Ulcerative colitis

Introduction 

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Claire, 26, was diagnosed with ulcerative colitis, an inflammatory bowel disease, at the age of 18. She describes how the condition was diagnosed, treatment options available and how she manages the condition today

Ulcerative colitis is a long-term (chronic) condition affecting the colon. The colon, also known as the large intestine, removes nutrients from undigested food and expels waste products through the rectum and anus when you pass stools (faeces).

Conditions that cause inflammation of the intestines, such as ulcerative colitis or Crohn's disease, are known as inflammatory bowel disease (IBD). IBD should not be confused with irritable bowel syndrome (IBS), which is a different condition and requires different treatment.

Ulcerative colitis causes the colon to become inflamed and in severe cases, ulcers (painful sores) may form on the lining of the colon. These ulcers can bleed and produce mucus and pus.

Symptoms of ulcerative colitis include bloody diarrhoea, abdominal pain, a frequent need to go to the toilet and weight loss. Symptoms can vary from mild to severe. For some people the condition is a minor inconvenience, while for others it can seriously affect their quality of life.

Ulcerative colitis is an unpredictable condition. Symptoms can flare up and then go into remission for months or even years.

The causes for the condition are unknown, though research suggests that both environmental and genetic factors are involved.

Around 100,000 people in the UK have ulcerative colitis. The condition normally appears between the ages of 15-30. The condition is more common in people of European descent, especially those people descended from Ashkenazi Jewish communities (Jews who lived in Eastern Europe and Russia). The reasons for this are unclear.

There is no current cure for ulcerative colitis though there are a number of successful treatments that can relieve and prevent symptoms. These treatments can successfully control the symptoms of ulcerative colitis in 70% of all cases.

In the remainder of cases, surgery may be required to remove the colon.

Severe forms of the condition can be serious and cause life-threatening complications. However, due to advancements in the treatment of the condition, death from ulcerative colitis is extremely rare.


  • show glossary terms
Chronic
Chronic usually means a condition that continues for a long time or keeps coming back.
Anus
The anus is the opening at the end of the digestive system where solid waste leaves the body.
Stools
Stool (also known as faeces) is the solid waste matter that is passed from the body as a bowel movement.
Inflammation
Inflammation is the body's response to infection, irritation or injury, which causes redness, swelling, pain and sometimes a feeling of heat in the affected area.
Disease
A disease is an illness or condition that interferes with normal body functions.
Ulcers
An ulcer is a sore break in the skin, or on the inside lining of the body.
Pain
Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.
Remission
Remission is when the symptoms of a condition are reduced (partial remission) or go away completely (complete remission).
Genetic
Genetic is a term that refers to genes- the characteristics inherited from a family member.

Last reviewed: 31/12/2007

Next review due: 30/12/2009

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