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Methods Of Ulcerative Colitis Treatment

By: Jerry Buza

Ulcerative colitis treatment is needed by people with this autoimmune disorder wherein the body attacks itself and causes chronic inflammation of the lower part of the intestine, the colon. It is usually diagnosed in people in their teens and twenties, but older and younger people sometimes get it too. For some unknown reason, it is more common in women than men.

Ulcerative colitis symptoms include cramps and abdominal pain, diarrhea and rectal bleeding. Besides being unpleasant and painful, these symptoms can cause weight loss and dehydration before a diagnosis is made. Most sufferers only get a diagnosis of ulcerative colitis after being treated unsuccessfully for other ailments.

Management of the symptoms is the goal of ulcerative colitis treatment, because there is no known cure for it, yet. Ongoing bouts of relapse and remission are common in sufferers, and while they are usually brought about by medications, sometimes they occur spontaneously. Surgical treatments are performed occasionally, but are considered last resorts.

The two major classes of drugs used in treating ulcerative colitis are anti-inflammatories and immunosuppressants. Anti-inflammatories aim to reduce the inflammation caused by the hyperactivity of the immune system, and immunosuppressants aim to decrease the overall activity of the immune response. Both sets of drugs, but especially immunosuppressants, come with long lists of side effects.

While creams and enemas are available for use in patients who only have disease symptoms in the lower colon, that method of delivery is ineffectual in treating the upper parts of the colon. Oral treatments are often completely absorbed by the time they reach the affected part of the intestine, so in the past it has been difficult to treat with them. New developments in time-release mechanisms for drugs have made them more effective when taken by mouth, though.

A while ago, doctors noticed that people who smoked were less likely to be diagnosed with ulcerative colitis than people who didn't. Nicotine (in a non-cigarette form) was provided to a few patients, and found to be effective in treating some of them.

Ulcerative colitis treatment can include surgery for those who are suffering long-term with little relief from drugs. But the surgeries can produce permanent problems themselves, and are potentially dangerous, so they are retained for use only in people who have tried everything else without success.

The surgical treatment of choice is the complete removal of the colon and rectum. Because this eliminates the normal path of waste disposal, patients must wear an ileostomy bag, which collects the stool that leaves the body through an opening fashioned in the abdomen by the surgeon. Newer techniques that leave patients able to defecate normally are being pioneered, but are not yet the standard.

Ulcerative colitis is a difficult disease for sufferers to deal with. It is not generally well known, and the symptoms can be embarrassing and hard to talk about. The disease is chronic, meaning that people who are diagnosed with it must learn to live with the fact that they will likely be dealing with it their whole lives. Ulcerative colitis treatment aims to make those lives more comfortable, but it can be a problematic disease to treat, as well.

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