Ulcerative Colitis

About Ulcerative Colitis

Ulcerative Colitis is a type of inflammatory bowel disease that causes inflammation of the colon and rectum. The exact cause of this condition is still not completely understood, but it is believed to be a result of a combination of genetic, environmental, and immune system factors. It is important for both those diagnosed with Ulcerative Colitis and the wider community to have a good understanding of this condition.


Recognizing the symptoms of ulcerative colitis is essential for early intervention. Common symptoms include abdominal pain, persistent diarrhea, rectal bleeding, weight loss, fatigue, and a constant urge to empty the bowels. These symptoms can vary in intensity and may come and go over time. 


The precise cause of ulcerative colitis remains uncertain. However, researchers believe that a combination of genetic predisposition, environmental factors, and an abnormal immune response plays a role in its development. Stress and diet can exacerbate symptoms but are not direct causes. 


Diagnosing ulcerative colitis is a complex process that involves a thorough examination of medical history, physical symptoms, and a series of diagnostic tests. Florida Digestive Health Specialists can perform colonoscopies, blood tests, stool tests, and imaging studies to help confirm the diagnosis and assess the severity of the condition. 


Management of ulcerative colitis focuses on inducing and maintaining remission, alleviating symptoms, and improving the patient’s quality of life. Florida Digestive Health Specialists customize treatment plans based on the severity of the disease, and they may include medications, lifestyle modifications, and, in some cases, surgery. 


Various medications are used to treat ulcerative colitis, each serving a specific purpose. Aminosalicylates, corticosteroids, immunomodulators, and biologics are among the drugs commonly prescribed to control inflammation, manage symptoms, and prevent relapses. 


Aminosalicylates are anti-inflammatory drugs that target the lining of the intestine, reducing inflammation and relieving symptoms of ulcerative colitis. Commonly prescribed aminosalicylates include mesalamine and sulfasalazine. 


Corticosteroids, such as prednisone and budesonide, are potent anti-inflammatory drugs that help reduce inflammation in the colon caused by ulcerative colitis. They are often prescribed for short-term use due to potential long-term side effects. 


Immunomodulators, like azathioprine and mercaptopurine, suppress the immune system to reduce inflammation in patients with ulcerative colitis. They are typically used when aminosalicylates and corticosteroids are ineffective or not well-tolerated. 


Biologics, such as infliximab and adalimumab, target specific molecules involved in the inflammatory process. They are administered through injections or infusions and are often reserved for moderate to severe cases of ulcerative colitis. 


Ulcerative Colitis is a challenging condition that requires ongoing management and a collaborative effort between healthcare providers and patients. Individuals affected by ulcerative colitis must know the symptoms, causes, diagnosis, and treatment options to actively participate in their care and make informed decisions.

FAQs About Ulcerative Colitis

What is life expectancy with ulcerative colitis?

Life expectancy for individuals with ulcerative colitis is generally near-normal with proper management. Advances in medical treatments, including medications and surgical interventions, have significantly improved outcomes. Regular medical follow-ups, adherence to treatment plans and a healthy lifestyle contribute to overall well-being. 

What foods trigger colitis?

Trigger foods for colitis vary among individuals, but common culprits include high-fiber foods, spicy foods, dairy products and alcohol. It's essential to keep a food diary to identify personal triggers and work with a Florida Digestive Health Specialists healthcare professional or a nutritionist to develop an individualized diet plan. 

Does ulcerative colitis go away?

Ulcerative colitis is a chronic condition, and while there is no cure, it can be effectively managed. With appropriate medical treatment and lifestyle modifications, many individuals achieve remission, experiencing long periods without symptoms. 

How did you know you had ulcerative colitis?

Diagnosing ulcerative colitis involves a combination of symptoms, medical exams, and diagnostic tests. Common indicators include persistent abdominal pain, changes in bowel habits and rectal bleeding. A Florida Digestive Health Specialists healthcare professional may conduct a colonoscopy, blood tests and imaging studies to confirm the diagnosis. 

