The best way to treat ulcerative colitis. Effective folk remedies for the treatment of ulcerative colitis

Nonspecific ulcerative colitis is one of the most mysterious gastroenterological diseases. Exact reasons its development has not yet been determined, but effective treatment methods that can maximize the quality of life of a chronic patient have already been developed.

With nonspecific ulcerative colitis, the mucous membrane of the large intestine suffers. It becomes inflamed, giving the patient severe painful sensations. Unlike viral or infectious diseases, when the pathogen enters the body from the outside, UC is an autoimmune pathology. It originates inside the body, with a certain failure of the immune system, the exact nature of which has not yet been determined. Accordingly, it is not possible to develop preventive measures, 100% guaranteeing protection against UC. There are only theories that allow us to talk about risk factors:

1. Genetic. Statistics have revealed that the disease has a family predisposition.
2. Infectious. Some experts suggest that UC occurs as a result of the body's reaction to the action of certain bacteria, which under normal conditions are non-pathogenic (safe). What exactly contributes to the modification of bacteria into pathogenic ones is not yet clear.
3. Immune. According to this theory, UC occurs allergic reaction for certain components in the composition food products. During this reaction, the mucous membrane produces a special antigen that comes into “confrontation” with the natural intestinal microflora.
4. Emotional. A less common theory is that UC develops against the background of prolonged deep stress.

The diagnosis of “nonspecific ulcerative colitis” is rapidly becoming younger. More than 70% of cases, according to statistics from the last twenty years, are teenagers and people under 30 years of age. Pensioners suffer from ulcerative colitis much less frequently. According to the latest statistics, the incidence is 1 case in approximately 14 thousand people.

Is it possible to be cured for good?

This question worries many who hear their diagnosis for the first time. Unfortunately, no doctor who calls himself a professional can guarantee a cure. The fact is that UC is a chronic disease, which means that the disease can only be “healed”, but not completely eliminated. Colitis has a cyclical course, that is, relapses (periods of exacerbation) alternate with months of stagnation, when the disease hardly manifests itself. The goal of therapy for UC is to delay the onset of relapse as much as possible, and when it occurs, to reduce the severity of symptoms.

Some patients, upon learning their diagnosis, panic, believing that they will have to spend the rest of their lives on strict diet. Meanwhile emotional condition patient is an important factor determining the success of therapy. Therefore, under no circumstances should you give up. Strict dietary restrictions are necessary only during the acute phase of the disease; during periods of remission, the diet is much gentler.

Treatment options

Search effective techniques Treatments for UC have been ongoing since the 80s of the last century. Currently best results managed to achieve with an integrated approach to therapy, combining different treatment methods:

• taking medications;
• diet;
• psycho-emotional correction.

Surgical treatment of UC is also practiced, but in last years There is a tendency to replace surgical therapy with conservative therapy.

The treatment plan is developed based on individual characteristics body (gender, age, presence of other chronic ailments, etc.). General treatment for ulcerative colitis has long proven ineffective. Therefore, before prescribing certain drugs or surgical intervention the patient must undergo a lengthy examination.

If impossible complete cure, therapy for nonspecific ulcerative colitis sets itself the following tasks:

• reduction of disease symptoms;
• relapse prevention;
• improving quality of life.

Video - Nonspecific ulcerative colitis: symptoms and treatment

Drug therapy for UC

The main group of drugs prescribed for the treatment of ulcerative colitis are anti-inflammatory drugs. Their goal is to stop the inflammatory process in the mucous membranes of the large intestine.

1. Glucocorticoids(Prednisolone, Hydrocortisone, Methylprednisolone). A group of medications that were the first to be used to reduce inflammation of the rectum. The greatest effectiveness of glucocorticoids is observed in the treatment of left-sided forms of UC. Previously, these medications were used in the form of enemas; in recent years, a special medicinal product—rectal foam—has become widespread. Glucocorticoid therapy shows good results in moderate and severe forms of UC. The duration of the course is often no more than 10 days, then the question of the advisability of replacing glucocorticoids with drugs of another group is considered.

   

2. Sulfasalazine. This drug originally developed to combat bacterial infections. It has shown high effectiveness in the treatment of mild and moderate forms of inflammation of the rectal mucosa. Prescribed in the form of enemas or suppositories. The main disadvantage of this drug in the treatment of ulcerative colitis is the abundance of side effects even with a small overdose. Patients develop diarrhea, nausea, weakness, severe abdominal pain. Therefore, a verified dosage is the main key successful treatment sulfasalazine.
3. Medicines group 5-ASK(aminosalicylic acid) - Mesacol, Mezavant, Kansalazine, Salofalk, etc. The effectiveness of UC therapy with these drugs is similar to that of sulfasalazine, but, unlike the latter, 5-ASA is less toxic to the body. Used as the main medicine for mild and moderate forms of colitis. May be prescribed in addition to glucocorticoid drugs.



Analysis of the effectiveness of a particular anti-inflammatory drug is carried out within a week from the moment of administration. If stabilization of the patient's condition is not observed, the drug is replaced with another.

Reducing mucosal inflammation is the main, but not the only task that a UC treatment plan should solve. In addition to anti-inflammatory drugs, your doctor may prescribe medications from the following groups:






Depending on the form of the disease and individual sensitivity to individual drugs a gastroenterologist can prescribe all of the above-described drugs, as well as drugs from groups 1-2.

When is surgery needed?

Currently, surgical intervention is prescribed in 10-15% of all cases of UC. At the beginning of the 2000s, this figure was at least twice as high. Surgery is recommended in extreme cases when conservative treatment is unsuccessful and the patient’s condition worsens. Against the background of UC, a malignant intestinal tumor (colorectal cancer) can develop. Then the operation is necessary to save the patient’s life, and not to improve its quality.

The following types of surgical intervention are currently practiced:






The choice of one or another surgical intervention technique, as in the case of conservative treatment, depends on the patient’s condition and the presence of concomitant diseases.

Features of the diet for UC

Nutrition for ulcerative colitis requires strict control of the balance of nutrients in the foods consumed. Exceeding the norm of carbohydrates or fats during remission can lead to relapse. Therefore, visits to a nutritionist who will adjust the menu within different cycles illnesses are a must.



In case of ulcerative colitis, it is recommended to completely remove foods containing coarse fiber or milk protein. Flour increases intestinal peristalsis, which in case of inflammation of the mucous membranes is fraught with severe paroxysmal pain. As for the ban on dairy products, it is due to the body’s increased sensitivity to the protein contained in them. If healthy people If an allergy to this protein is suppressed by the immune system, then with UC the body cannot cope with this task. Sweets are also prohibited high content lactose (chocolate, candies, various syrups, etc.). Consumption of vegetables and fruits during an exacerbation should be kept to a minimum. Baked apples and pears are allowed only in stable remission; it is better to exclude citrus fruits altogether.

