Swelling of arthritis, or joints, is the most common complication of UC found outside the bowel. Different types of arthritis affect up to 30 percent of the disease, including both young and old.
The severity of arthritis is caused by peripheral – inflammation with some damage of mild joints and some disadvantages of flexibility – Spinal cordThere is a weak form of arthritis that is characterized by dramatic loss of flexibility in the lower back, affecting 2 to 3 percent people with IBDs.
“While we cannot say that there is a direct cause, joint pain usually provokes when intestinal disease also provokes,” Laura Raffles, MDA gastroenterologist at the Mayo Clinic in Rochester, Minnesota.
Range-off-motion exercise can help prevent joints from flaring, and anti-inflammatory drugs can reduce joint pain. Some drugs, such as sulfasalin (azulfidine), may help in treating UC and arthritis.
2. Skin problems
20 percent of people with an IBD experience experience skin disorders, canker wounds in the mouth, skin tagsAnd pyoderma gangrenosum, or skin lesions.
A research review published in 2021 found that biologics can effectively treat both UC and skin lesions. But while biologics can treat both conditions effectively, they can cause some skin issues as side effects, such as infusions, eczema, or reactions to skin infections, among others.
“Biologics has been shown highly effective treatment for a series of inflammatory diseases, and they are much more secure than steroids,” Dr. Rifles say.
Treatment for other skin disorders associated with IBD may include antibiotics, ointments, hot baths and surgery.
3. Eye issues
About 10 percent of people with IBD patients experience additional complications in their eyes. Two common types – episclertis and scalaritis – usually flare a UC. UvitisOne type of inflammation in the stained part of the eye is another common complication of UC that follows its own course. Leave untreated, it can progress Glucoma And vision loss.
Eyes fall with Corticosteroids Generally these complications are determined to treat, and the effective management of the UC has reduced the frequency and severity of swelling in the eyes.
4. Bone loss
Fracture (Loss of bone) and Fracture (Low bone density) can affect 30 to 60 percent of people with UC, which disrupts bone metabolism, drug side effects (especially steroids), and vitamin D deficiency.
Lifestyle measures, including regular exercise and calcium and vitamin D supplements, can help prevent and treat this condition, as the drug promotes the strength and density of the prescription drug. Work with your doctor to customize your UC treatment plan to protect your bones; For example, low doses of steroids may be understood to you.
5. Liver disease
Liver disease Ulcerative colitis is often reversible, but 5 percent of the UC people can develop serious complications. The most common liver problems with UC include:
liver disease With this, additional fat is deposited in the liver and can replace liver cells; The disease is often attributed to steroid use. Controlling weight loss and cholesterol levels usually reverse stytic liver disease.
hepatitis B People with UC can be more susceptible hepatitis B Infections, especially on immunosuppressant drugs, are treated to treat UC. Hepatitis B vaccine is generally recommended to people with UC, but research suggests that the response to the vaccine may be reduced in some individuals with UC, such as on some drugs.
primary sclerosing cholangitis About 3 percent of people with UC experience inflammation that causes scorching in the bile ducts, which disrupts the normal flow of bile. The back-up bile ducts can cause jaundice and itching, and potentially liver damage. A stent can be placed to reopen the duct.
6. colorectal cancer
Relationship between UC and colorectal cancer Unknown, but a strong correlation exists between the two, especially for those who have been UC for a long time.
“It seems mainly related to cellular changes due to autoimmune-medieval inflammation,” Dr. Philopot says. “In addition, if more colon is included, the risk is high.”
But there is good news. A study published in 2020 suggested that the risk of colon cancer in people with UC has decreased over time; This is more likely in smokers.
Filmot says that people with UC should be cautious about screening. “We recommend that UC patients are at greater risk of colon cancer Do not wait for symptoms, but regularly undergo regular monitoring colonoscopies, who seek pre -transformation, “Philopot says.” It is said, of course, bleeding, weight loss, and changes in bowel symptoms should always motivate you to consult your doctor. ,
7. Toxic megacolone
In rare cases, people with UC can develop Toxic megacoloneAn inflammation and inflammation of the deep layers of the colon that can cause the colon’s functioning or preventing breakdown.
Toxic megacolone is the most associated with IBD, especially UC, which is four times higher than Crohn’s disease (8 to 10 percent versus 2.3 percent).
“Fortunately, this is a rare situation, but it is very severe when it is,” says the refles. “If a patient is severely ill with his colitis and is experiencing severe bloody diarrhea, abdominal pain and fever, then they should be evaluated. These patients are often present with fever, a rapid heart rate, abnormal laboratories and even sometimes low blood pressure and confusion.”
People with UC should be given steroids as soon as possible, and Bowl rest Can be recommended. The main goal is to stabilize the patient and reduce inflammation in the colon. Reflee says that patients often require surgery, with the main complexity the porcelain of the colon.
Ways to reduce complications
It is important to reduce UC complications and improve results. It is necessary to perform your best to maintain proper nutrition and manage stress, although neither stress nor sensitivity for certain foods leads to disease. If you and your doctor have an alternative way to treat UC Flairs, then it can also be helpful to avoid steroids.
While a treatment for UC has been found yet that does not include surgery, some complications may disappear completely when the disease occurs appropriately TreatmentWork with your doctor and other healthcare team members to get optimal control of the disease as soon as possible.
Tackway
In addition to the symptoms of the digestive system, this ulcerative colitis (UC) can cause complications in other parts of the body, such as the eyes, skin and liver.
People with UC are at high risk of development of colorectal cancer. More frequent colonoscopy may be recommended for people with conditions compared to normal population.
Staying on top of any new symptoms and reporting them to your doctor ensures that any complication can be treated before deteriorating.
