Let’s talk about Colitis: What it is and why it matters | 6 min read

Have you ever had a bad stomach ache that just wouldn’t go away? Or maybe you’ve heard someone mention “colitis” and weren’t sure what they meant? Well, you’re in the right place! Colitis is a condition that affects your colon, and while it’s something a lot of people don’t talk about, it’s actually more common than you might think. Whether you’ve been dealing with digestive issues for a while or you’re just curious about what colitis really is, we’re here to break it down for you in a way that’s easy to understand.

Let’s take a deeper dive into what colitis is all about, how it’s treated, and what you can do if you think you might have it.

Learn everything you need to know about Colitis, from symptoms to treatment options. Understand the causes and how to manage this condition with expert advice.

What is Colitis?

Colitis refers to inflammation of the colon, which is part of your large intestine. When your colon becomes inflamed, it can cause all sorts of uncomfortable symptoms like abdominal pain, diarrhoea, and sometimes even fever. Colitis can be caused by a number of different factors, including infections, autoimmune reactions, or even stress. So, it’s not a one-size-fits-all situation. Thus, understanding the different types of colitis and how they affect your body is the first step toward finding the right treatment.

Types of Colitis you should know about:

Did you know there are different types of Colitis? Depending on what’s causing the inflammation, Colitis can look and feel a little different.

Let’s break down the main types:

  • Ulcerative Colitis

This type of Colitis is a chronic condition where long-term inflammation and ulcers form on the inner lining of the colon. It’s part of a group of diseases called inflammatory bowel disease (IBD) and can cause symptoms like bloody diarrhoea and crampy abdominal pain.

  • Infectious Colitis

Infectious Colitis is caused by bacteria, viruses, or parasites that infect the colon. One might experience symptoms like diarrhoea, fever, and dehydration. Food poisoning is a common cause, so it’s important to be mindful of what one eats.

  • Ischemic Colitis

This occurs when blood flow to the colon is reduced, leading to inflammation. It’s more common in older adults and can result in sudden abdominal pain, bloating, and an urgent need to use the bathroom.

  • Microscopic Colitis

Microscopic Colitis is a less-known type that causes chronic diarrhoea but doesn’t show up on routine colon exams. Doctors usually diagnose it by examining colon tissue under a microscope.

Symptoms of Colitis: How to spot the signs:

So, how do you know if you have Colitis? The symptoms can vary depending on the type, but some common signs include:

  • Abdominal pain or cramping.
  • Frequent diarrhoea or sometimes bloody stools.
  • Fatigue.
  • Unexplained weight loss.
  • Fever (especially in infectious Colitis)

If you’ve been dealing with any of these symptoms, it might be time to talk to a doctor. Rest assured, there are ways to treat it, and getting diagnosed early makes a significant difference!

When to Reach Out to a Healthcare Provider

You would consult with your GP who after going through a checklist will possibly then send you to a Gastroenterologist if further tests are required.

He will first ask you if you have experienced the following:

  • Persistent abdominal pain that doesn’t improve/
  • Blood in your stool or stools that appear black.
  • Ongoing diarrhoea or vomiting.
  • Abdominal swelling.
  • How long have you been experiencing these symptoms?
  • How intense is your pain?
  • How frequently do you experience pain, and how long does it last?
  • How often do you have diarrhoea?
  • Have you travelled recently?
  • Have you taken any antibiotics recently?

Exams and Tests will be carried out if need be.

Based on your symptoms, your provider may recommend a flexible sigmoidoscopy or colonoscopy. This procedure involves inserting a flexible tube through your rectum to examine your colon. During this exam, your doctor may take biopsies (small tissue samples) to check for signs of inflammation, which can help pinpoint the cause of your Colitis.

Other tests that can help diagnose Colitis include:

  • Abdominal CT scan.
  • Abdominal MRI.
  • Barium enema.
  • Stool culture.
  • Stool examination for ova and parasites.

Treatment

Your treatment plan will depend on the underlying cause of your colitis.

Outlook (Prognosis)

The prognosis varies depending on the specific cause:

  • Crohn’s disease is a chronic condition with no cure, but symptoms can usually be controlled with medications, especially biologic agents, which are effective in managing Crohn Colitis.
  • Ulcerative colitis is often manageable with medications, but if it’s not well-controlled, surgery to remove the colon may be necessary.
  • Viral, bacterial, and parasitic colitis can typically be cured with the appropriate medications.
  • Pseudomembranous Colitis is often treatable with the right antibiotics.

Possible Complications

Complications from colitis may include:

  • Bleeding during bowel movements
  • Perforation of the colon (a tear in the colon wall)
  • Toxic megacolon (severe swelling of the colon)
  • Ulcers (painful sores) in the colon

It’s important to manage Colitis properly to prevent these complications and maintain overall health.

What causes Colitis? Understanding the triggers

Colitis can be triggered by a variety of factors, so it’s not always easy to pinpoint the exact cause. However, we can break it down into a few main categories:

  • Infections.

As mentioned earlier, infections from bacteria, viruses, or parasites can lead to Colitis. Foodborne illnesses are a big culprit.

  • Autoimmune conditions.

Some types of Colitis, like Ulcerative Colitis, are caused by your immune system attacking your own body. When the immune system is out of whack, it can lead to inflammation in the colon.

  • Stress and lifestyle factors.

While stress doesn’t directly cause Colitis, it can trigger flare-ups if you already have an underlying condition. Poor diet, lack of sleep, and even certain medications can contribute to Colitis symptoms.

How is Colitis treated?

The good news is that Colitis is treatable! Treatment depends on the type and severity of your condition, but here are some common options:

  • Medications.

Doctors often prescribe anti-inflammatory medications or immune system suppressors to reduce inflammation and control symptoms.

  • Dietary changes.

Managing Colitis often involves adjusting your diet to avoid foods that cause irritation. For example, some people find that high-fiber foods or dairy products can worsen symptoms.

  • Surgery.

In severe cases, especially with Ulcerative Colitis, surgery may be needed to remove part or all of the colon. It’s usually a last resort when other treatments haven’t worked.

  • Lifestyle adjustments.

Managing stress, getting enough sleep, and staying hydrated are all part of living well with Colitis. Regular check-ups with your doctor are key to managing the condition long-term.

Conclusion: You don’t have to face Colitis alone!

If you or someone you know is struggling with Colitis, the most important thing to remember is that you don’t have to face it alone. Understanding the condition, knowing the symptoms, and exploring treatment options are crucial steps in managing Colitis and living a full, healthy life.

If you suspect you might have Colitis, don’t hesitate to reach out to your healthcare provider for advice and treatment. With the right support, you can find relief and get back to feeling your best!

By familiarising yourself with Colitis and what it entails, you’re taking charge of your health. Don’t be afraid to ask questions and remember that managing Colitis is possible!

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