The basis of the diet of a patient with nonspecific colitis during the acute phase should be porridge and broth. Meat and fish are allowed only boiled or steamed, without crust. For side dishes, in addition to porridge, it is recommended mashed potatoes soft consistency. Eggs are also allowed, but only in the form of a steam omelet.



The main principle of forming a menu during the period of remission is to assess the body’s reaction to the addition of a particular product. Diet correction is carried out only under the supervision of a gastroenterologist.

A properly selected treatment regimen for ulcerative colitis and adherence to a diet ensure stable, long-term remission, in which dietary restrictions are kept to a minimum. An example of thousands of patients has shown that nonspecific ulcerative colitis can be treated with clear, full life, the quality of which depends primarily on the desire to comply with the treatment plan.

Nonspecific ulcerative colitis (UC) is a chronic inflammatory disease intestines of unknown nature, affecting the mucous membrane of the colon with ulcerative-destructive changes, having a progressive course, with the development of local and systemic complications.

In most cases, the disease develops gradually. The process begins with damage to the rectal mucosa - ulcerative proctitis. Subsequently, ulcerative-destructive changes spread to the entire colon.

The first symptom is diarrhea. The frequency of stool can be from 3 to 10 times a day or more. Characteristic clinical signs of UC are:

• cramping pain in the lower abdomen;
• tenesmus (false urge to go to the toilet);
• flatulence;
• imperative urge to defecate, developing within a few seconds;
• night urges.

Even at the very beginning of the disease, blood, mucus and pus can be observed in the stool.

With significant damage to the intestinal mucosa, signs of intoxication appear:

• nausea, vomiting;
• increased body temperature;
• weight loss;

With a long course of the disease, systemic complications begin to develop, which are described below. The most severe course is fulminant colitis, which is manifested by abdominal pain, severe diarrhea, fever up to 40°C, signs of peritonitis and severe intoxication. The reason for its development is transmural (through all layers of the intestine) ulceration of the colon with the development of peritonitis and acute toxic dilatation (expansion) of the intestine. This condition requires emergency medical care – surgery with removal of the large intestine.

Causes

The reasons for the development of UC are not fully understood. Scientists believe the main cause is an autoimmune process.

This means that the patient’s immune system perceives the cells of the large intestine as foreign and tries to destroy them.

Diagnosis of nonspecific ulcerative colitis

Examination for UC includes several mandatory methods, which include:

• carrying out a coprogram - blood, mucus and pus are detected in the stool;
• Microscopy of warm stool is performed to exclude amebiasis and bacteriological research to exclude microbial flora;
• colonoscopy with multiple biopsies and histological evaluation is the only verification method of examination that allows one to establish a diagnosis with high accuracy;
• if it is impossible to perform a colonoscopy, irrigoscopy is performed;
• in case of difficulty differential diagnosis with Crohn's disease, antineutrophil cytoplasmic antibodies are determined, which are present in 70% of patients with UC, and in 20% of cases with Crohn's disease.
• A general blood test for UC shows an increase in ESR and leukocytosis, which help the attending physician determine the severity and select adequate treatment.

Complications

With UC, especially with a long course, as well as in the absence of treatment, complications often develop. To local complications that affect only gastrointestinal tract, relate:

1. Perforation - a deep ulcerative defect destroys all layers of the intestine, resulting in the formation of a hole through which the intestinal contents exit into the abdominal cavity, causing an even more dangerous complication - fecal peritonitis.
2. Bleeding - colon ulcers also destroy the walls of blood vessels.
3. Strictures – after healing of defects in the mucous and muscular linings of the intestines, they form scar tissue which narrow the intestinal lumen.
4. Pseudopolyposis - areas of preserved intestinal epithelium look against the background of surrounding ulcerative-erosive changes, like raised islands, similar to polyps.
5. Secondary intestinal infection.
6. Disappearance of the mucous membrane, both complete and partial.
7. Toxic expansion of the colon - toxic megacolon.
8. Defeats all around anus– cracks, fistulas, paraproctitis, skin irritation.

When the intestinal mucosa is damaged, the absorption of nutrients into the bloodstream deteriorates.

With UC, this disorder is aggravated by constant bouts of diarrhea, as well as the entry into the bloodstream of toxic substances(autoimmune complexes, toxins from food breakdown and bacterial activity), which leads to general complications:

1. Hypocortisolism is a syndrome caused by suppression of the adrenal glands, which is associated with autoimmune damage to their cortex.
2. Sepsis – the entry of bacteria into the bloodstream subsequently affects many body systems.
3. Arthritis - inflammation of the joints in UC develops due to newly formed vessels in its bursa, in which antibodies settle, causing inflammation.
4. Skin lesions - it becomes dark due to hypocortisolism, erosions and pyoderma appear.
5. Eye damage - conjunctivitis and iridocyclitis are most often observed;
6. Kidney damage – the development of pyelonephritis is possible due to the addition of a secondary infection, glomerulonephritis, due to the circulation of immune complexes in the bloodstream, as well as amyloidosis.
7. Phlebitis – immune complexes cause inflammation inner surface veins, mainly of the extremities.

Treatment

For UC, treatment is based on the use of special medications, strict diet and bed rest.

Medications

For mild forms of the disease, use sulfasalazine orally 2-4 g or mesalazine (mezalok, salofalk) 2-4 g per day with gradual decline dose to maintenance.

For proctitis, you can limit yourself to local treatment using mesalazine - rectal suppositories 500 mg 2 times a day for 4-6 weeks or mesalazine in an enema 1-4 g per day for 4-6 weeks.

As an alternative, glucocorticosteroids are used: hydrocortisone 125 mg or prednisolone 20 mg in an enema 2 times a day from 7 days to 2-3 months. If necessary, carry out antibacterial therapy metronidazole 500 mg 3 times a day.

For moderate UC, sulfasalazine 2-6 g is used orally, and for intolerance, mesalazine (Mezacol, Salofalk) 3 g per day for a long time for many years. It is possible to use microenemas with hydrocortisone (125 mg) or prednisolone (20 mg) twice a day for 7 days or more. Budenofalk (budesonide) 3 mg per day is effective - one of the strongest glucocorticosteroids, which when taken orally suppresses the inflammatory process in the colon.

In severe cases of the disease, the patient is transferred to parenteral nutrition - nutrients injected into a vein. Intravenous injections of donor blood, plasma, and electrolytes are also carried out. To suppress the inflammatory process, prednisolone is used at a dose of 40-60 mg per day, with a gradual reduction in dose.

