(UC; Colitis, Ulcerative)
Definition
Definition
Ulcerative colitis (UC) is a type of severe, chronic inflammatory bowel disease (IBD), which causes:
- Inflammation in the lining of the colon and rectum
- Ulcers in the lining of the colon and rectum
- Bleeding in the lining of the colon and rectum
Ulcerative ColitisCopyright © Nucleus Medical Media, Inc.
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Causes
Causes
The exact cause is unknown. A virus or bacteria may cause the immune system to overreact and damage the colon and rectum.
Risk Factors
Risk Factors
Having a family member with IBD (includes UC and Crohn’s disease) may increase your risk of developing UC.
Symptoms
Symptoms
UC may cause:
- Diarrhea
- Abdominal cramps and pain
- Rectal bleeding
- Anemia
- Weight loss
- Fatigue, weakness
- Nausea
- Fever
- Skin rashes
- Arthritis
- Eye inflammation, such as uveitis
Intestinal complications of UC may include:
- Perforation
- Fistula—abnormal passageway between 2 bodily structures
- Obstruction
- Excess bleeding
- Toxic megacolon—a potentially life-threatening condition when the colon severely expands, which may result in reduced blood flow
Other complications of UC may include:
- Liver disease
- Kidney stones
- Osteoporosis
- Colon cancer
Diagnosis
Diagnosis
The doctor will ask about your symptoms and medical history. A physical exam will be done.
Testing may include:
- Blood tests
- Stool test
- Barium enema
- Flexible sigmoidoscopy
- Colonoscopy
- Biopsy
Treatment
Treatment
Treatment options may include:
Dietary Changes
Your doctor may recommend that you avoid certain foods, such as:
- Dairy (due to lactose intolerance)
- Alcohol
- Red and processed meats
- Refined sugar
- Saturated fat
Talk to your doctor or dietitian about what foods may work best for you.
Medications
There are a range of medications that may be prescribed, such as:
- Aminosalicylates
- Steroid anti-inflammatory medications
- Immune modifiers
- Biological agents
Surgery
Surgery involves partial or complete removal of the colon. This may be necessary for:
- An emergency, such as a perforation, excessive bleeding, or life-threatening infection
- Long-term disease that does not respond to medications or other treatment
- Colon cancer—includes confirmed diagnosis or suspicious tissue on examination
- Lack of growth because of nutritional deficiencies (in children)
Surgery for UC is curative and reduces the risk of colon cancer.
Fecal Transplantation
Fecal transplantation may be used to treat UC.
Prevention
Prevention
There are no current guidelines for preventing UC.
RESOURCES:
Gastro—American Gastroenterological Society http://www.gastro.org/patient-center
CANADIAN RESOURCES:
Crohn’s and Colitis Foundation of Canada http://www.ccfc.ca/site/c.ajIRK4NLLhJ0E/b.6319851/k.BDBF/Home.htm
References:
Richman S, Schub T. Ulcerative colitis. EBSCO Nursing Reference Center website. Available at:
http://www.ebscohost.com/nursing/products/nursing-reference-center
Updated August 2012. Accessed September 30, 2014.
Ulcerative colitis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed
Updated September 19, 2014. Accessed September 30, 2014.
Wedlake L, Slack N, et al. Fiber in the treatment and maintenance of inflammatory bowel disease: a systematic review of randomized controlled trials. Inflamm Bowel Dis. 2014;20(3):576-586.
What is ulcerative colitis? Crohn’s & Colitis Foundation of America website. Available at: www.ccfa.org/what-are-crohns-and-colitis/what-is-ulcerative-colitis. Accessed September 30, 2014.
8/31/2015 DynaMed Systematic Literature Surveillance Update
http://www.ebscohost.com/dynamed:
Moayyedi P, Surette MG, et al. Fecal microbiota transplantation induces remission in patients with active ulcerative colitis in a randomized controlled trial. Gastroenterology. 2015 Jul;149(1):102-109.
Last Updated: 8/31/2015