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Ulcerative Colitis: what, why and how. Constipation. Causes, symptoms, treatment, cure, prevention. FHLibrary

Below you will find common symptoms of ulcerative colitis: Some people who have ulcerative colitis may have more symptoms (sometimes called extra intestinal) as they involve other organs and areas of the body. There are the following symptoms: eye pain and redness, joint pains, mouth ulcer, skin rash or other changes. In some cases you should immediately seek medical care. There are serious symptoms which are evidence of a life-threatening condition. They are the following: inability to pass gas or stool, severe abdominal pain, vomiting or vomiting blood.

How to make Diagnosis of Ulcerative Colitis? The symptoms just give an approximate preliminary diagnosis as the same symptoms can indicate different diseases. The final diagnosis can be made only on the basis of common symptoms, endoscopic findings, histologic features and stool studies for infectious agents. Below the necessary tests will be described.

The correct diagnosis is very important for the doctor to choose the right treatment so all the factors should be taken into consideration.

How is ulcerative colitis treated? Nowadays there is no cure for ulcerative colitis. All treatments known at the moment are aimed to ease the symptoms. Usually patients with ulcerative colitis experience the following periods: relapse (worsening of inflammation), remission that can last for months or years. Medications and surgery are used to manage the symptoms of ulcerative colitis. Medications have different purposes: to cause remissions, sustain remissions, make side effects of treatment minimal, improve the quality of life, and minimize risk of cancer. These medications are known as anti-inflammatory agents such as:

If these medications have failed to achieve the necessary effect then immunomodulators are given to the patients. They are used to suppress the immune system. Immunomodulators help to decrease the cells responsible for immunity and interfere with important in promoting inflammation proteins. Immunomodulators are becoming more important in cases when patient have no adequate response to anti-inflammatory agents. The examples of immunomodulators are the following: 6-mercaptopurine, azathioprine (Imuran), methotrexate (Rheumatrex,), cyclosporine (Neoral). Methotrexate is an immunomodulator. It is a drug that is created to weaken the immune system intentionally which is necessary for ulcerative colitis patients. The body and immune system react to ulcers as to an invader so the immune system is constantly activated as ulcerative colitis is a chronic disease. Methotrexate helps to relax the immune system and ease the symptoms. Methotrexate can be recommended in case you have ulcerative colitis in conjunction with Chron’s disease. It can be effective for patients who show no improvements after other forms of treatment. One of great advantages is that it can be taken orally or via injection. Surgery can be performed in more advanced cases of ulcerative colitis. Sometimes it can be used in cases when the symptoms can be hardly controlled by medication. In most cases colon removal is required as the damage is considerable or there is a cancer threat. There are some complementary treatments that can have a positive effect in conjunction with medical treatment. These methods are sometimes called alternative and they are: acupuncture, massage therapy, yoga. It is important to remember that they cannot replace medical care. Moreover, medical professionals should always monitor the patient’s condition as it allows evaluating the effect certain medications have and check whether any changes take place.

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Last Modified: 10/24/11

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