Treatment Of Kidney Infection
Most kidney infections need prompt treatment with antibiotics to stop the infection damaging the kidneys or spreading to the bloodstream.
You may also need painkillers.
If youre especially vulnerable to the effects of an infection , you may be admitted to hospital and treated with antibiotics through a drip.
Most people who are diagnosed and treated promptly with antibiotics feel completely better after about 2 weeks.
People who are older or have underlying conditions may take longer to recover.
What Is Ulcerative Proctitis
Of the people who have UC, about 25% to 55% have ulcerative proctitis when they are diagnosed. Your doctor diagnoses ulcerative proctitis based on where in the colon UC is present. When the disease is located in the last 15 centimeters of the colon , it’s termed ulcerative proctitis. If you have UP, you may experience:
An urgency in your bowel movements
Ulcerative proctitis presents with symptoms such as rectal bleeding and pain, a persistent feeling that you need to have a bowel movement, says Elena Ivanina, M.D., and director of neuro-integrative gastroenterology at Lenox Hill Hospital in New York City. That, or your rectum feels full and your bowel movements have changed, most often to diarrhea.
It Can Affect You Mentally Too
Beyond the physical symptoms, UC might also impact your mental health.
Fighting a war with your own body can take a mental toll.
- Around 35% of people with UC or Crohn’s disease experience symptoms of anxiety.
Note: A UC flare on its own typically doesn’t lead to a new mental health condition like depression or anxiety, says Dr. Max Pitman, gastroenterologist at Salvo Health. But UC might worsen your existing anxiety or mood-based issues through the gut-brain connection.
But, I had to learn how to give myself a break. I’m not lazy: I’m just tired. I have a chronic illness that impacts my gut. And my gut may affect my brain, in turn: One review found that people with IBD have higher rates of anxiety when the disease is active versus in remission, suggesting an upset gut may play a part in mental distress.
If you’re having trouble managing your mental health, treatments like cognitive behavioral therapy could help.
Pitman recommends a form of CBT called gut-directed cognitive behavioral therapy, which helps you learn coping methods for your thoughts and emotions when you have a GI illness. Some research even suggests that gut-based CBT might improve digestive tract symptoms.
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How To Stay Healthy
Keep up with treatment even when youre in remission. That means you need to take your medicine even if you feel good. See your doctor at least once a year so they can see how things are going. And like everyone else, its important to stay active and follow a healthy diet.
Get regular screenings for colon cancer. Your doctor will let you know how often you should get checked. You may need a colonoscopy every 1-3 years. Thats a procedure that helps your doctor look for cancer or cells that might become dangerous. Your chances of recovery go way up when you find and treat colon cancer early.
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Occult Colorectal Cancer In Ulcerative Colitis
Occult cancer is defined as a clinically inapparent malignancy which is incidentally discovered while the patient is examined for other reasons . The setting in which occult CRC is most likely detected in UC patients is surveillance colonoscopy with random biopsies. CRCs diagnosed during surveillance endoscopy have also been termed as interval CRCs . High-grade dysplasia confirmed by a reference pathologist or CRC diagnosed in an asymptomatic patient are absolute indications for elective oncologic resection.
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What Are Possible Complications Of Ulcerative Colitis
Ulcerative colitis is a long-term condition. It can lead to problems over time, including:
- Loss of appetite, leading to weight loss
- Hole or tear in the colon
- Colon infection
- Eating more frequent, smaller meals
- Keeping a food diary that identifies foods that cause symptoms
Nutritional supplements and vitamins may be advised if nutrients arent being absorbed. If you use complementary or alternative therapies, including dietary supplements and probiotics, tell your healthcare provider. This is important for ensuring safe care.
Ulcerative colitis requires long-term management. It can cause great physical, financial, and emotional stress to both the person and their family. If you or your family members are having trouble coping with this disease, ask your provider for resources. These can include mental health counselors or local and online support groups.
In some cases, your provider may ask you to avoid taking NSAIDs, pain medicines such as ibuprofen, naproxen, or similar. This is because these medicines can cause the ulcerative colitis to flare in some people.
Q: Does Having Inflammatory Bowel Disease Affect My Risk For Developing Colon Cancer
A: Yes. If you go back 20 years, the thinking was that just ulcerative colitis was associated with increased risk of colon cancer. But weve found more recently that inflammatory bowel disease does have a higher risk than the general population.
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There are two things we think about here when it comes to risk. The first one is the length of time that someone has had IBD. The second is the degree to which the bowel is affected. So patients that have had it longer and have more of their colon affected are at a higher risk and thats for both patients with Crohns and ulcerative colitis.