Alternative treatment regimens may include azathioprine 1.5–2.5 mg/kg per day orally or mercaptopurine 0.75–1.5 g/kg per day orally. The drug is also administered intravenously by drip for at least two hours in a single dose of 5 mg/kg. Subsequent administrations of the drug after 2 weeks and 6 weeks at the same dose, and then, if there is an effect, the administration is repeated every 8 weeks.

At severe course UC required daily conduct laboratory tests, plain X-ray of the abdomen for the purpose of early diagnosis of complications. A few days later, the effectiveness of anti-inflammatory therapy is assessed. If treatment is ineffective and severe intestinal complications develop, a surgical treatment.

Diet

Diet is the basis for the treatment of ulcerative colitis. It is necessary to comply with it even before staging clinical diagnosis, and stick to it for the rest of your life. According to the old system of dietary tables according to Pevzner, this diet is called table No. 4. With it, meals are provided in small portions 6 times a day.

Recommended Products:

• pureed, finely ground porridges and soups based on rice and semolina;
• jelly from astringent berries and fruits: bird cherry, quince, blueberry, dogwood;
• meat low-fat varieties: chicken breast, turkey fillet, veal, pureed in a meat grinder or blender, and steamed or boiled;
• boiled or steamed low-fat fish - hake, pike perch, perch, carp, cod, bream, pike, pollock (their meat can be used to make cutlets or soufflé);
• It is better to use slightly dried bread - yesterday's bread;
• during an exacerbation, the consumption of pasta and potatoes is not recommended (allowed during remission);

You should avoid, preferably for life, the following foods:

• milk and most fermented milk products - with UC causes a significant increase in diarrhea;
• legumes - peas, soybeans and beans cause fermentation in the intestines, which leads to increased flatulence and diarrhea;
• pickled, pickled and salted foods - you should forget about sauerkraut, salted herring and pickled cucumbers;
• pearl barley, barley, buckwheat and oatmeal;
• kvass, fruit drink, wine, and especially beer;
• strong coffee;
• seeds, nuts and dried fruits;
• jam and honey

Treatment of diarrhea in UC

To eliminate diarrhea, use loperamide 4 mg (2 tablets) orally, then 2 mg after each episode of diarrhea, but not more than 12 mg per day (6 tablets).

Folk remedies

Fight against this dangerous and serious illness leads people not only to doctors, but also to a variety of healers and traditional methods of treatment. No matter how some doctors oppose this, folk recipes containing natural substances, really give a noticeable effect.

1. For better accessibility of the drug to the site of the disease, microenemas with infusions of various herbs are used. Before using a therapeutic enema, it is necessary to carry out a cleansing enema in the following way: brew 1 liter of boiling water and 3 tablespoons of chamomile or calendula. These herbs have a pronounced antiseptic effect, thereby eliminating bacterial infection intestines. The infusion, cooled to body temperature, is injected into the rectum in a volume of 0.4-0.5 liters once. After some time, the contents of the intestine will come out along with the infusion, and after this you can use a therapeutic enema with 40 ml of sea buckthorn or rosehip oil.
2. Nice effect against the background drug treatment have various infusions and decoctions used internally. One of the best is considered an infusion of three components: sage, chamomile and pomegranate peel. The first two components are freely sold in pharmacies, and the third can be made yourself. To prepare, take 1 teaspoon of each ingredient and brew 200 ml of boiling water. I drink the infusion 6 times a day, a tablespoon at a time, for 3 months. This infusion has analgesic (sage), antibacterial (chamomile) and antidiarrheal (pomegranate) properties.

Disease prognosis

The prognosis for this rare and dangerous disease relatively favorable. The length and quality of life directly depends on the patient himself - only early contact with a doctor for help, compliance with all recommendations, strict adherence to diet and taking medications gives a high chance of developing remission.

With the acute onset of the disease, the prognosis is unfavorable - mortality is 50-70%. IN at a young age the prognosis is significantly worse than in the elderly. Mortality from complications of UC is high in the first year of the disease and after 10-15 years, due to the development colorectal cancer. In most cases, UC leads to disability.

Indications for referral to ITU are:

• severe course of the disease;
• the course of the disease is of moderate severity with no effect from the treatment;
• expressed mental disorders(asthenia, depression, hysteria, obsessions) against the background of a long course of the disease;
• after surgical treatment - the presence of a poorly functioning intestinal stoma.

You can learn about the features of diagnosis and treatment of UC from the following video:

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Medicines natural origin saved humanity at the dawn of time. Natural healing recipes have not lost their relevance for modern people. Treatment of ulcerative colitis with folk remedies differs an integrated approach. Biologically active ingredients eliminate inflammation, heal tissue, normalize the gastrointestinal tract, stimulate the immune system for a speedy recovery.

Strategy to combat ulcerative colitis

Nonspecific ulcerative colitis (UC) – inflammatory reaction with the formation of bleeding ulcers and erosions on the mucous membrane of the large intestine. It begins with fever, vomiting, severe abdominal pain, repeated diarrhea in acute period. Then moves on to chronic stage with phases of attenuation and exacerbation. Chronic course Ulcerative colitis of the intestine, in addition to painful diarrhea, pain along the colon, is manifested by aching joints, anemia, loss of strength, and emaciation.

In addition to UC, other gastrointestinal diseases have similar external symptoms - intestinal neoplasms, helminthic infestations, pseudomembranous colitis, bacterial, fungal, viral lesions intestines. Don't self-diagnose. Correct diagnosis- the result of the work of a whole team of doctors: proctologist, infectious disease specialist, gastroenterologist, oncologist, therapist. Treatment of ulcerative colitis traditional methods is approved by doctors as an addition to traditional therapy.

Treatment of ulcerative colitis with folk remedies provides a long period of remission, delaying and reducing the severity of exacerbation.

Folk remedies for the treatment of ulcerative colitis act in the following directions:

• fight inflammation, disinfect;
• regenerate the mucous membrane;
• stop diarrhea;
• increase their own protective capabilities;
• calm down nervous system, normalize sleep.

It is necessary to use folk remedies after agreeing on the course of therapy with the attending physician. Included natural preparations There are strong biologically active substances that can cause irreparable harm to health if used uncontrolled.

Anti-inflammatory folk remedies

Medicines with a high content of salicylates, essential oils, and organic acids have a pronounced anti-inflammatory effect.

The most effective folk remedies for UC put chamomile at the top of the unspoken ranking. Its flower baskets are rich in salicylates, essential oils, ascorbic acid, and carotene. Traditional medicine experts suggest treating ulcerative colitis with chamomile flowers.

Recipe for a healing decoction:

• a tablespoon of dry color;
• 300 ml of boiled water.

Brew chamomile in a thermos and leave for an hour. Drink the cooled, strained broth 100 ml up to 4 times a day. Advanced ulcerative colitis is treated by using enemas with a decoction of chamomile inflorescences.

