The goals of treatment are to:
- Control the acute attacks
- Prevent repeated attacks
- Help the colon heal
You may need to be treated in the hospital for severe attacks. Your doctor may prescribe corticosteroids. You may be given nutrients through a vein (IV line).
DIET AND NUTRITION
Certain types of foods may worsen diarrhea and gas symptoms. This problem may be more severe during times of active disease. Diet suggestions include:
- Eat small amounts of food throughout the day.
- Drink plenty of water (drink small amounts throughout the day).
- Avoid high-fiber foods (bran, beans, nuts, seeds, and popcorn).
- Avoid fatty, greasy or fried foods and sauces (butter, margarine, and heavy cream).
- Limit milk products if you are lactose intolerant. Dairy products are a good source of protein and calcium.
You may feel worried, embarrassed, or even sad or depressed about having a bowel accident. Other stressful events in your life, such as moving, or losing a job or a loved one can cause digestive problems.
Ask your doctor or nurse for tips on your to manage your stress.
Medicines that may be used to decrease the number of attacks include:
- 5-aminosalicylates such as mesalamine or sulfazine, which can help control moderate symptoms. Some forms of the drug are taken by mouth; others must be inserted into the rectum.
- Medicines to quiet the immune system.
- Corticosteroids such as prednisone. They may be taken by mouth during a flare-up or inserted into the rectum.
- Biologic therapy, if you do not respond to other drugs.
- Acetaminophen (Tylenol) may help relieve mild pain. Avoid drugs such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). These can make your symptoms worse.
Surgery to remove the colon will cure ulcerative colitis and removes the threat of colon cancer. You may need surgery if you have:
- Colitis that does not respond to complete medical therapy
- Changes in the lining of the colon that can lead to cancer
- Severe problems, such as rupture of the colon, severe bleeding, or toxic megacolon
Most of the time, the entire colon, including the rectum, is removed. After surgery, you may have:
- An opening in your belly called the stoma (ileostomy). Stool will drain out through this opening.
- A procedure that connects the small intestine to the anus to gain more normal bowel function.