Ulcerative colitis

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What is...

What is ulcerative colitis?

Ulcerative colitis is a type of inflammatory bowel disease whereby the lining of the large intestine and the rectum is affected with chronic inflammation and soreness.

This disease has a varying clinical picture with milder and more severe stages.

The cause of ulcerative colitis is not known, but is believed to be hereditary in some families, developing in people who have a genetic tendency towards it.

The disease may occur for the first time at any time during childhood, or as late as adulthood.

Symptoms

Symptoms and signs

Chronic inflammation in the large intestine and the rectum often causes bleeding of the lining and an overproduction of mucus.

The main symptom is, hence, bloody diarrhea and mucus in stools.

In addition, the patient may often complain of abdominal pains, soreness in the abdomen, nausea, loss of appetite and weight loss. Some children may at times suffer from obstipation (severe constipation).

Complications

Complications

Frequent diarrhea in a child may lead to increased weight loss and the risk of dehydration.

Small and steady bouts of bleeding from the infected intestine can lead to anemia.

If a bacterial infection flares up in the inflamed intestine, this will often result in fever, stronger abdominal pains and impaired general health.

In contrast to Crohn's disease, ulcerative colitis rarely causes malabsorption and malnourishment.

In rare cases, it may cause extensive inflammation of the entire large intestine. In such cases, the patient will feel acutely ill and a doctor should be consulted immediately.

Always consult your doctor if you suspect that your child has developed complications associated with ulcerative colitis.

Home treatment

Treatment / What you should do

If you suspect that your child may have ulcerative colitis, you should consult your doctor so that further tests can be conducted.

The doctor may often suggest that your child be placed under hospital care if he shares your suspicions.

At the hospital, the following tests will be taken: a blood test, a barium enema, an X-ray examination of the large intestine and a visual inspection of the intestine, most commonly in the form of colonoscopy, i.e. an examination of the large intestine (colon) with a flexible scope. In children, this examination is performed under general anesthetic.

If the results of the tests and examinations confirm the diagnosis, the child will be given anti-inflammatory and immunosuppressive medication, either administered topically through the intestine by means of an enema or in the form of pills.

You are advised to consider placing your child in hospital for intravenous medication if an acute flare-up occurs.

If the medication fails to keep the disease in check, you are advised to consider surgical removal of the entire large intestine.

Prevention

Prevention

Children with ulcerous colitis may have recurring flare-ups and their condition may deteriorate.

It is important that you follow the course of your child's disease and contact a doctor quickly if the disease worsens.

A pediatrician who is a specialist in pediatric bowel diseases should follow up on your child with regular checkups.

Ensure that your child receives good nutrition. It may be a good idea to consult a dietician who can give you advice on this. Your child will often benefit from small but frequent meals.You should avoid food with a high fat and salt content.

In time, your child will learn himself/herself which foods exacerbate the condition and which foods they need to keep away from.

Make sure your child drinks copious amounts of fluids if he suffers from diarrhea.

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