Willow

Willow bark is the leader in salicin content. An infusion of willow bark relieves inflammation of the intestinal mucosa. One of the methods for preparing an anti-inflammatory infusion: pour a teaspoon of dry finely ground raw materials into 400 ml of warm boiled water. Leave for 5 hours. Use the strained infusion to treat ulcerative colitis, drinking a third of a glass 3 times a day before meals. Quickly relieves exacerbation of chronic colitis.

Turmeric

The spice turmeric, known in folklore Indian medicine, is considered a natural antibiotic. Has bactericidal and antitumor effects. A pinch of powdered turmeric rhizomes is added to first courses. It should be taken outside the phase of exacerbation of UC, observing moderation.

Licorice root contains an analogue of cortisone, an adrenal hormone that suppresses inflammatory processes in the body. Treatment of ulcerative colitis licorice root in adults should be accompanied by caution when it comes to pregnant and lactating women. Licorice preparations increase swelling and provoke allergic responses in children and adults. Thick syrup of licorice root is sold in pharmacies. An hour after eating, dilute a teaspoon of syrup in a glass of warm water or tea, take up to 3 times a day.

Healing agents

IN acute stage UC special meaning acquire regenerating drugs. They heal bleeding ulcers on the intestinal mucosa.

Sea ​​buckthorn

Sea buckthorn preparations occupy a leading position in the treatment of inflammatory bowel diseases. Generously endowed with carotene, tocopherol, fatty acids, essential compounds, sea buckthorn oil is a powerful stimulator of tissue regeneration. For UC, it is used orally in a teaspoon on an empty stomach up to 3 times a day. Microenemas with sea buckthorn oil have a good healing effect on the rectal mucosa. From 50 to 100 ml of oil heated to 33-35°C is carefully injected into the rectum with a syringe and left for half an hour. The procedure is carried out at night with a course of 5-8 microenemas per month.

Propolis

A popular folk remedy for ulcerative colitis is propolis. This beekeeping product has a rich vitamin and mineral composition, contains amino acids and stearins. Alcohol tinctures, prepared from propolis, heal erosions, strengthen blood vessels, and stimulate the immune system. Way homemade tinctures: pour a tablespoon of crushed propolis into a glass of vodka. Leave for 10 days in a cool, dark place, strain. Take the tincture three times a day after meals, dissolving 5-10 drops of the drug in a tablespoon of water.

Normalization of stool

Attacks of diarrhea cause dehydration and loss of minerals from the body. Astringent folk remedies can cure diarrhea in ulcerative colitis:

• Oak bark;
• pomegranate peels;
• St. John's wort herb;
• gray alder cones;
• blueberry and bird cherry fruits;
• quince seeds and fruits.

Optimal use herbal teas, exhibiting a complex therapeutic effect. For example, treatment with a collection of snakeweed rhizomes and gray alder fruits, taken a teaspoon at a time and brewed with 400 ml of boiling water, will relieve loose stools on the second day. It is recommended to drink 100 ml of decoction half an hour before meals, 3 times a day.

Immunostimulating agents

Immunostimulating herbs for ulcerative colitis activate the body's reserve capabilities to suppress the pathological process. For patients with gastrointestinal diseases, the following products are suitable:

• rose hips;
• echinacea herbs and flowers;
• a basket of calendula;
• oregano herbs.

Herbs that stimulate immunity contain potent substances. Use them carefully. After brewing a teaspoon of dry crushed raw materials with a glass of boiling water, leave for an hour and take the strained decoction in a quarter glass 3-4 times a day 20 minutes before meals. The course of treatment and prevention of exacerbation of ulcerative colitis is designed for 2 weeks. Then they take a break for a month and, if desired, continue, changing the medicinal plant.

Treatment with oregano, echinacea, and calendula is prohibited for pregnant women. For expectant mothers treating ulcerative colitis, rose hips are useful.

Sedatives and painkillers

Pain syndrome in ulcerative colitis significantly worsens a person’s life and limits his capabilities. You can relieve pain and relieve spasms of inflamed intestines using folk remedies. Antispasmodic, soothing herbs include peppermint, hop cones, and linden flowers.

Menthol, thymol, essential oils, terpenes give peppermint antispasmodic and sedative properties. Use mint tea relaxes the intestinal muscles, relieves pain, calms the nervous system. Leave two tablespoons of mint leaves in half a liter of boiling water for 2 hours. Take as a tea for painful intestinal spasms due to ulcerative colitis.

Hop heads

The yellow-green hop fruits, which ripen in August-September, accumulate valeric acid, trimethylamine, essential oils, and resins. Water infusion hop cones are considered in folk medicine as an anticonvulsant, analgesic, and mild sleeping pill. Patients with ulcerative colitis should infuse 4 tablespoons of crushed fruit in 300 ml of boiled water for an hour. Take a tablespoon of bitter infusion 4 times a day before meals.

Linden blossom

The fragrant linden blossom owes its pleasant smell to farnesol. In addition, the aromatic inflorescences are rich in vitamins, saponins, and phytoncides. For ulcerative colitis, a proven folk remedy will relieve pain and soothe irritated mucous membranes. Pour two tablespoons of chopped inflorescences into 400 ml hot water and simmer in a water bath for 15 minutes. Remove from heat, cool, strain and drink half a glass before each meal.

Principles of nutrition for ulcerative colitis

Treatment for intestinal inflammation places special demands on the patient’s nutrition. The daily frequency of food intake for ulcerative inflammation of the intestines is 5-6 equal portions. Smoked, pickled, fried foods and dairy products are excluded from the menu. It is undesirable to eat rough vegetable fiber. Protein deficiency is replenished with easily digestible low-fat chicken, rabbit, cod, pike perch, and greenling meat. Boiled vegetables are served pureed.

Nutritionists recommend steamed pumpkin pulp as a source of dietary fiber, vitamins and microelements. A handful of peeled raw pumpkin seeds is allowed. Pumpkin seeds have anti-inflammatory, bactericidal properties and have high nutritional value.

Complete restoration of the intestines affected by ulcerative colitis is possible with the participation of healing folk remedies. In recipes alternative medicine Natural remedies with proven therapeutic effects are used. An undeniable advantage of natural medicines is the ease of production with low cost of components.

The information on our website is provided by qualified doctors and is for informational purposes only. Don't self-medicate! Be sure to consult a specialist!

Gastroenterologist, professor, doctor medical sciences. Prescribes diagnostics and carries out treatment. Expert of the group for the study of inflammatory diseases. Author of more than 300 scientific papers.

