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Living with Ulcerative Colitis: Diagnosis, Treatment and Remission

Living with Ulcerative Colitis: Diagnosis, Treatment and Remission

Ulcerative colitis is a chronic digestive condition that causes ongoing inflammation in the large intestine, leading to discomfort, fatigue, and disruption of daily life. As a long-term form of inflammatory bowel disease, it can affect physical health as well as emotional well-being if left unmanaged.

In this blog, we explain what is ulcerative colitis, its nature, and why medical attention matters.

Exploring Ulcerative Colitis

Ulcerative colitis is a chronic inflammatory condition that affects the inner lining of the large intestine and rectum. It causes continuous inflammation and ulcers in the colon, leading to symptoms such as diarrhoea, bleeding, and abdominal discomfort. Unlike temporary digestive issues, this condition follows a relapsing and remitting course, meaning symptoms may flare up and subside over time.

While the exact cause is not fully understood, it is believed to result from an abnormal immune response that mistakenly attacks healthy intestinal tissue. This immune dysfunction, combined with genetic and environmental factors, leads to chronic inflammation and long-term digestive distress. Ulcerative colitis can affect individuals of all ages, though it is commonly diagnosed in young adults and middle-aged people.

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Ulcerative Colitis Symptoms

The severity and frequency of ulcerative colitis symptoms can vary from person to person. Some individuals experience mild discomfort, while others may face frequent flare-ups that interfere with daily activities. Symptoms often develop gradually but may worsen over time if left untreated.

Commonly reported ulcerative colitis symptoms include:

  • Persistent diarrhoea, often with blood or mucus
  • Abdominal pain and cramping
  • Urgency to pass stools and difficulty controlling bowel movements
  • Fatigue, weakness, and unintended weight loss
  • Reduced appetite and dehydration

In some cases, inflammation may also affect areas outside the digestive tract, leading to joint pain, skin irritation, or eye discomfort.

Causes of Ulcerative Colitis and Risk Factors

The exact causes of ulcerative colitis are not fully understood, but the condition is believed to result from an abnormal immune response. Instead of protecting the body, the immune system mistakenly attacks the colon’s lining, triggering ongoing inflammation.

Several factors may increase the risk of developing the condition:

  • Genetic predisposition or family history of inflammatory bowel disease
  • Immune system imbalance
  • Environmental triggers such as infections
  • Lifestyle factors, including high stress levels

Although stress does not directly cause the condition, it can worsen symptoms and trigger flare-ups.

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Diagnosis of Ulcerative Colitis

Accurate diagnosis is essential to confirm the condition, assess severity, and rule out other digestive disorders. Doctors evaluate symptoms, medical history, and test results before confirming a diagnosis of ulcerative colitis and planning treatment.

Ulcerative colitis is commonly diagnosed using:

  • Blood tests to check for inflammation, anaemia, and infection
  • Stool tests to rule out bacterial or parasitic causes
  • Colonoscopy or sigmoidoscopy to examine the colon lining
  • Biopsy of colon tissue to confirm the ulcerative colitis definition

Consulting an experienced gastroenterologist in Delhi NCR ensures timely diagnosis and appropriate treatment planning, reducing the risk of disease progression and complications.

Ulcerative Colitis Treatment Options

The goal of ulcerative colitis treatment is to reduce inflammation, relieve symptoms, and achieve long-term remission. Treatment plans are personalised based on disease severity, response to medication, and overall health.

Common ulcerative colitis treatment approaches include:

  • Anti-inflammatory medications to control bowel inflammation
  • Immunosuppressive drugs to regulate the immune response
  • Biologic therapies for moderate to severe cases
  • Hospital-based care during severe flare-ups

Advanced treatment facilities at the best gastroenterology hospital in India provide specialised care, modern therapies, and long-term disease management under expert supervision.

