more confusing as it brings similar symptoms to various colon diseases such as irritable bowel syndrome, intestinal tuberculosis, and enteritis, and care must be taken as missing the early diagnosis period can lead to a more serious situation.



Ulcerative colitis is a chronic inflammatory bowel disease (IBD) that affects millions of people worldwide. This condition can significantly impact a person’s quality of life, but with the right knowledge and management, individuals can lead fulfilling lives despite their diagnosis. We will delve into every aspect of ulcerative colitis, from its causes and symptoms to its treatment options and prevention strategies. Whether you have been recently diagnosed or seeking to expand your understanding of this condition, this guide will provide you with valuable insights into living with ulcerative colitis.



What is Ulcerative Colitis?

Ulcerative colitis is a type of inflammatory bowel disease characterized by chronic inflammation and ulcers in the lining of the colon and rectum. This inflammation can lead to various digestive symptoms and discomfort. It is essential to differentiate between ulcerative colitis and Crohn’s disease, another form of IBD, as they have distinct characteristics and affect different parts of the digestive tract.




Ulcerative colitis is a complex condition with a multifactorial etiology, and its exact cause remains unknown. However, it is believed to result from a combination of genetic, environmental, and immune system factors. Family history plays a significant role, as individuals with a family member with IBD are at a higher risk.


Ulcerative Colitis Symptoms

Recognizing the symptoms of ulcerative colitis is crucial for early diagnosis and management. Common symptoms include:


  • Persistent diarrhea with blood or mucus
  • Abdominal pain and cramping
  • Urgent need to have a bowel movement
  • Rectal bleeding
  • Weight loss
  • Fatigue
  • Loss of appetite
  • Joint pain
  • Skin rashes

These symptoms can vary in severity and may come and go in periods of remission and flare-ups. If you experience any of these symptoms, it is essential to consult your doctor for a proper evaluation.


Diagnosis and Differential Diagnosis

Diagnosing ulcerative colitis involves a series of tests, including blood tests, stool samples, endoscopy, and imaging studies. It is crucial to differentiate ulcerative colitis from other gastrointestinal conditions, such as Crohn’s disease and irritable bowel syndrome (IBS), as their treatments differ.


Ulcerative Colitis Management

Managing ulcerative colitis is a lifelong journey that requires collaboration between the patient and their doctor. Treatment aims to achieve and maintain remission, alleviate symptoms, and prevent complications. Here are some key aspects of management:


  • Medications: Doctors prescribe various medications, including anti-inflammatory drugs, immunosuppressants, and biologics, to reduce inflammation and manage symptoms.
  • Lifestyle Modifications: Dietary changes, stress management, and regular exercise can help improve overall well-being.
  • Surgery: In severe cases or when medications are ineffective, surgery to remove the colon (colectomy) may be necessary.

Foods That May Help

strawberry dessert 2191973 640 2


  • Low-Residue Foods: These are foods that are easy to digest and have a low fiber content. They can help reduce bowel irritation during flare-ups. Examples include white rice, pasta, well-cooked vegetables (without skins), and lean proteins like poultry or fish.
  • Cooked Fruits: While raw fruits can be hard to digest, cooked fruits, such as applesauce or peeled pears, may be better tolerated.
  • Dairy Alternatives: Some individuals with ulcerative colitis are lactose intolerant. Consider lactose-free dairy products or dairy alternatives like almond milk, soy milk, or lactose-free yogurt.
  • Lean Proteins: Opt for lean sources of protein like skinless poultry, fish, tofu, and eggs, as they are easier to digest.
  • Nut Butters: Creamy nut butters like almond or peanut butter can provide protein and healthy fats without the added fiber found in whole nuts.
  • Probiotic Foods: Probiotics, found in yogurt or kefir with live cultures, may help promote gut health and balance the intestinal microbiome.

Foods to Avoid or Limit

  • High-Fiber Foods: During flare-ups, high-fiber foods like whole grains, raw vegetables, and fruits with skins can be irritating to the inflamed bowel. Gradually reintroduce them when symptoms are under control.
  • Dairy: Some individuals with ulcerative colitis are sensitive to dairy products, especially during flares. Experiment with lactose-free options or dairy substitutes.
  • Spicy Foods: Spicy foods can be a trigger for irritation and should be limited, especially during active disease periods.
  • Alcohol and Caffeine: Both alcohol and caffeine can be dehydrating and may worsen symptoms like diarrhea. Limiting or avoiding them can be beneficial.
  • Carbonated Beverages: Carbonated drinks can cause gas and discomfort, so it’s advisable to reduce consumption.
  • High-Fat Foods: Fatty or fried foods can be difficult to digest and may lead to diarrhea or abdominal discomfort.
  • Sugar and Artificial Sweeteners: Excessive sugar and artificial sweeteners can sometimes lead to gas and bloating. Moderation is key.

food 516044 640 2


Remember that individual responses to specific foods can vary widely, so it’s essential to keep a food diary and work closely with a healthcare provider or dietitian to determine your specific trigger foods and dietary preferences. Additionally, staying well-hydrated is crucial for managing ulcerative colitis, so be sure to drink plenty of water throughout the day.


