Ulcerative Colitis

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ULCERATIVE COLITIS

JD Middleton
Ball State University Intern
U of L Athletics Nutrition Rotation
OVERVIEW

• Definition
• IBD vs IBS
• Symptoms
• Types
• Treatment
• Overall Nutrition
• Meal Plans
• Tips for Managing
DEFINITION

• “Chronic disease of the large intestine, also known as the colon, in which the
lining of the colon becomes inflamed and develops tiny open sores, or ulcers,
that produce pus and mucous”
• Abnormal response from body’s immune system
• Mistakes food and bacteria as foreign invaders
• Sends white blood cells to linings of intestines
• Causes inflammation and ulcerations
IBD VS IBS

• Inflammatory Bowel Disease (IBD)- body’s immune system attacks parts of the
digestive system
• Ulcerative Colitis- affects large intestine
• Crohn’s Disease- affects any part of the GI tract but typically end of small intestine
and beginning of large intestine
• Irritable Bowel Syndrome (IBS)- affects the function and behavior of the
intestines
SYMPTOMS

• Looser and more urgent bowel movements


• Persistent diarrhea with abdominal pain
• Blood in stool
• Cramping abdominal pain
• May also experience
• Loss of appetite
• Fatigue
• Weight loss
TYPES OF ULCERATIVE
COLITIS

• Ulcerative proctitis
• Inflammation limited to rectum
• Few complications
• Proctosigmoiditis
• Affects rectum and sigmoid colon
• Symptoms include
• Bloody diarrhea
• Cramps
• Constant feeling of need to pass stool
• Left side abdominal pain
TYPES OF ULCERATIVE
COLITIS
• Left-sided Colitis
• Affects rectum up to splenic flexure
• Symptoms include
• Loss of appetite
• Weight loss
• Diarrhea
• Severe left side abdominal pain
• Pan-ulcerative (total) Colitis
• Affects entire colon
• Symptoms include:
• Diarrhea
• Severe abdominal pain
• Extensive weight loss
• Potential opening in bowel wall
TREATMENT

• Medication
• Help suppress inflammation to allow healing
• Reduce diarrhea and abdominal pain
• Nutrition
• Maintain good nutrition to avoid weight loss
• Find foods that don’t causes flare ups
• Surgery
• When medical and nutrition therapy fails and complications arise
• Proctocolectomy with ileostomy
• Proctocolectomy with ileoanal pouch-anal anastomosis (IPAA) or J-Pouch surgery
NUTRITION

• No “go-to” diet
• Eat small meals and snacks every 3-4 hours
• Drink a lot of water to avoid dehydration
• Limit caffeinated, sugary drinks, and drinks made with sugar substitutes
• Limit high fiber foods when having symptoms but try to include them in diet
when not having symptoms
• Eat foods with probiotics (yogurt, kefir) and prebiotics (bananas)
• Chewable multivitamins with minerals may be necessary
POSSIBLE TRIGGER FOODS

• Fiber
• Soluble- dissolves in water, slows down transit time, and delays gastric emptying
• Insoluble- can’t dissolve in water, increases transit time, and can aggravate symptoms
• Lactose
• High-fat foods
• Gluten
• Sugar alcohols
• Fructose
• Spicy foods
FOOD RECOMMENDATIONS
MEAL PLAN
TIPS FOR MANAGING

• Carefully select and prepare sources of fiber


• Select the right grains
• Choose the best sources of protein
• Get enough calcium
• Maintain adequate caloric intake
• Food journal
QUESTIONS?
SOURCES

• http://www.crohnscolitisfoundation.org/assets/pdfs/ibd-and-irritable-bowel.pdf
• http://www.crohnscolitisfoundation.org/what-are-crohns-and-colitis/what-is-
ulcerative-colitis/
• http://www.crohnscolitisfoundation.org/what-are-crohns-and-colitis/what-is-
crohns-disease/
• http://www.crohnscolitisfoundation.org/what-are-crohns-and-colitis/what-is-
ulcerative-colitis/types-of-ulcerative-colitis.html
• http://www.crohnscolitisfoundation.org/what-are-crohns-and-colitis/what-is-
ulcerative-colitis/colitis-treatment-options.html
• http://www.crohnscolitisfoundation.org/resources/diet-nutrition-ibd-2013.pdf
• https://www.nutritioncaremanual.org/client_ed.cfm?ncm_client_ed_id=181

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