Ulcerative Colitis
On this page:- What is ulcerative colitis?
- What causes ulcerative colitis?
- What are the symptoms of ulcerative colitis?
- How is ulcerative colitis diagnosed?
- What is the treatment for ulcerative colitis?
- Is colon cancer a concern?
- Hope Through Research
- For More Information
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Addressing Ulcerative Colitis Naturally with AloeElite
AloeElite is a healing supplement that benefits every cell, tissue and organ in the body. For people with ulcerative colitis, the healing ingredient in AloeElite (Aloe Mucilaginous Polysaccharide) works as a potent anti-inflammatory, it helps to eliminate diarrhea, it brings the body to a more normal functioning level, it acts as an intercellular antioxidant, detoxifying the body naturally, it rebuilds and repairs the protective mucosa lining throughout the digestive tract and mends the damaged tissue in the colon. It aids digestion, enabling better absorption and assimilation of nutrients from food, it balances and restores proper immune system function and the aloe mucilaginous polysaccharides contain antibacterial, antiviral, antifungal, and antiparasitic properties. Most of our clients use AloeElite for moderate to severe ulcerative colitis. When used as directed, we have a 97% to 98% success rate.
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What is ulcerative colitis?
Ulcerative colitis is a disease that causes inflammation and sores, called ulcers, in the lining of the large intestine. The inflammation usually occurs in the rectum and lower part of the colon, but it may affect the entire colon. Ulcerative colitis rarely affects the small intestine except for the end section, called the terminal ileum. Ulcerative colitis may also be called colitis or proctitis.
The
inflammation makes the colon empty frequently, causing diarrhea. Ulcers
form in places where the inflammation has killed the cells lining the
colon; the ulcers bleed and produce pus.
Ulcerative colitis is an inflammatory bowel disease (IBD), the general name for diseases that cause inflammation in the small intestine and colon. Ulcerative colitis can be difficult to diagnose because its symptoms are similar to other intestinal disorders and to another type of IBD called Crohn's disease. Crohn's disease differs from ulcerative colitis because it causes inflammation deeper within the intestinal wall. Also, Crohn's disease usually occurs in the small intestine, although it can also occur in the mouth, esophagus, stomach, duodenum, large intestine, appendix, and anus.
Ulcerative colitis may occur in people of any age, but most often it starts between ages 15 and 30, or less frequently between ages 50 and 70. Children and adolescents sometimes develop the disease. Ulcerative colitis affects men and women equally and appears to run in some families.
Fortunately, the Aloe Mucillaginous Polysaccharide molecules in AloeElite naturally control inflammation and help to mend the tissue that has been damaged, healing the ulcerations over time. By controlling the inflammation, AloeElite helps to control the excessive bowel movements, or diarrhea, that so often accompany the disease. Whether the ulcerative colitis is localized or widespread throughout the digestive tract, AloeElite addresses the problem, as it supports the immune system and works throughout the bowel, from mouth to rectum. AloeElite can be used by children and adults of all ages, in all states of health.
What causes ulcerative colitis?
Theories about what causes ulcerative colitis abound, but none have been proven. The most popular theory is that the body's immune system reacts to a virus or a bacterium by causing ongoing inflammation in the intestinal wall.
People with ulcerative colitis have abnormalities of the immune system, but doctors do not know whether these abnormalities are a cause or a result of the disease. Ulcerative colitis is not caused by emotional distress or sensitivity to certain foods or food products, but these factors may trigger symptoms in some people.
For more information on the role of stress and diet for people with ulcerative colitis, visit the Health and Wellness page of our website. It includes information and tips, which may help bring you to a place where your health is more under your control.
What are the symptoms of ulcerative colitis?
The most common symptoms of ulcerative colitis are abdominal pain and bloody diarrhea. Patients also may experience
- fatigue
- weight loss
- loss of appetite
- rectal bleeding
- loss of body fluids and nutrients
About half of patients have mild symptoms. Others suffer frequent fever, bloody diarrhea, nausea, and severe abdominal cramps. Ulcerative colitis may also cause problems such as arthritis, inflammation of the eye, liver disease (hepatitis, cirrhosis, and primary sclerosing cholangitis), osteoporosis, skin rashes, and anemia. No one knows for sure why problems occur outside the colon. Scientists think these complications may occur when the immune system triggers inflammation in other parts of the body. Some of these problems go away when the colitis is treated.
When using AloeElite, you may find that the abdominal pain is the first symptom to subside. As your body begins to digest foods in a more efficient manner and you are able to absorb the nutrients in your diet, fatigue and weight loss decrease. Bloody diarrhea is typically the last symptom to go, but it does go. Remember, AloeElite is not masking symptoms. It addresses the disease via the immune system. It takes time to control the severe inflammation that causes the bloody diarrhea, but in time, typically by the second or third month, the diarrhea starts to ease. Bowel movements become firmer, less frequent and less painful. As the inflammation in the colon lessens, people often note improvements in their general health, as the functions of the immune system normalize naturally.