Ulcerative colitis is a chronic inflammatory process in the mucous membrane of the colon, accompanied by the appearance of non-healing ulcers, areas of necrosis and bleeding. This pathology differs from simple inflammation. With it, ulcerative defects form on the colon mucosa. Prolonged course of the disease increases the likelihood of developing cancer.

Therefore, at the slightest suspicion of this disease, you should consult a doctor who will recommend the correct treatment of ulcerative colitis with the help of medications and folk remedies.

What is ulcerative colitis?

Ulcerative colitis of the intestine is a chronic inflammatory disease of the colon mucosa that occurs as a result of the interaction between genetic factors and factors external environment characterized by exacerbations. UC affects the rectum, gradually spreading continuously or immediately affecting the rest of the colon. This disease is also called nonspecific ulcerative colitis (UC).

Usually occurs in adults aged 20 to 35 years or after 60. In children, this disease occurs extremely rarely and accounts for only 10-15% of cases of all identified pathologies. At the same time, girls are at greatest risk of developing the disease among adolescents, and in the preschool and primary school period, on the contrary, boys are.

Ulcerative colitis is classified:

• By clinical course- typical and fulmicant; chronic form (recurrent and continuous);
• localization - distal (proctitis, proctosigmoiditis); left-sided (to the middle of the transverse colon); subtotal; total (pancolitis); total with reflux ileitis (against the background of total ileitis, a section of the ileum is involved in the process);
• severity of clinical manifestations.

The pathological anatomy (morphological substrate of the disease) of ulcerative colitis is represented by diffuse superficial damage to the walls of the large intestine. In the vast majority of cases the disease is localized in the terminal (final) parts of the large intestine: sigmoid and rectum. Involvement of the entire large intestine is much less common. Involvement of the final portion of the small intestine is very rare.

Causes

Unfortunately, the exact etiology of this disease unknown - scientists were able to find out that the autoimmune process, genetic inheritance and certain infectious agents play a role in the formation of the disease.

Residents of cities in developed countries are more susceptible to ulcerative colitis. As a rule, the disease develops either in young people or in those over 60, although in fact a person of any age can get this disease.

It has been suggested that it may be provoked by:

• some unspecified infection (but ulcerative colitis is not contagious);
• unbalanced diet (fast food, diet lacking fiber, etc.);
• genetic mutations;
• medications (non-hormonal anti-inflammatory drugs, contraceptives, etc.);
• stress;
• changes in intestinal microflora.

Under the influence of these factors, symptoms of ulcerative colitis develop as a result of autoimmune processes in the body.

Symptoms of ulcerative colitis of the intestine

Ulcerative colitis has acute phase and the remission phase. The disease begins gradually at first, but quickly gains momentum when the symptoms become more pronounced.

Symptoms of ulcerative colitis from the side digestive system:

• cramping pain in the abdomen localized predominantly on the left, which is difficult to relieve with medications;
• diarrhea or loose stools mixed with mucus, blood or pus, worse at night or in the morning;
• constipation that replaces diarrhea, which is caused by intestinal spasm;
• bloating();
• frequent false urge to defecate (tenesmus) resulting from delay feces above the area with inflammation;
• spontaneous release of mucus, pus and blood (not during defecation) as a result of imperative (irresistible) urges.

In 10% of cases, in addition to the mentioned intestinal and general symptoms, extraintestinal manifestations occur:

• joint lesions;
• various rashes on the skin and mucous membranes (for example, in the mouth);
• eye disorders;
• damage to the liver and bile ducts;
• thrombus formation, etc.

They may precede intestinal disorders. The severity of extraintestinal manifestations sometimes depends on the activity inflammatory lesion intestines, and in some cases is completely unrelated to it.

At mild degree Ulcerative colitis patients complain of cramping pain or discomfort in the abdomen, weakness. Possible semi loose stool 2–4 times a day with a small admixture of blood and mucus.

If ulcerative colitis has more than severe degree, then loose stools happen up to 8 times a day with a significant admixture of mucus, blood and pus. With this form of the disease the following are noted:

• pain in the abdomen, often in the area of ​​the left half (flank).
• there is weakness,
• slight fever
• weight loss.
• may be tachycardia,
• pain in the liver.

Symptoms during an exacerbation

During the period of exacerbation, symptoms of intoxication appear:

• fever,
• weakness,
• malaise.

A distinctive sign of ulcerative colitis from simple catarrhal disease is weight loss. Patients often look exhausted. Their appetite is reduced. With intestinal colitis, ulcerative defects are formed. They may bleed as stool passes.

Symptoms may become weaker and then worsen again. If carried out permanent treatment, then the remission phase begins and the symptoms weaken. How often relapses occur is determined by the treatment, and not by how damaged the intestines are.

Consequences and possible complications

With absence drug therapy and non-compliance with the diet, complications may develop. In this case, the symptoms of ulcerative colitis become more pronounced. Possible the following consequences inflammation of the large intestine:

• massive bleeding;
• toxic dilatation of the intestine (formation of megacolon);
• perforation;
• malignancy of ulcers;
• joint inflammation;
• defeat internal organs(gallbladder, liver, skin).

Diagnostics

The diagnosis and treatment of ulcerative colitis is carried out by a therapeutic specialist or gastroenterologist. Suspicion of the disease is caused by a complex of corresponding symptoms:

• diarrhea mixed with blood, mucus and pus
• abdominal pain;
• arthritis, eye disorders due to general intoxication of the body.

Laboratory diagnostic methods:

• clinical blood test (increased quantity and ESR, decreased level of hemoglobin and red blood cells);
• biochemical blood test (increased levels of C-reactive protein and immunoglobulins);
• biopsy – histological examination fabric samples;
• stool analysis for fecal calprotectin is a special marker for diagnosing intestinal diseases, which in ulcerative colitis can increase to 100 - 150;
• coprogram (presence hidden blood, leukocytes and erythrocytes).

If the results of the tests confirm presence of the disease, the doctor prescribes an instrumental examination. An endoscopy is performed to detect possible swelling in the mucous membrane, the presence of pseudopolyps, pus, mucus, blood in the intestines and determine the extent of organ damage.

Endoscopic examinations (colonoscopy, rectosigmoidoscopy) make it possible to identify a complex of symptoms characteristic of the pathology in the patient:

• the presence of mucus, blood, pus in the intestinal lumen;
• contact bleeding;
• pseudopolyps;
• granulosa, hyperemia and swelling of the mucous membrane;
• in the remission phase, atrophy of the intestinal mucosa is noted.

X-ray examination is also an effective method for diagnosing ulcerative colitis. As contrast agent In this procedure, a barium mixture is used. An X-ray of a patient with ulcerative colitis clearly visualizes expansion in the lumen of the large intestine, shortening of the intestine, and the presence of ulcers and polyps.