In people without inflammatory bowel disease, the pathway to cancer is pretty clear-cut, where you get a polyp, the polyp becomes dysplastic, and then ultimately you get cancer. But the IBD pathway can be different. So not only is it important that we control these patients inflammation, but also that we follow up with them at more frequent intervals to make sure they dont have cancer.
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How Does Ulcerative Colitis Increase The Risk Of Colorectal Cancer
If you have ulcerative colitis, your risk of developing colon cancer is higher if you have the following conditions:
- An ulcerative colitis diagnosis at a young age
- Had ulcerative colitis for more than eight years
- Ulcerative colitis that affects most of your colon
- Uncontrolled inflammation
- Damage to your liver’s bile duct from inflammation or scarring
- Family history of ulcerative colitis
Taking Care Of Yourself
Its natural that living with ulcerative colitis can make you feel stressed at times. Stress can sometimes trigger flare-ups so you may find it helpful to try some relaxation techniques. These may include deep breathing, meditation, yoga and mindfulness.
Regular exercise can also help to give you a boost and make you feel better. It can also improve your general health and help to keep your bones and muscles strong. This is important because some medicines for ulcerative colitis may affect your bone health.
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Is Ulcerative Colitis Curable
Ulcerative colitis can differ from person to person, but its usually a lifelong condition. Symptoms come and go over time.
Youll have flare-ups of symptoms, followed by symptom-free periods called remissions. Some people go years without any symptoms. Others experience flare-ups more often.
Overall, about half of people with ulcerative colitis will have relapses, even if theyre being treated.
Youll have the best outlook if the inflammation is only in a small area of your colon. Ulcerative colitis that spreads can be more severe and harder to treat.
The one way to cure ulcerative colitis is with surgery to remove your colon and rectum. This is called proctocolectomy. Once your colon and rectum are removed, youll also be at lower risk for complications like colon cancer.
You can improve your own outlook by taking good care of your ulcerative colitis and getting regular checkups to look for complications. Once youve had ulcerative colitis for about eight years, youll also need to start having regular colonoscopies for colon cancer surveillance.
It can be helpful to talk to others who understand what youre going through. IBD Healthline is a free app that connects you with others living with ulcerative colitis through one-on-one messaging and live group chats, while also providing access to expert-approved information on managing the condition. Download the app for iPhone or Android.
The Risk Of Colorectal Cancer In Crohns Disease And Ulcerative Colitis Patients
Patients with ulcerative colitis and Crohns disease involving the colon need to be especially vigilant about screenings for colorectal cancer. These patients are at higher risk for developing colorectal cancer than the general population.
Inflammation of the colon can cause continuous turnover of cells in the intestinal lining, which increases the chance of irregularities that may lead to cancer. Though the vast majority of patients with Crohns disease and ulcerative colitis will never develop colorectal cancer, it is important to discuss the risk with your doctor. Colorectal cancer is a highly treatable disease when its found early.
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How Can I Reduce My Cancer Risks
Healthy lifestyle choices are especially helpful in preventing both ulcerative colitis and colon cancer and help detect it early. Some of the most important choices you can make include:
- Eat a healthy diet with less red meat and processed meats, sugar, fat, soft drinks, and other processed foods. Increase fish, chicken, and protein options like cheese, cottage cheese, nuts, and beans, as well as vegetables, fruits, and whole grains. Frying, broiling, or grilling meats at high temperatures increases cancer risk.
- Maintain a healthy weight.
- Stay physically active 30 minutes to an hour of activity on most days.
- Limit or stop drinking alcohol.
- Try to drink 100 ounces of water per day to keep your body cleansed.
- Have regular colorectal cancer screenings.
When To Get Treatment
An increase in inflammation causes a flare, and the nature of inflammation means that you should treat it as quickly as you can. Inflammation grows exponentially, because inflammation itself causes an increase in inflammation. The longer you leave it untreated, the worse it will get. In addition, untreated inflammation not only leads to the symptoms associated with ulcerative colitis, it can also increase your risk of developing complications such as colorectal cancer down the line. Pay attention to your symptoms, and visit your physician if you notice that they change or increase even a small amount.
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Does Ulcerative Colitis Affect Your Cancer Risk
Having ulcerative colitis doesnt mean you will get colorectal cancer, but it does increase your risk.
Ulcerative colitis is a chronic inflammatory bowel disease that affects the lining of the rectum and colon. It can be limited to the rectum or extend throughout the colon. Ulcerative colitis that affects the entire colon is called pancolitis.
The most common symptoms of ulcerative colitis are diarrhea and blood in your stool. Some patients may have abdominal pain. In severe cases, it can cause fever. Experts arent sure what causes the disease.
How does ulcerative colitis affect cancer risk?
If you have ulcerative colitis, your immune system recognizes the lining of your colon as a foreign body and attacks it. Over time, this damages the colon. As your body tries to repair the damage, the inflammation and constant cell replacement can result in a mutation that leads to cancer.