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Ulcerative Colitis Diet and Lifestyle Management

Diet and daily habits play an essential role in managing symptoms and supporting medical treatment. While there is no single diet that works for everyone, an appropriate ulcerative colitis diet can help reduce flare-ups and improve digestive comfort.

Dietary and lifestyle considerations include:

  • Avoiding spicy, fatty, and high-fibre foods during active symptoms
  • Limiting caffeine, alcohol, and processed foods
  • Eating smaller, more frequent meals
  • Staying well hydrated to prevent dehydration
  • Managing stress through relaxation techniques and regular sleep

A personalised ulcerative colitis diet plan, guided by a specialist, helps patients maintain nutrition while minimising symptom triggers.

Ulcerative Colitis Remission

Remission is a phase in which symptoms are minimal or absent, allowing individuals to lead a more normal life. Achieving and maintaining ulcerative colitis remission is the primary goal of long-term treatment.

Key aspects of ulcerative colitis remission include:

  • Reduced or no bowel inflammation on examination
  • Absence of frequent diarrhoea or rectal bleeding
  • Improved energy levels and digestion
  • Continued medication adherence to prevent relapse

Although ulcerative colitis cannot be permanently cured, sustained remission is achievable with consistent treatment, regular monitoring, and lifestyle adjustments.

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Conclusion

Ulcerative colitis is a chronic condition that requires early diagnosis, consistent treatment, and long-term lifestyle management. With structured care, many individuals can achieve and maintain remission from Ulcerative colitis.

Sarvodaya Hospital, Faridabad, the best gastro hospital in Delhi NCR, offers advanced gastroenterology care for patients living with ulcerative colitis. With access to the best gastroenterologist in Faridabad, experienced specialists, modern diagnostic facilities, and personalised treatment plans, the hospital supports effective disease management at every stage.

To take the next step towards better digestive wellbeing, book an appointment now and consult a specialist for personalised care and guidance.

FAQs

Ulcerative colitis is a chronic condition where the lining of the colon and rectum becomes inflamed and develops ulcers, leading to digestive symptoms such as diarrhoea and abdominal pain.

Common ulcerative colitis symptoms include persistent diarrhoea, rectal bleeding, abdominal cramping, fatigue, and unintended weight loss.

Early signs include ongoing bowel urgency, blood in stools, frequent diarrhoea, and abdominal discomfort that does not improve with routine treatment.

The causes of ulcerative colitis involve immune system dysfunction, genetic predisposition, and environmental factors. Individuals with a family history of inflammatory bowel disease are at higher risk.

Ulcerative colitis is considered an immune-mediated condition with a genetic component, in which the immune system mistakenly attacks the colon lining.

Diagnosis involves blood tests, stool tests, colonoscopy, and biopsy to confirm inflammation and accurately establish the diagnosis of ulcerative colitis.

The best ulcerative colitis treatment depends on disease severity and may include anti-inflammatory drugs, immunosuppressants, biologic therapies, and hospital-based care when needed.

Ulcerative colitis cannot be permanently cured, but long-term remission is achievable with consistent treatment and monitoring.

Foods commonly avoided include spicy foods, high-fibre items during flare-ups, alcohol, caffeine, and heavily processed foods as part of a balanced ulcerative colitis diet.

If untreated, ulcerative colitis may lead to severe complications, including colon damage and increased cancer risk, highlighting the importance of timely medical care. Consult the best gastrologist in Noida to receive expert medical care at Sarvodaya Hospital, Faridabad.

Air Cmde  (Dr.) Bhaskar Nandi | Gastroenterology | Sarvodaya Hospital

Air Cmde (Dr.) Bhaskar Nandi
Director & Head - Gastroenterology, Hepatology & Endoscopy

Air Cmde  (Dr.) Bhaskar Nandi | Gastroenterology | Sarvodaya Hospital

Air Cmde (Dr.) Bhaskar Nandi
Director & Head - Gastroenterology, Hepatology & Endoscopy

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