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Colitis: Diseases
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The diagnosis is not always easy... and chronic ischemic colitis can easily be mistaken for inflammatory bowel disease. Compounding the difficulty, pseudopolyposis may be present in patients with ischemic colitis. Patients may also develop ischemic strictures, which are classically smoother than neoplastic strictures; however, differentiation is not always easy and resection may be required, both for treatment of symptoms and to obtain a definitive histopathologic diagnosis. Mildly symptomatic chronic disease frequently responds to supportive management. In contrast to acute ischemia, chronic ischemia may respond to topical steroid preparations. Resectional surgery is generally reserved for patients for whom conservative supportive therapy fails and for those with recurrent episodes of colitis or with symptomatic strictures.
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Most people with ulcerative colitis lead normal, active lives with few restrictions. Although there is no cure (except by surgery), the disorder can be managed with present treatments. For a few patients, the course of the disease may be more difficult and complicated, requiring more testing and intensive therapy. Surgery sometimes is required. In all cases, follow-up care with the physician is essential to monitor the disease and prevent and treat any complications that arise.
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Ulcerative colitis is an inflammatory bowel disease (IBD), the general name for diseases that cause inflammation in the intestines. Ulcerative colitis can be difficult to diagnose because its symptoms are similar to other intestinal disorders such as irritable bowel syndrome 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. Crohn's disease usually occurs in the small intestine, but it can ... occur in the mouth, esophagus, stomach, duodenum, large intestine, appendix, and anus.
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NACC is raising awareness of the unfairness of the present system during the annual Colitis and Crohn's Week and will be holding a briefing for MPs at the Westminster and Scottish Parliaments. In Wales, where the Welsh Assembly has already voted to consider the extension of the exemption to other conditions, NACC will be contacting members of the Assembly to make the case for Colitis and Crohn's Disease to be included. Additionally, the 30,000-strong NACC membership is being encouraged to write to their local MPs to inform them of the impact prescription costs have on them.
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Up to 2 million people in the US are estimated to have either ulcerative colitis or Crohn disease. Ulcerative colitis is generally found in younger people, before they reach age 30. But the disease can occur in people in their 60s and later in life. It affects both men and women equally and tends to run in families. Jewish people tend to have more incidence of ulcerative colitis than non-Jewish people.
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It is very important to ensure that there is no concurrent systemic or small intestinal disease associated with colitis because such cases will fail to respond to treatment for colitis until the underlying cause is addressed. When a specific cause of colitis can be identified as shown above, specific treatment will usually affect a complete cure. However, in the majority of cases, the etiology is not known; ... treatment remains symptomatic. Such therapy normally involves both drug and dietary management and although it may provide a clinical remission, it will rarely affect a cure. Long-term remission is now possible using diet alone in the majority of cases.
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