Ulcerative colitis (UC) is a type of severe, chronic inflammatory bowel disease (IBD), which causes:
- Inflammation in the lining of the colon and rectum
- Ulcers in the lining of the colon and rectum
- Bleeding in the lining of the colon and rectum
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UC may cause:
- Abdominal cramps and pain
- Rectal bleeding
- Weight loss
- Fatigue, weakness
- Skin rashes
- Eye inflammation, such as uveitis
Intestinal complications of UC may include:
- Fistula—abnormal passageway between 2 bodily structures
- Excess bleeding
- Toxic megacolon—a potentially life-threatening condition when the colon severely expands, which may result in reduced blood flow
Other complications of UC may include:
- Liver disease
- Kidney stones
- Colon cancer
Treatment options may include:
Your doctor may recommend that you avoid certain foods, such as:
- Dairy (due to lactose intolerance)
- Red and processed meats
- Refined sugar
- Saturated fat
Talk to your doctor or dietitian about what foods may work best for you.
There are a range of medications that may be prescribed, such as:
- Steroid anti-inflammatory medications
- Immune modifiers
- Biological agents
Surgery involves partial or complete removal of the colon. This may be necessary for:
- An emergency, such as a perforation, excessive bleeding, or life-threatening infection
- Long-term disease that does not respond to medications or other treatment
- Colon cancer—includes confirmed diagnosis or suspicious tissue on examination
- Lack of growth because of nutritional deficiencies (in children)
Surgery for UC is curative and reduces the risk of colon cancer.
Fecal transplantation may be used to treat UC.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (UC; Colitis, Ulcerative)
American Gastroenterological Society http://www.gastro.org
Crohn's & Colitis Foundation http://www.crohnscolitisfoundation.org
Canadian Association of Gastroenterology https://www.cag-acg.org
Crohn's and Colitis Canada http://crohnsandcolitis.ca
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8/31/2015 DynaMed Plus Systematic Literature Surveillance Update http://www.dynamed.com/topics/dmp~AN~T114507/Ulcerative-colitis : Moayyedi P, Surette MG, Kim PT, et al. Fecal microbiota transplantation induces remission in patients with active ulcerative colitis in a randomized controlled trial. Gastroenterology. 2015;149(1):102-109.