Abdominal pain, beware of ulcerative colitis

       Ulcerative colitis (UC), referred to as ulcerative colitis, has been listed as one of the modern refractory diseases by the World People's Health Service Organization (WHO), known as "green cancer", because it can be cured with great difficulty and can not be cured. Its incidence is increasing year by year and tends to become cancerous.

　　1. What is ulcerative colitis?

　　Ulcerative colitis (UC) is a chronic non-specific inflammatory disease of rectum and colon, and its etiology is still unclear.

　　The lesions are mainly confined to the mucosa and submucosa of the large intestine, involving the distal end of the colon, and may develop to the proximal end, or even the entire colon. Symptoms progress slowly rather than suddenly over time.

　　2、 What are the main symptoms of ulcerative colitis?

　　1. Persistent or repeated diarrhea, mucus, pus, blood and stool

　　2. Abdominal pain

　　3. Urgent inner weight

　　4. Systemic symptoms of different degrees (fatigue, weight loss, fever, etc.)

　　5. May have skin, mucous membrane, joint, eye, liver and gallbladder and other extraneous manifestations

　　6. Children stop growing. The symptoms of most patients with ulcerative colitis vary from mild to moderate. The course of disease varies from person to person. Some patients can be relieved slowly

　　3、 When do I need to see a doctor?

　　If the stool habit continues to change, or there are the following main symptoms or signs, you need to see a doctor:

　　1. Abdominal pain;

　　2. Blood in stool;

　　3. Persistent diarrhea with ineffective treatment by over-the-counter drugs;

　　4. Diarrhea that causes people to wake up from sleep

　　5. Although most ulcerative colitis is not fatal, some people may have fatal complications, such as gastrointestinal bleeding, perforation, canceration, etc.

　　How to monitor ulcerative colitis?

　　All patients with ulcerative colitis for 8 to 10 years should undergo colonoscopy to determine the extent of the current lesion.

　　If it is classified as Montreal type E3. colonoscopy should be performed every other year and once a year after 20 years; In case of E2 type, colonoscopy should be performed every other year since the onset of 15 years; In case of E1 type, colonoscopy should not be monitored.

　　In the case of primary sclerosing cholangitis, colonoscopy is performed annually after the diagnosis is confirmed.

　　5、 How to control diet?

　　Low intake of animal fat, low intake of processed food, and high intake of vegetables and fruits may be helpful to alleviate disease symptoms;

　　Advocate individualized diet plan and establish diet log. If you have symptoms after eating certain foods, you can try again to confirm that intolerance will be ruled out. Food that can be tolerated during disease remission may be intolerant during activities;

　　For patients with acute active disease or intestinal stenosis, they should try to eat less, eat more digestible low residue meals, and reduce the intake of dietary fiber, especially insoluble dietary fiber;

　　Patients in active phase should be induced to remission as soon as possible to prevent the progress of intestinal diseases. The diet should be more strictly restricted. Total enteral nutrition can be considered.

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