Nonspecific ulcer colitis

Nonspecific ulcer colitis is the disease having a chronic current and which is characterized by ulcer and inflammatory damage of a mucous membrane of a large intestine.

The disease most often affects aged people from 20 to 40 years. Practically never it arises at persons is more senior 40 or 15 years are younger. The probability of incidence of nonspecific ulcer colitis is 15% higher if close relatives have this disease of intestines.

Origins

Exact origins of nonspecific ulcer colitis are not established now. It is supposed that impact genetic, immunological, infectious factors, and also various environmental factors exert on its development. Most of researchers makes the assumption that this disease is autoimmune or genetically caused. Emotional factors play a significant role at emergence of exacerbations of nonspecific ulcer colitis, but in itself do not lead to development of this disease.

Nonspecific ulcer colitis: symptoms

The disease can sharply begin or gradually develop. All symptoms of nonspecific ulcer colitis are caused by chronic ulcer and inflammatory process in a mucous membrane of a large intestine. Treat them:

• Kashitseobrazny chair or diarrhea with impurity in the fecal mass of slime, pus and blood. Quite often at patients false and rather painful desires to defecation – tenesmus are observed;
• Pains in the left half of a stomach. Sometimes they extend on all stomach;
• Fervescence;
• Loss of weight;
• Lack of appetite;
• Various degree of manifestation of disturbance of water and electrolytic balance.

Treat abenteric symptoms of nonspecific ulcer colitis:

• Arthritises and spondylites;
• Blepharites, conjunctivitis, irites;
• Stomatitises;
• Cholelithiasis, cholangitis, cirrhosis;
• Nephrolithiasis;
• Erythema, gangrenous pyoderma;
• Thromboembolisms and thrombophlebitises.

Complications

As well as any other disease, nonspecific ulcer colitis can lead to development of various complications:

• Toxic megacolon. At it there is a considerable expansion of a gleam of a cross colon. This complication arises in 5% of cases and quite often leads to a lethal outcome;
• Perforation of ulcers of a large intestine. It is observed at 3 – 4% of patients and in 70 – 100% of cases leads to their death;
• Strictures thick or a rectum - narrowing of a gleam of intestines on its certain site that breaks a passage of fecal masses and can become the reason of intestinal impassability;
• Intestinal bleeding. This complication is observed in 6% of cases;
• Acute toxic dilatation (expansion) of a large intestine. Meets rather seldom;
• Perianal complications to which cracks, fistulas, paraproctites belong. These complications are observed at 30% of patients;
• Colon cancer. The patients having nonspecific ulcer colitis more than 10 years have the increased risk of development of malignant new growths of a large intestine. At the same time every year existence of this disease are increased by this risk by 2%.

Diagnosis

Diagnosis of nonspecific ulcer colitis is based on characteristic clinical symptoms of a disease, data of medical examination, laboratory diagnosis (a tank crops a calla, koprologichesky and histologic analyses) and tool diagnosis (radiological and endoscopic researches).

Nonspecific ulcer colitis: treatment

All patients with for the first time the diagnosed disease or at development of its aggravation have to be surely hospitalized. Conservative treatment of nonspecific ulcer colitis includes the following components:

• Infusional therapy – is carried out for the purpose of correction of disturbances of water and electrolytic balance and a detoxication;
• Vitamin therapy;
• Antibioticotherapia (it is appointed after the bacteriological research of fecal masses);
• Sedative drugs;
• Antidiarrheal therapy;
• Sulfasalazinum;
• Cytostatics;
• Corticosteroid hormones.

It is very important to keep at nonspecific ulcer colitis to a diet with the high content of digestible proteins.

Surgical treatment of nonspecific ulcer colitis is carried out at development of complications of a disease (massive bleeding, perforation of intestines, cancer, intestinal impassability, etc.).

Nonspecific ulcer colitis: diet

In the period of an exacerbation of a disease it is necessary to adhere to the most sparing diet. After subsiding of acute manifestations, such as abdominal pains, ponosa, the patient it can be transferred to less rigid diet in which it is authorized to include not wiped dishes.

It is very important that all dishes were not only are tasty, but also are various. The steamed or boiled low-fat meat, the wiped porridges, eggs, biscuit, the dried white loaf, dogrose broth, some juice (tomato, orange), ripe berries and fruit compotes are recommended to patients. At nonspecific ulcer colitis surely include walnuts in a diet. And here fried, salty, fat or hot dishes, bean, it is necessary to exclude chocolate, crude vegetables and fruit, mushrooms, beet, dried apricots, a kiwi, plums completely.

The diet at nonspecific ulcer colitis provides the use of food in the small portions through rather short intervals of time (fractional food). It is connected with the fact that the large volume of food will not be fully digested and acquired, and in addition can provoke strengthening of a diarrhea.

Nonspecific ulcer colitis: national treatment

In many cases doctors recommend to the patients not only medicamentous, but also national treatment of nonspecific ulcer colitis. In therapy of this disease microclysters with oil of a sea-buckthorn or a dogrose are rather effective. In addition it is possible to use inside broth of a burnet medicinal. It is accepted on one tablespoon by five times a day before meal. Course of treatment not less than a month.

However national treatment of nonspecific ulcer colitis should not substitute for itself traditional medicamentous therapy completely at all. This very serious chronic disease which can lead to development of deadly complications and its treatment shall be carried out only under the leadership of the doctor!