Treatment of ulcerative colitis

Treatment will be symptomatic, it should eliminate the inflammation process and maintain remission, as well as prevent complications. If medications are not effective, surgery may be indicated.

The objectives of treating a patient with UC are:

• achieving and maintaining remission (clinical, endoscopic, histological),
• minimizing indications for surgical treatment,
• reducing the incidence of complications and side effects of drug therapy,
• reduction in hospitalization time and treatment costs,
• improving the patient's quality of life.

The results of treatment largely depend not only on the efforts and qualifications of the doctor, but also on the willpower of the patient, who clearly follows medical recommendations. The modern equipment available in the doctor’s arsenal medications allow many patients to return to normal life.

Medications

To make these goals a reality, experts prescribe the following treatment methods for patients with intestinal ulcerative colitis:

• taking non-steroidal anti-inflammatory drugs, for example, Salofalk, Dipentum, Sulfasalazine;
• use of corticosteroids (Metyprednisolone, Prednisolone);
• antibacterial therapy through the use of drugs such as Tienama, Cifran, Ciprofloxacin, Ceftriaxone;
• taking immunomodulators (Azathioprine, Cyclosporine, Infliximab, Methotrexate);
• consumption of calcium and vitamins A, C, K.

In case of development purulent complications or the addition of an infection, systemic antibacterial drugs. Medicines alone cannot cure a person. In the remission phase, in the absence of pain and bleeding, physiotherapeutic procedures are prescribed. Most often carried out:

• Exposure to alternating current.
• Diadynamic therapy.
• Interference therapy.

Patients with mild and moderate variants of ulcerative colitis can be treated on an outpatient basis. Severe patients must be examined and treated in a hospital, since both diagnostic and therapeutic interventions can have serious and even life-threatening complications.

With proper implementation of the doctor’s recommendations, daily adherence to dietary instructions, as well as supportive therapy, the time of remission can be significantly increased and the patient’s quality of life can be improved, however full recovery Unfortunately, it is impossible to achieve this in the treatment of this disease.

Operation

Surgical treatment of ulcerative colitis is indicated for patients who are not helped conservative methods. Indications for surgery are:

• perforation (perforation of the intestinal wall);
• signs of intestinal obstruction;
• abscess;
• presence of toxic megacolon;
• profuse bleeding;
• fistulas;
• bowel cancer.

It is possible to treat ulcerative intestinal colitis surgically today in the following ways:

1. through partial or total colectomy - excision of the colon;
2. using proctocolectomy - removal of the colon and rectum leaving the anus;
3. through a proctocolectomy and a temporary or permanent ileostomy, through which natural waste is removed from the body.

It is necessary to pay attention to possible physical and emotional problems after surgical treatment; care should be taken to ensure that the patient receives everything necessary instructions before and after surgery and provide him with all possible medical and psychological support.

Knowing exactly what ulcerative colitis is and how to treat it, we can say with confidence that the prognosis of the disease is quite favorable. Pathological process curable thanks to modern methods of therapy. Most patients experience complete remission, and only 10% of cases retain mild clinical symptoms.

Diet and proper nutrition

With this disease, normalization of nutrition is of paramount importance. The diet for ulcerative colitis is aimed at mechanical, thermal and chemical sparing of the colon mucosa.

1. The diet is based on the consumption of chopped, soft food, steamed or boiled.
2. You should forever forget about hot sauces, fatty seasonings, alcohol, and cigarettes.
3. Fruits and vegetables should be consumed only in heat-treated form, because in their raw form they contain a lot of fiber, which negatively affects the functioning of the affected intestines.
4. During an exacerbation, the diet includes liquid and pureed porridge (rice, semolina) in water (milk and broths are excluded). Buckwheat porridge enhances motor skills, so it is not recommended during an exacerbation. It is convenient to use porridge for baby food, but they need to be diluted by half with water.

Authorized products:	For ulcerative colitis, you need from the diet exclude following products food and dishes:
boiled chicken turkey boiled veal rabbit dried pears dried blueberries buckwheat (kernel) semolina oat groats white rice white bread crackers butter	flour products: pasta, pastries, cookies, cakes; rich, fatty and milky soups; fatty meats or fish; canned food; dairy products: raw, fried eggs, kefir, sour cream, milk; cereals: pearl barley, millet, barley; any snacks and smoked meats; sweets, chocolate; fruits and berries, dried fruits; jams, preserves; sauces, mayonnaise, tomato; any alcohol; spices.

To find out exactly what foods you are allowed to eat, consult your doctor.

Menu for ulcerative colitis for the day

A diet for ulcerative colitis of the intestine can be implemented through the following menu option.

1. Breakfast: cereal porridge with 1 tsp. melted butter, steam cutlet, rosehip decoction.
2. Lunch: curd mass, berry jelly.
3. Lunch: potato soup with meatballs, rice and minced meat casserole, compote.
4. Afternoon snack: green tea, crackers.
5. Dinner: vegetable stew, fish cutlet, tea.
6. Before bed: kefir/baked apple.

This menu option is suitable for the period after an exacerbation. Additionally, you can eat 200-250 grams of dried bread, 1 glass of jelly or compote.

A diet for ulcerative colitis of the colon, including the rectum, leads to a number of positive changes:

• promotes speedy recovery normal stool, eliminating diarrhea or constipation;
• increases the effectiveness of medications, as it compensates for protein losses, accelerates the healing of the mucous membrane, due to which a number of medications begin to act more actively;
• compensates for the loss useful substances, restores metabolism and energy reserves.

Folk remedies

IN therapeutic therapy It is also allowed to use folk remedies, but only if the disease is at initial stage development and treatment in consultation with the doctor. Most in effective ways Treatments for the disease, according to patients, are fasting, refusing to eat animal foods, and switching to a raw food diet. Herbal remedies include decoctions of yarrow, alder cones, wormwood, sage, and potato juice.

1. 100 g dried watermelon rind pour 2 cups of boiling water, leave and strain. Take 100 g up to 6 times a day. This allows you to relieve inflammation in the intestines during acute and chronic form diseases.
2. Perfectly relieves inflammatory processes in the intestines potato juice. It is enough to grate a potato, squeeze the juice out of it and drink it half an hour before meals.
3. Take an equal amount of peppermint leaf, inflorescences of chamomile, rhizomes of cinquefoil erecta. Infuse 1 tablespoon of the mixture for 30 minutes in 1 glass of boiling water, strain. Take 1 glass 2-3 times a day for colitis.
4. Treat symptoms of exacerbation bird cherry helps well. Traditional healers It is recommended to prepare a decoction (one spoon of flowers per glass of water). Take three times, ¼ cup every day.

Prevention

Prevention of the development of this intestinal pathology consists of proper nutrition and periodic examination. It is important to promptly treat chronic diseases of the digestive tract. The prognosis for ulcerative colitis in the absence of complications is favorable.

