Ulcerative colitis: Compare Costs for a treatment abroad
Ulcerative colitis is a disease that results in inflammation of colon and rectum. Ulcerative colitis usually may affect any section of the intestine but in most cases it damages rectum. Cause of ulcerative colitis is unknown, because it may develop even among those people, who have no genetic predisposition and who live in a good environment. There are, though, some theories proving that ulcerative colitis can happen due to the immune dysfunction due to presence of dangerous gut bacteria. It was also suggested that antibodies, which originate in the intestinal tissue, destroy whole immune system. Ulcerative colitis can develop as result of other diseases of colon and bowel.
Other causes that may provoke the development of this illness are:
- pancreatic infections
- infections of the gallbladder
- unhealthy diet
Ulcerative colitis usually has periods of seizures and remission. Approximately 45% cases of ulcerative colitis have secondary seizures after the treatment course.
Symptoms of ulcerative colitis
Clinically, there are two forms of severe ulcerative colitis: acute and chronic. Ulcerative colitis can be continuous and recurrent, depending on the stage and severity of the disease. If a patient has continuous ulcerative colitis, there are no periods of remission and the pain does not subside. In recurrent type of colitis there are periods of remission which may last several months.
Symptoms of acute ulcerative colitis include:
- Pain in the abdomen
- Fervor(temperature reaches 38-39 ° C)
- General weakness
- No appetite
- Pain in the groin and lower back
- Constipation alternating with diarrhea
Chronic ulcerative colitis has more severe symptoms, which includes bleeding of the intestinal wall.
Diagnosis of disease
The diagnosis of colitis begins with the blood test. Usually patients with ulcerative colitis have anemia and this is the reason why they in most cases go to the doctor`s. Doctor also checks for risk of thrombocytosis, high level of platelets in blood; presence of long-term diarrhea not caused by food poisoning.
After that the doctor asks if a patient has a long-term diarrhea which was not caused by some kind of food poisoning. Sometimes renal failure can be confused with symptoms of ulcerative colitis since these both conditions have similar manifestations. Liver functions needs to be checked for bile duct involvement.
The best ulcerative colitis diagnosis has always been and still is the endoscopic study of the colon. If endoscopic analysis is not enough, a doctor may conduct a biopsy by taking sample of colon tissue.
Ulcerative colitis treatment
Treatment of ulcerative colitis mainly aims to rapidly achieve long-term remission of colon and rectum. Basic treatment includes anti-inflammatory drugs, which can alleviate the symptoms and reduce the pain. Doctors can also prescribe special hormones that can support immune system, because, as it was mentioned before, ulcerative colitis lowers the person`s resistance to other harmful bacteria and viruses. If a patient has chronic ulcerative colitis and there`s a bleeding of intestinal walls, he needs transfusion of the red blood cells.
If there are any further complications, treatment of ulcerative colitis carried out by antibiotic therapy. This ulcerative colitis cure is especially beneficial for patients who are severely malnourished. Additionally they require intravenous administration of nutrient mixtures, so that they could normalize the digestion and gain some weight.
Sometimes ulcerative colitis medications can bring no long-term results. In that case the patient requires surgical treatment of the rectum and large intestines. During ulcerative colitis surgery the entire large intestine is removed. This kind of surgery is called colectomy, but it may be performed for only a limited number of patients, because it has many negative consequences. Nevertheless, it must be performed if there is a big suspicion that the patient starts to develop carnicoma. It must also be applied immediately if the person has a mega colon, which is an abnormal enlargement of the colon. Severe ulcerative colitis may results in other organs damage.
Most often it affects the colon. In rare cases when there is no really other choice surgeons perform the removal of the colon and of the big intestine. Colectomy is in most cases performed through the abdominal incision, when the doctor tries to immediately restore the bowel, because during this operation every second counts. It must be done right after the resection of the big intestine.
Another ulcerative colitis treatment is a strict diet which should be high-calorie and nutritious, because usually people with this disease lose lots of weight. Everyday meals must include large amounts of protein and vitamins. Patients should eat at least five or six times daily in small portions. In most cases patients with ulcerative colitis simply do not want to eat or they have no ability to do it, because their stomach rejects the food. In that case the food must be forced or the doctor applies some medications that can increase the appetite. Also patient with colitis needs to be outside as soon as possible and to lead an active lifestyle after their treatment so that there will be no other seizure in future. The diet for ulcerative colitis among other things excludes spices, sauces, fatty and fried foods. Raw fruits and vegetables are also forbidden because they can cause diarrhea. dairy products are recommended to eat on a daily basis because of the big amount of calcium and because they are good for the large intestine.
The diet is based on the consumption of following products:
- meat (chicken, turkey, rabbit)
- soups on low-fat broth
As for the drinks black coffee, strong tea, soda and cola are forbidden. Green tea is usually allowed. All food should be either boiled or baked.
If there was no appropriate treatment of colitis, a patient may have the following complications:
- Heavy bleeding
- Disorder of the colon
- Blood poisoning
- Excessive increase in the size of the colon
- Stagnation of the intestines
- The risk of developing colon cancer
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