How is ulcerative colitis diagnosed?
A thorough physical exam and a series of tests may be required to diagnose ulcerative colitis.
Blood tests may be done to check for anemia, which could indicate bleeding in the colon or rectum. Blood tests may also uncover a high white blood cell count, which is a sign of inflammation somewhere in the body. By testing a stool sample, the doctor can detect bleeding or infection in the colon or rectum.
The doctor may do a colonoscopy or sigmoidoscopy. For either test, the doctor inserts an endoscope--a long, flexible, lighted tube connected to a computer and TV monitor--into the anus to see the inside of the colon and rectum. The doctor will be able to see any inflammation, bleeding, or ulcers on the colon wall. During the exam, the doctor may do a biopsy, which involves taking a sample of tissue from the lining of the colon to view with a microscope. A barium enema x ray of the colon may also be required. This procedure involves filling the colon with barium, a chalky white solution. The barium shows up white on x ray film, allowing the doctor a clear view of the colon, including any ulcers or other abnormalities that might be there.
What is the treatment for ulcerative colitis?
Treatment for ulcerative colitis varies, but most people are prescribed medications. In severe cases, a patient may need surgery to remove the diseased colon. Traditional medical professionals often view surgery as a cure for ulcerative colitis but they tend to agree it should not be approached lightly and should only be considered in the most serious of cases, when all other routes have been exhausted.
Some people whose symptoms are triggered by certain foods are able to control the symptoms by avoiding foods that upset their intestines, like highly seasoned foods, raw fruits and vegetables, or milk sugar (see our Health and Wellness section). Each person may experience ulcerative colitis differently, so treatment is adjusted for each individual. Emotional and psychological support is important.
Some people whose symptoms are triggered by certain foods are able to control the symptoms by avoiding foods that upset their intestines, like highly seasoned foods, raw fruits and vegetables, or milk sugar (lactose). Each person may experience ulcerative colitis differently, so treatment is adjusted for each individual. Emotional and psychological support is important.
AloeElite can help lengthen periods of remission by naturally supporting the immune system, bringing the body to a more normal functioning level.
Drug Therapy
The goal of therapy is to induce and maintain remission, and to improve the quality of life for people with ulcerative colitis. Here are some of the types of drugs that are prescribed:
- Aminosalicylates,
drugs that contain 5-aminosalicyclic acid (5-ASA), help control
inflammation. Sulfasalazine is a combination of sulfapyridine and
5-ASA and is used to induce and maintain remission. The sulfapyridine
component carries the anti-inflammatory 5-ASA to the intestine.
However, sulfapyridine may lead to side effects such as include
nausea, vomiting, heartburn, diarrhea, and headache. Other 5-ASA
agents such as olsalazine, mesalamine, and balsalazide, have a different
carrier, offer fewer side effects, and may be used by people who
cannot take sulfasalazine. 5-ASAs are given orally, through an enema,
or in a suppository, depending on the location of the inflammation
in the colon. Most people with mild or moderate ulcerative colitis
are treated with this group of drugs first.
- Corticosteroids such as prednisone and hydrocortisone also reduce inflammation. They may be used by people who have moderate to severe ulcerative colitis or who do not respond to 5-ASA drugs. Corticosteroids, also known as steroids, can be given orally, intravenously, through an enema, or in a suppository, depending on the location of the inflammation. These drugs can cause side effects such as weight gain, acne, facial hair, hypertension, mood swings, and an increased risk of infection. For this reason, they are not recommended for long-term use.
- Immunomodulators such as azathioprine and 6-mercapto-purine (6-MP) reduce inflammation by affecting the immune system. They are used for patients who have not responded to 5-ASAs or corticosteroids or who are dependent on corticosteroids. However, immunomodulators are slow-acting and may take up to 6 months before the full benefit is seen. Patients taking these drugs are monitored for complications including pancreatitis and hepatitis, a reduced white blood cell count, and an increased risk of infection. Cyclosporine A may be used with 6-MP or azathioprine to treat active, severe ulcerative colitis in people who do not respond to intravenous corticosteroids.
Other drugs may be given to relax the patient or to relieve pain, diarrhea, or infection. Remember to always research the side effects of the pharmaceuticals you are prescribed so that you will be prepared and aware should the side effects surface.
Drugs can be a crucial tool in controlling emergency outbreaks and flare-ups of ulcerative colitis. Many clients of AloeElite are using different pharmaceuticals along with the AloeElite when they first start taking our product. There are no contraindications whatsoever and, regardless of the drug, AloeElite can safely supplement any pharmaceutical regimen. However, the goal of most of our clients is to slowly wein off of the drugs. This can typically be achieved through a slow, steady and conscientious process of listening to the body. If you feel like the drugs are no longer needed, you may decide it is time to start weining down.