Ulcerative colitis - serious illness, which requires immediate and competent treatment. Do not delay visiting your doctor when the first symptoms appear. It is important to remember that in the event of an acute form of the disease, the organ is affected quickly, which can lead to the development of cancer or various complications.

Nonspecific ulcerative colitis is a rare pathology and not fully understood. Some consider genetic predisposition as the main cause, others consider the influence of external factors, including alcohol, smoking, stress and poor nutrition. We will not dwell for long on the causes of the disease - this publication is devoted to such an issue as the treatment of ulcerative colitis with medications and folk remedies.

What is ulcerative colitis

Ulcerative colitis is chronic illness The large intestine, which is the part of the digestive system where water is removed from undigested food and digestive waste is left behind. The large intestine ends with a rectum, which, in turn, passes into the anus. In patients with ulcerative colitis, the lining of the intestines becomes inflamed, leading to abdominal pain, diarrhea, and rectal bleeding. Next, we will talk about the features of the disease nonspecific ulcerative colitis, the symptoms, treatment of which will be discussed in detail.

Ulcerative colitis is often associated with an inflammatory disease such as Crohn's disease. Together, these two diseases can be combined under the term inflammatory bowel disease. Ulcerative colitis together with Crohn's disease are chronic diseases which can last for years and decades. Men and women suffer equally. The development of pathology most often begins in adolescence or early mature age, but there are also cases of this disease in young children.

Very often, residents of Europe and America, as well as people of Jewish origin, are diagnosed with ulcerative colitis. The population of Asian countries and representatives of the Negroid race are more fortunate in this regard - the pathology is extremely rare among them. For unknown reasons, an increased incidence of this disease has recently been observed in developing countries. There is also a high likelihood of developing colitis in those whose relatives are familiar with this diagnosis.

What are the causes of ulcerative colitis

No reliable factors for the development of colitis have been identified, and at present there is no convincing evidence that it is infectious disease. Most experts are inclined to believe that ulcerative colitis occurs due to dysfunction of the immune system in the intestines. In this case, there is an abnormal activation of immune cells and proteins, the activity of which leads to inflammation. The predisposition to abnormal immune activation is genetically inherited. Scientists have discovered about 30 genes that can increase the likelihood of developing colitis. Read more about ulcerative colitis of the intestine, symptoms, treatment of the disease.

Symptoms of the disease

How does ulcerative colitis manifest itself? Treatment of the disease is primarily determined by its type. Common symptoms of ulcerative colitis include rectal bleeding, abdominal pain and diarrhea. But besides these symptoms, there is a wide range of other manifestations of the disease. The variability of manifestations reflects differences in the degree of development of the disease, which are classified depending on the location and severity of inflammation:

• Ulcerative proctitis is limited to the rectum, and mild rectal bleeding may be the only symptom. More severe lesions are accompanied by sudden uncontrollable diarrhea and tenesmus - false urges to defecation due to muscle contractions of the intestine.
• Proctosigmoiditis is a combination of inflammation of the rectum and sigmoid colon; symptoms include sudden diarrhea, tenesmus and rectal bleeding. Some patients experience bloody stool and seizures.
• Left-sided colitis is localized in the rectum and spreads up the left side of the colon (sigmoid and descending), manifested by bloody diarrhea, sharp decline weight, abdominal pain.
• Pancolitis, or universal colitis, affects the entire colon, and symptoms include abdominal cramps and pain, weight loss, fatigue, night sweats, fever, rectal bleeding, and diarrhea. This type of ulcerative colitis is much more difficult to treat.
• Fulminant colitis is a very rare and most severe form of the disease. Patients suffer from severe dehydration due to chronic diarrhea, abdominal pain, and shock often occurs. This form of colitis is treated with intravenous administration medications, in some cases it may be necessary to surgically remove the affected part of the colon to prevent it from rupturing.

Most often, any of the listed forms of colitis remains localized in the same part of the intestine; less often, it happens that one turns into another, for example, ulcerative proctitis can develop into left-sided colitis.

Diagnostics

The primary diagnosis is made on the basis of complaints and symptoms - bleeding, diarrhea, abdominal pain. In addition, laboratory tests are carried out:

Scientific research also indicates that the presence of the protein calprotectin in stool may be considered a sign of the development of ulcerative colitis. Currently, new diagnostic diagnostic methods are used:

• video capsule endoscopy;
• CT scan;
• MRI enterography.

Therapy methods

Treatment for ulcerative colitis includes medication and surgical methods. Surgical intervention is indicated for severe forms of colitis and complications, life-threatening. Ulcerative colitis is characterized by periods of exacerbation and remission, which can last from several months to several years. The main symptoms of the disease appear precisely during relapses. Relief most often occurs as a result of treatment, sometimes exacerbations can go away on their own, without outside intervention.

Drug therapy

Since ulcerative colitis cannot be completely cured with medications, their use has the following goals:

• overcoming relapses;
• maintaining remissions;
• minimizing side effects from treatment;
• improving quality of life;
• reducing the risk of cancer.

Medicines are divided into two large groups:

• anti-inflammatory drugs, in particular corticosteroids, glucocorticoids, 5-ASA compounds;
• immunomodulators, for example, Methotrexate, Cyclosporine, Azathioprine.

5-ASA preparations

5-aminosalicylic acid, or “Mesalamine”, is a product that chemical structure close to aspirin, which for a long time used to treat arthritis, tendinitis, bursitis. However, unlike 5-ASA, aspirin is not effective against ulcerative colitis. The drug "Mesalamine" can be delivered directly to the site of inflammation using an enema, but taking the drug orally is more effective. Initially, doctors had a problem - when the drug is administered orally, most of the active substance is absorbed when passing through the stomach and top part small intestine before it reaches the large intestine. Therefore, to increase its effectiveness, 5-aminosalicylic acid has been modified to chemical forms, which remain stable until they hit lower sections digestive system.

The result was the following drugs:

• “Sulfasalazine” is a stable structure of two molecules of 5-aminosalicylic acid, which has been successfully used for many years to induce remission in patients with mild and moderate colitis, reduces inflammation, abdominal pain and bleeding. Side effects include heartburn, nausea, anemia, and a temporary decrease in sperm count in men.
• "Mesalamine" is a modification of 5-ASA, consisting of an active substance coated with a protective thin shell of acrylic resin. The medicine passes through the stomach without damage and small intestine, and having reached the ileum and colon, dissolves, releasing 5-ASA. This drug is also known as “Asacol”, it is recommended to take it according to following diagram- to eliminate exacerbations, 800 mg three times a day, and to maintain remission - 800 mg twice a day. If Mesalamine is ineffective, then corticosteroids are prescribed.
• "Olsalazine" or "Dipentum" is a modification of 5-ASA, in which the molecules of the active substance are combined with one inert molecule, which also makes it possible to reach the source of inflammation.

