Ulcerative Colitis

Ulcerative Colitis: Nutritional Therapy

The inadequate nutritional status frequently encountered in colitis patients, which is characterized by underweight, negative nitrogen balance, decreased serum albumin, reduced serum concentration of vital substances (micronutrients), has an extremely negative impact on the patients’ well-being as well as on the course of the disease. In children, malnutrition delays length growth and puberty. Consequently, nutritional … Ulcerative Colitis: Nutritional Therapy

Ulcerative Colitis: Complications

The following are the most important diseases or complications that may be contributed to by ulcerative colitis: Blood, blood-forming organs – Immune system (D50-D90). Anemia (anemia due to iron deficiency/iron deficiency anemia and/or B12 deficiency; most common manifestation); prevalence (disease incidence): 45%. Cardiovascular system (I00-I99). Thrombosis (deep vein thrombosis/TVT and pulmonary embolism). Liver, gallbladder, and … Ulcerative Colitis: Complications

Ulcerative Colitis: Classification

Montreal classification in terms of extent in ulcerative colitis (CU). E1: Ulcerative proctitis (rectal inflammation). Involvement is limited to the rectum (rectum) E 2: Left-sided ulcerative colitis (inflammation of the colon; distal CU). Involvement of the rectum and left colon (large intestine; extending to the left colonic flexure). E3: Extensive ulcerative colitis (pancolitis). Involvement beyond … Ulcerative Colitis: Classification

Ulcerative Colitis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin and mucous membranes [erythema nodosum (nodular erythema), localization: Both extensor sides of the lower leg, on the knee and ankle joints; less commonly on the … Ulcerative Colitis: Examination

Ulcerative Colitis: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count [leukocytosis (increase in leukocytes/white blood cells), thrombocytosis (increase in platelets/platelets)] ESR (erythrocyte sedimentation rate) or CRP (C-reactive protein) ↑ Calprotectin (fecal inflammation parameter; activity parameter; stool sample) – for initial diagnosis and progression of inflammatory bowel disease (IBD), the stool parameter is superior to … Ulcerative Colitis: Test and Diagnosis

Ulcerative Colitis: Drug Therapy

Therapy goals Remission induction (achieving disease calming in the acute relapse) and maintenance. Mucosal healing should be aimed for. Therapy recommendations Therapy recommendation depending on phase (see above) and intensity: Remission induction: Acute relapse: Mild relapse: mesalazine/5-ASA (anti-inflammatory, i.e., anti-inflammatory bowel therapeutic), oral; in distal colitis (to left flexure/bend of bowel on left side; left-sided … Ulcerative Colitis: Drug Therapy

Ulcerative Colitis: Diagnostic Tests

Obligatory medical device diagnostics. Sonography (ultrasonography) – as a basic diagnostic tool when chronic inflammatory bowel disease is suspected; if necessary, additional hydrocolon sonography (sonography of the colon (intestine) under retrograde fluid installation: in ulcerative colitis, the intestinal wall is only slightly thickened and the five-layer wall structure is preserved; in M. Crohn’s, however, the … Ulcerative Colitis: Diagnostic Tests

Ulcerative Colitis: Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (macro- and micronutrients) are used for supportive therapy of ulcerative colitis: Omega-6 fatty acid gamma-linolenic acid Probiotics Dietary fiber [3 Ulcerative colitis may further be associated with the risk of deficiency of the following vital nutrients (micronutrients): Vitamins B2, B3, B5, B6 and … Ulcerative Colitis: Micronutrient Therapy

Ulcerative Colitis: Surgical Therapy

If drug therapy measures are not sufficient, a proctocolectomy may be necessary. This means that the entire colon (large intestine) is removed and part of the small intestine is converted to the rectum. The small intestine is then connected to the sphincter ani (anal sphincter), which allows normal defecation (defecation). Since ulcerative colitis affects the … Ulcerative Colitis: Surgical Therapy

Ulcerative Colitis: Prevention

To prevent ulcerative colitis, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Dietary factors and dietary components, especially low consumption of complex carbohydrates and dietary fiber, respectively. Nutritive allergens, especially the proteins of cow’s milk are essential – people who were not breastfed as infants and fed on cow’s milk … Ulcerative Colitis: Prevention

Ulcerative Colitis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate ulcerative colitis: Bloody-mucopurulent diarrhea (diarrhea; up to 20 times per day) – most important leading symptom (90%). Abdominal pain (abdominal pain/abdominal pain) (60% / 80%). Tenesmus – painful bowel movements (> 70%). Increased stool frequency – up to 30 bowel movements per day. Feeling of incomplete defecation Intestinal … Ulcerative Colitis: Symptoms, Complaints, Signs

Ulcerative Colitis: Causes

Pathogenesis (disease development) It is thought to have a multifactorial genesis. Studies of colitis patients showed that a Western-oriented diet – low in complex carbohydrates as well as dietary fiber – resulted in a significantly higher risk of disease compared with the traditional Japanese diet. To date, however, there is no scientifically proven diet that … Ulcerative Colitis: Causes