Surgery
About 25 percent to 40 percent of ulcerative colitis patients must eventually have their colons removed because of massive bleeding, severe illness, rupture of the colon, or risk of cancer. Sometimes the doctor will recommend removing the colon if medical treatment fails or if the side effects of corticosteroids or other drugs threaten the patient's health.
Surgery to remove the colon and rectum, known as proctocolectomy, is followed by one of the following:
- Ileostomy, in which the surgeon creates a small opening in the abdomen, called a stoma, and attaches the end of the small intestine, called the ileum, to it. Waste will travel through the small intestine and exit the body through the stoma. The stoma is about the size of a quarter and is usually located in the lower right part of the abdomen near the beltline. A pouch is worn over the opening to collect waste, and the patient empties the pouch as needed.
- Ileoanal anastomosis, or pull-through operation, which allows the patient to have normal bowel movements because it preserves part of the anus. In this operation, the surgeon removes the diseased part of the colon and the inside of the rectum, leaving the outer muscles of the rectum. The surgeon then attaches the ileum to the inside of the rectum and the anus, creating a pouch. Waste is stored in the pouch and passed through the anus in the usual manner. Bowel movements may be more frequent and watery than before the procedure. Inflammation of the pouch (pouchitis) is a possible complication.
Not every operation is appropriate for every person. Which surgery to have depends on the severity of the disease and the patient's needs, expectations, and lifestyle. People faced with this decision should get as much information as possible by talking to their doctors, to nurses who work with colon surgery patients (enterostomal therapists), and to other colon surgery patients. Patient advocacy organizations can direct people to support groups and other information resources. (See For More Information for the names of such organizations.)
If you are looking for alternative medical care from a naturopathic physician, visit our Health and Wellness section for a list of doctors in your area.
If you have already lost part of your colon, you can still use AloeElite to avoid pouchitis and to improve your general health.
Is colon cancer a concern?
About 5 percent of people with ulcerative colitis develop colon cancer. The risk of cancer increases with the duration and the extent of involvement of the colon. For example, if only the lower colon and rectum are involved, the risk of cancer is no higher than normal. However, if the entire colon is involved, the risk of cancer may be as much as 32 times the normal rate.
Sometimes precancerous changes occur in the cells lining the colon. These changes are called "dysplasia." People who have dysplasia are more likely to develop cancer than those who do not. Doctors look for signs of dysplasia when doing a colonoscopy or sigmoidoscopy and when examining tissue removed during the test.
According to the 2002 updated guidelines for colon cancer screening, people who have had IBD throughout their colon for at least 8 years and those who have had IBD in only the left colon for 12 to 15 years should have a colonoscopy with biopsies every 1 to 2 years to check for dysplasia. Such screening has not been proven to reduce the risk of colon cancer, but it may help identify cancer early should it develop. These guidelines were produced by an independent expert panel and endorsed by numerous organizations, including the American Cancer Society, the American College of Gastroenterology, the American Society of Colon and Rectal Surgeons, and the Crohn's & Colitis Foundation of America Inc., among others.
Hope Through Research
NIDDK, through the Division of Digestive Diseases and Nutrition, conducts and supports research into many kinds of digestive disorders, including ulcerative colitis. Researchers are studying how and why the immune system is activated, how it damages the colon, and the processes involved in healing. Through this increased understanding, new and more specific therapies can be developed.
For More Information
Crohn's & Colitis Foundation of America Inc.
386 Park Avenue South, 17th floor
New York, NY 10016-8804
Phone: 1-800-932-2423 or (212) 685-3440
Fax: (212) 779-4098
Email: info@ccfa.org
Internet: www.ccfa.org
Pediatric Crohn's & Colitis Association Inc.
P.O. Box 188
Newton, MA 02468
Phone: (617) 489-5854
Internet: pcca.hypermart.net
Reach Out for Youth With Ileitis and Colitis Inc.
84 Northgate Circle
Melville, NY 11747
Phone: (631) 293-3102
Fax: (631) 293-3103
Email: reachoutforyouth@reachoutforyouth.org
Internet: www.reachoutforyouth.org
United Ostomy Association Inc.
19772 MacArthur Boulevard, Suite 200
Irvine, CA 92612-2405
Phone: 1-800-826-0826 or (949) 660-8624
Fax: (949) 660-9262
Email: info@uoa.org
Internet: www.uoa.org
Ulcerative Colitis Support Forum
Internet: www.ulcerativecolitisforum.com
Ulcerative Colitis Information Center
Internet: www.ulcerativecolitisinfocenter.com