The more extensive your colitis and the longer you have it, the greater your risk of colorectal cancer. Males are at higher risk. And if you have both primary sclerosing cholangitis, which is inflammation of the bile duct, that puts you at even greater risk for colorectal cancer.
What should I do to reduce my cancer risk if I have ulcerative colitis?
Surgery is a cure. Because your colon is gone, the disease is gone, too.
What should cancer patients with ulcerative colitis know?
What To Expect During A Colonoscopy
About 24 hours before a colonoscopy, you will be asked to clear your bowels with laxatives, enemas, or an all-liquid diet. Be sure to follow the fasting instructions given to you by your healthcare provider.
On the day of the procedure, you will be asked to change into a hospital gown and given a sedative and pain medication, either orally by pill or intravenously . In most cases, you will be awake during the procedure.
Once sedated, your doctor will ask you to lie on your left side, insert the colonoscope through the rectum and use the tool to take pictures. They will also remove any polyps and tissue samples.
The procedure usually takes about 30 minutes, and then you will moved to a recovery room to allow the sedative to wear off. Typically, you will be able to go home the same day.
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When Ulcerative Colitis Symptoms Get Worse
If youve been battling ulcerative colitis for some time, you understand the need to break free from symptoms. Perhaps past treatments havent worked. Or maybe youve achieved remission, only to have your condition flare again. If youre facing increasing symptoms of UC, take heart. There are innovative therapy options that can help you gain control.
If your UC symptoms progress beyond the mild stage, your doctor will change your treatment plan. People with moderate UC usually have four to six stools a day with rectal bleeding. Those with severe colitis usually have more than six stools a day with bleeding. They also experience other symptoms like fever, anemia, and increased heart rate.
Many people are successfully treated with 5-aminosalicyclic acids . However, its common to require more aggressive therapy at moderate and severe stages of the disease, when higher dosages of these medications fail to provide relief. Although every treatment plan is different, your doctor may consider the following options for treatment when 5-ASAs no longer work.
How Can I Find Support After An Ulcerative Colitis Diagnosis
When taking care of your physical well-being, dont forget that ulcerative colitis can take a toll on your emotional and mental well-being too. If it turns out your symptoms are ulcerative colitis, you can find a support group, or ask your doctor if they can connect you with a therapist or G.I. psychologist. Dr. Riehl, for example, works with patients on aspects of body image and even connects them with other patients who have experienced colectomy or ostomy . We talk openly about the impact that it can have on them from an intimacy perspective to how it impacts their self-identity, she says.
Since ulcerative colitis often starts at an age when people are thinking about their first job or starting a family, it can be particularly tough. One of the reasons that I and several of my colleagues went into this field is precisely because of thatso that we can hopefully make a difference in peoples lives early, and have them be able to lead productive and complete lives by putting their disease in remission, Dr. Sinha says.
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Questions For Your Doctor
Could any condition other than my disease be causing my symptoms?What tests do I need to take to get to the root of my symptoms?How often should I get these tests done? Should it be during the time of a flare-up or on a routine basis?What parts of my digestive system are affected?How will we know if my medication needs to be adjusted?When should I expect to see results?What are the potential side effects of the medication? What should I do if I notice them?What should I do if the symptoms return?If I cannot see my doctor right away, are there any over-the-counter medication options that can assist with my prescribed medication? If so, which ones?What symptoms are considered an emergency?How will I know if I need a different medication?
Should I change my diet or take nutritional supplements? If so, can my doctor recom- mend a dietitian or any specific nutritional supplements?Do I need to make any other lifestyle changes?When should I come back for a follow-up appointment?
How Are Gallstones Disease Treated
If the gallstones are not causing symptoms, you may not need treatment.3 Your health care provider may just want to follow-up with you periodically.
When treatment is necessary, the usual treatment is surgery to remove the gallbladder.2 This procedure is called cholecystectomy. Your gallbladder is not an essential organ, so you can live normally without it. The surgery can be done as a minimally invasive procedure or an open procedure. Both procedures have the same complication rates. You may be able to go home sooner and recover more quickly after the minimally invasive approach.3
If you cannot have surgery, other treatments include:2,3
- Dissolving the gallstones with medicine .
- Shock wave therapy to crush the gallstone .
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Strategies To Reduce Your Risk Of Colorectal Cancer
Having regular colonoscopies is one of the most important preventive measures people with ulcerative colitis can take to reduce the risk of colorectal cancer.
There are also other steps people with UC can take to minimize risk, including avoiding smoking, limiting alcohol intake, maintaining a healthy weight, and exercising regularly.
Other tactics that have been shown to reduce the risk of colorectal cancer include the following: