Ulcerative Colitis (UC)
Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) that causes inflammation and ulcers (sores) to form on the inner lining of your large intestine (colon) and rectum. This inflammation leads to a variety of uncomfortable and disruptive symptoms. There is no cure for UC, but effective treatments can help manage symptoms and maintain periods of remission (absence of symptoms). At Digestive System Healthcare, our specialists understand the challenges of living with UC and are dedicated to providing comprehensive care to improve your quality of life.
What causes Ulcerative Colitis?
The exact cause of ulcerative colitis remains unknown. However, several factors are believed to play a role, including:
- Immune system dysfunction: In UC, the immune system mistakenly attacks the healthy tissues in your colon, causing inflammation and ulcers.
- Genetics: Having a close relative with UC increases your risk of developing the condition.
- Environmental factors: Certain factors like smoking or exposure to certain bacteria or viruses may contribute to UC development.


What are common symptoms of Ulcerative Colitis?
Symptoms of UC can vary depending on the severity of inflammation. Common symptoms include:
- Diarrhea, which may be bloody
- Urgent need to have a bowel movement (tenesmus)
- Abdominal pain and cramping
- Rectal bleeding
- Weight loss
- Fatigue
- Dehydration
How is Ulcerative Colitis diagnosed?
Diagnosing UC often involves a combination of tests, such as:
- Medical history and physical exam: Your doctor will discuss your symptoms and medical history to assess for risk factors. A physical exam may check for signs of dehydration or tenderness in your abdomen.
- Stool tests: These tests can rule out infections that might cause similar symptoms.
- Blood tests: Blood tests can assess for anemia or inflammation.
- Colonoscopy: This procedure allows your doctor to directly visualize the inside of your colon and rectum to look for ulcers and inflammation. Biopsy samples may also be taken during a colonoscopy for further analysis.
- Imaging tests: X-rays or CT scans may be used in some cases to rule out other conditions.


What are the treatment options for Ulcerative Colitis?
Treatment for UC focuses on managing symptoms, reducing inflammation, and preventing flares. Here’s a general overview of treatment options:
- Medications: Anti-inflammatory medications like aminosalicylates and corticosteroids are commonly used to reduce inflammation and control symptoms. Immunomodulators and biologics may be prescribed in some cases to suppress the immune system’s response.
- Dietary changes: While there is no specific UC diet, identifying and avoiding trigger foods that worsen symptoms can be helpful.
- Surgery: In severe cases that don’t respond well to medication, surgery to remove the colon (colectomy) may be considered.
Living with Ulcerative Colitis
Ulcerative colitis is a lifelong condition, but with proper management, many people can achieve long-term remission and live fulfilling lives. Here are some tips for managing UC:
- Work with your doctor: Developing a treatment plan that works for you and adhering to your doctor’s recommendations are crucial.
- Manage stress: Stress can worsen UC symptoms. Practicing relaxation techniques like yoga or meditation can be beneficial.
- Maintain a healthy lifestyle: Eating a balanced diet, getting regular exercise, and getting enough sleep are essential for overall health and well-being.
- Join a support group: Connecting with others who understand the challenges of UC can provide emotional support and encouragement.