Ulcerative Colitis Disability Determination

Living with ulcerative colitis can impact one’s ability to work and perform daily activities. If you believe your condition significantly impairs your functioning, you can seek a disability rating evaluation from your doctor. This evaluation may be necessary for legal or employment-related purposes.


Ulcerative Colitis Cure

Currently, there is no known cure for ulcerative colitis. However, with proper medical management and lifestyle adjustments, many individuals with the condition can lead fulfilling lives. Ongoing research aims to discover new treatments and potential cures.


Ulcerative Colitis Pathology

Ulcerative colitis is characterized by inflammation primarily in the colon’s inner lining (mucosa and submucosa). The inflammation typically starts at the rectum and may extend continuously along the colon.


Ulcerative Colitis Guidelines

For doctors and healthcare providers, following established clinical guidelines is essential in managing ulcerative colitis effectively. These guidelines are regularly updated based on the latest research and clinical evidence.



In conclusion, ulcerative colitis is a complex and chronic condition that requires lifelong management. Understanding its causes, recognizing its symptoms, and following appropriate treatment strategies are crucial steps in living well with this condition. Consult your doctor for personalized guidance, and remember that with the right support, individuals with ulcerative colitis can lead healthy and fulfilling lives.


Accuracy: 95%

Crohn’s & Colitis Foundation. “About Crohn’s Disease and Ulcerative Colitis.” [crohnscolitisfoundation.org]
National Institute of Diabetes and Digestive and Kidney Diseases. “Ulcerative Colitis.” [niddk.nih.gov]
Mayo Clinic. “Ulcerative Colitis.” [mayoclinic.org]
American College of Gastroenterology. “Guidelines for the Management of Inflammatory Bowel Disease.” [gi.org]
UptoDate. “Patient Education: Ulcerative Colitis (Beyond the Basics).” [uptodate.com]



Q: Is ulcerative colitis the same as Crohn’s disease?
A: No, ulcerative colitis and Crohn’s disease are two distinct forms of inflammatory bowel disease (IBD). While they share some similarities, they affect different parts of the digestive tract.


Q: Can diet alone cure ulcerative colitis?
A: Diet alone cannot cure ulcerative colitis, but it can play a significant role in managing symptoms. Dietary adjustments should be made in consultation with a healthcare provider.


Q: What complications can arise from untreated ulcerative colitis?
A: Untreated ulcerative colitis can lead to severe complications, including bowel perforation, colon cancer, and nutritional deficiencies. It is crucial to seek medical care and adhere to treatment plans.


Q: Is surgery the only option for severe ulcerative colitis?
A: Surgery is considered when medications and other treatments fail to control symptoms or when there are complications. It typically involves the removal of the colon but may not be necessary for all individuals.


Q: Can stress trigger ulcerative colitis flare-ups?
A: Stress can exacerbate ulcerative colitis symptoms in some individuals. Stress management techniques, such as relaxation exercises and counseling, can be helpful.


Q: Are there support groups for people with ulcerative colitis?
A: Yes, there are numerous support groups and online communities where individuals with ulcerative colitis can connect, share experiences, and find emotional support.


Q: How often should I have colonoscopies if I have ulcerative colitis?
A: The frequency of colonoscopies depends on the severity of your condition and your doctor’s recommendations. In general, individuals with ulcerative colitis should have regular colonoscopies to monitor their colon health.


Q: Can ulcerative colitis be inherited?
A: There is a genetic component to ulcerative colitis, and a family history of IBD can increase the risk of developing the condition. However, not everyone with a family history will develop ulcerative colitis.


Q: Are there alternative therapies for ulcerative colitis?
A: Some individuals explore complementary and alternative therapies like acupuncture and herbal remedies. It’s essential to discuss any alternative treatments with your doctor to ensure they are safe and effective.


Q: Can children develop ulcerative colitis?
A: Yes, children and adolescents can develop ulcerative colitis. Pediatric gastroenterologists specialize in diagnosing and treating IBD in young patients.


Today’s Quiz

Q: What is the common term for the chronic inflammation and ulcers that affect the lining of the colon and rectum in ulcerative colitis?


B) Diverticulitis

C) Inflammatory bowel disease (IBD)

D) Gastroesophageal reflux disease (GERD)


Answer: C) Inflammatory bowel disease (IBD)


Accuracy: 95%

Crohn’s & Colitis Foundation. “About Crohn’s Disease and Ulcerative Colitis.”  [crohnscolitisfoundation.org]
National Institute of Diabetes and Digestive and Kidney Diseases. “Ulcerative Colitis.” [niddk.nih.gov]
Mayo Clinic. “Ulcerative Colitis.” [mayoclinic.org]
American College of Gastroenterology. “Guidelines for the Management of Inflammatory Bowel Disease.” [gi.org]
UptoDate. “Patient Education: Ulcerative Colitis (Beyond the Basics).” [uptodate.com]

블로그 리스트pre post



댓글 남기기


Discover more from healwiki.com

Subscribe now to keep reading and get access to the full archive.

Continue reading