It is worth listing other derivatives of 5-aminosalicylic acid that are used in the treatment of ulcerative colitis:

• "Balsalazid" or "Kolazal".
• "Pentaza".
• enema and suppositories "Rovaza".
• "Lialda".

Corticosteroids

These compounds have been used for many years to treat patients with moderate to severe Crohn's disease and ulcerative colitis. Unlike 5-aminosalicylic acid, corticosteroids do not require direct contact with inflamed intestinal tissue to be effective. These are powerful anti-inflammatory drugs that are taken orally. After entering the blood they have therapeutic effect for the whole body. Treatment of ulcerative colitis with these drugs is very effective. For patients in critical condition, corticosteroids are administered intravenously (for example, Hydrocortisone). These compounds act more quickly than 5-ASA, and the patient's condition usually improves within a few days. If a patient has ulcerative colitis of the intestine, treatment with these drugs is used only to overcome relapses of the disease; they are not used to maintain remissions.

Side effects of corticosteroids

They depend on the dose and duration of use. Short courses of treatment with Prednisolone are well tolerated and have virtually no side effects. For long-term use high doses Corticosteroids may cause some complications, including serious ones. Among them:

• rounding the oval of the face;
• the appearance of acne;
• increase in the amount of body hair;
• diabetes;
• weight gain;
• hypertension;
• cataract;
• increased susceptibility to infections;
• depression, insomnia;
• muscle weakness;
• glaucoma;
• mood swings, irritability;
• osteoporosis, or thinning of the bones.

To the most dangerous complications taking corticosteroids should be considered aseptic necrosis hip joints and decreased ability of the adrenal glands to produce cortisol. For a disease such as ulcerative colitis, treatment with corticosteroids requires extreme caution and medical supervision. These drugs should only be used for the shortest possible period of time. Treatment usually begins with the prescription of Prednisolone in a dosage of up to 60 mg per day. Once the condition begins to improve, the amount of medication is gradually reduced by 5-10 mg per week and stopped. The use of corticosteroids must necessarily be accompanied by an increase in the calcium content in food and the use of drugs for this element. This is necessary to reduce the risk of developing osteoporosis.

Attention! Corticosteroids should be taken as prescribed and under the supervision of a physician. Self-medication with these drugs can lead to irreversible consequences.

From modern means The group of corticosteroids includes drugs such as Budesonide and Golimumab.

Immunomodulators

These are drugs that weaken the body's immune system and stop the activation of the immune system, leading to the development of ulcerative colitis. Typically, the immune system is activated when pathogens or infection enter the body. But in the case of colitis or Crohn's disease, the body's tissues and beneficial microorganisms become the target of immune cells. Immunomodulators reduce the intensity of tissue inflammation by reducing the population of immune cells and disrupting their protein production. In general, the benefits of using such drugs in the treatment of ulcerative colitis outweigh the risk of infection due to weakened immunity.

Examples of immunomodulators:

• "Azathioprine" and "Purenetol" reduce the activity of leukocytes. IN large dosages these two drugs are used to prevent organ transplant rejection and to treat leukemia. In low doses, they are successfully used as a therapy for diseases such as ulcerative colitis. Treatment, reviews of which can be read on clinic websites and medical forums, is effective in most cases.
• Methotrexate combines anti-inflammatory and immunomodulatory properties. Used in the treatment of psoriasis and arthritis, effective against ulcerative colitis. A side effect is the development of liver cirrhosis, especially in patients who abuse alcohol, as well as pneumonia. In addition, the drug should not be used during pregnancy.
• Cyclosporine, or Sandimmune, is a powerful immunosuppressant that is effective for quickly controlling the development of severe colitis or delaying surgery. Side effect - increase blood pressure, seizures, renal dysfunction.
• Infliximab, or Remicade, is a protein that acts as an antibody to proteins produced by immune cells. Used to treat colitis and Crohn's disease if corticosteroids and immunomodulators are ineffective.

Surgery

Surgeries for ulcerative colitis usually involve removal of the colon and rectum. This procedure also eliminates the risk of developing cancer in these parts of the digestive system. Surgical treatment of ulcerative colitis is indicated to the following groups patients:

• patients with fulminant colitis and toxic megacolon (enlargement of the colon wall);
• people with pancolitis and left-sided colitis who are on the verge of developing colon cancer;
• patients who have suffered many relapses over many years that have not responded to treatment.

Not long ago, an innovation was introduced that involves replacing the removed colon with a sheath made from intestines. It serves as a reservoir similar to the rectum and is emptied regularly through a small tube. This operation is called ileostomy.

Ulcerative colitis: treatment, diet

It is likely that a special diet may benefit patients with ulcerative colitis. However, there is no evidence to show that treatment for ulcerative colitis is more effective with dietary changes. Despite extensive research, no diet has been shown to slow the progression of the disease. In this regard, general recommendations can be given based on the observance of healthy, balanced nutrition, rich in fruits, vegetables, cereals, lean meats, nuts, fish. Patients should limit their intake of saturated fat. During an exacerbation, pureed soft food is recommended to minimize discomfort. Next you can read about traditional treatment for ulcerative colitis.

ethnoscience

The main methods used in the treatment of a disease such as ulcerative colitis are discussed above. Traditional treatment the disease acts more as a support. The arsenal of natural remedies includes honey, seeds, leaves and roots of plants, and vegetables. If you have ulcerative colitis, herbal treatment may have a supportive effect and reduce the intensity of inflammation. Below you can find some traditional medicine recipes used for colitis.

Mix dried chamomile, yarrow and sage flowers in equal parts. 3 tbsp. l. pour the mixture with a liter of hot boiled water and let it brew for 4-5 hours. Take according to Art. spoon 7 times a day for a month, then reduce the dose to 4 times a day. The drug is considered a good prevention of exacerbations of colitis.

Traditional healers advise treating ulcerative colitis of the intestines with the use of potato juice. Grate the peeled tubers and squeeze out the juice. Drink half a glass half an hour before meals.

A decoction of strawberry or bird cherry leaves, linden tea, infusion of calendula flowers, herbal teas, parsley root - whole volumes can be written about natural remedies for the treatment of such an ailment as ulcerative colitis. Treatment, reviews of the results of which can be read in magazines and newspapers such as “Healthy Lifestyle”, cannot replace what was prescribed by a doctor. No matter how varied and praised folk recipes may be, they cannot be considered as the main treatment. Do not forget that treatment of ulcerative colitis with folk remedies is only a measure that can accompany the main methods of therapy. Also, before using any prescriptions, consult your doctor.