Ulcerative colitis is a disease that causes inflammation and sores, called ulcers, in the lining of the rectum and colon. Ulcers form where inflammation has killed the cells that usually line the colon, then bleed and produce pus. Inflammation in the colon also causes the colon to empty frequently, causing diarrhea.
Colitis usually begins in the lower part of the colon and spreads upwards. The first symptom of the trouble is an increased urgency to move the bowel, followed by cramping pains in the abdomen and, sometimes, bloody mucus in the stools. As the disease spreads upward, the stools become watery and more frequent and are characterised by rectal straining. The loss of blood and fluid from the bowels results in weakness, fever, nausea, vomiting, loss of appetite, and anaemia.
Mesalamine (Asacol, Rowasa) and olsalazine (Dipentum). These medications tend to have fewer side effects than sulfasalazine has. You take them in tablet form or use them rectally in the form of enemas or suppositories, depending on the area of your colon affected by ulcerative colitis. Mesalamine enemas can relieve signs and symptoms in more than 80 percent of people with ulcerative colitis in the lower left side of their colon and rectum. Olsalazine may cause or worsen existing diarrhea in some people.
The primary goal of treating ulcerative colitis is to reduce the inflammation that triggers symptoms. In many cases, medication can control symptoms, but surgery may be required when medical therapy fails or if signs of colon cancer develop. Ulcerative colitis can be cured by removal of the entire colon. Treatment depends on the location and severity of the disease, the presence of complications and the patient's response to medications.
Cholestyramine (Questran), an agent that binds bile salts, helps to manage diarrhea associated with Crohn disease, particularly in people who have had part of their small intestine removed. Bentyl may relieve intestinal spasms.
Doctors will usually try to put you on a low-fiber diet. The exact opposite is required to cure yourself of colitis. Doctors will try to keep your colitis going so that they can continue to keep you on the drugs and steroids, and possibly end up hospitalizing you, or killing you, which makes a killing for them. Steroids may decrease inflammation, but they also decrease your ability to fight infections and can possibly take such a toll on your immune system that you become dangerously ill or even die.
Balanced diet is a must to keep your body fit and healthy. Patient suffering from colitis should take food rich in green leafy vegetables like cabbage, carrot, etc. There diet should also include fruits like papaya, apple, and banana. However, citrus fruits like orange should be strictly avoided. Patients are kept juice diet, in which they can only take freshly prepared juice 3-4 times a day. This continues for 8-9 days, after that they can be given balanced diet, including whole wheat grain, etc. Junk foods, sweets, chocolates, hard and soft drink should be strictly avoided.
After the juice fast, ,the patient should gradually adopt a diet of small, frequent meals of soft cooked or steamed vegetables, rice, and well-ripened fruits like banana, papaya, yoghurt and home-made cottage cheese. Sprouted seeds and grains, whole wheat bread and raw vegetables may be added gradually to this diet after about 10 days. Tender coconut water is highly beneficial as it is soothing to the soft mucosa of the colon. Cooked apple also aids the healing of ulcerative conditions because of its ample concentration of iron and phosphorus. All foods must be eaten slowly and chewed thoroughly.
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