How long can you live with untreated ulcerative colitis?

Untreated ulcerative colitis can lead to complications and a decreased quality of life. In severe cases, it may result in life-threatening complications such as severe bleeding, perforation or an increased risk of colon cancer. Timely medical intervention is crucial for better outcomes. 

Is ulcerative colitis very serious?

Yes, ulcerative colitis is a serious condition that requires ongoing management. While some individuals experience mild symptoms, others may face more severe complications. Potential complications include nutritional deficiencies, an increased risk of colon cancer and the need for surgery in certain cases. 

Can I eat salad with colitis?

During flare-ups, raw salads may be hard to digest and can exacerbate symptoms. However, cooked vegetables and easily digestible greens might be better tolerated. Individual responses to foods can vary, so it's advisable to experiment and tailor the diet to personal preferences and tolerances. 

Is coffee bad for colitis?

Caffeine in coffee can be a trigger for some individuals with colitis. It may exacerbate symptoms like diarrhea and abdominal pain. Moderation is key, and it's essential to monitor personal responses. Some may find switching to low-acid coffee or opting for alternatives like herbal tea beneficial. 

What foods calm colitis flare ups?

During flare-ups, a low-residue diet comprising well-cooked, easily digestible foods may be beneficial. This includes refined grains, lean proteins, cooked fruits and vegetables. However, individual responses vary, and consultation with a Florida Digestive Health Specialists healthcare professional or dietitian is recommended. 

What are the 4 stages of ulcerative colitis?

UC progression is often categorized into mild, moderate, severe or fulminant stages. Severity is determined based on the extent of inflammation and the presence of symptoms. Treatment plans are tailored according to the stage of the disease. 



  • Inflammation is limited to a superficial layer of the inner lining of the colon. 
  • Symptoms are generally minor, with infrequent and well-formed stools. 
  • Mild abdominal pain and discomfort may be present. 



  • Inflammation involves a deeper layer of the colon lining. 
  • Symptoms intensify, with increased frequency of bowel movements, loose stools and abdominal pain. 
  • Moderate inflammation may impact daily activities and quality of life. 



  • Inflammation extends to a significant portion of the colon. 
  • Frequent and urgent bowel movements, often with blood and mucus. 
  • Severe abdominal pain and significant fatigue. 
  • Symptoms may substantially impair daily functioning. 



  • Inflammation affects the entire colon. 
  • Frequent, urgent and profuse diarrhea, often with blood. 
  • Severe abdominal pain, dehydration and potentially life-threatening complications like toxic megacolon. 
  • Fulminant ulcerative colitis requires urgent medical attention and may necessitate surgical intervention. 

What can be mistaken for ulcerative colitis?

Conditions that can be mistaken for ulcerative colitis include Crohn's disease, irritable bowel syndrome (IBS) and infections. An accurate diagnosis by a Florida Digestive Health Specialists healthcare professional is crucial to initiate the appropriate treatment plan. 

Can I eat pizza with colitis?

Fatty and greasy foods, like pizza, may exacerbate symptoms during flare-ups. Opting for less greasy alternatives or modifying toppings to be more easily digestible should be considered. 

What is colitis pain like?

Colitis pain varies, ranging from mild discomfort to intense cramping. The location, frequency and duration of pain can differ among individuals. It's important to communicate pain experiences with your Florida Digestive Health Specialists healthcare provider for effective management. 

How do you calm a colitis flare-up?

Rest, hydration and adherence to prescribed medications are essential during a flare-up. Stress management techniques, such as deep breathing or meditation, can also be beneficial. Consultation with a Florida Digestive Health Specialists healthcare professional for personalized advice is recommended. 

What does a colitis flare feel like?

A colitis flare can bring increased urgency to have a bowel movement as well as abdominal pain, fatigue and changes in bowel habits. These symptoms can significantly impact daily life. Seeking prompt medical attention is advised. 

What is end stage colitis?

End-stage colitis refers to severe, longstanding disease where the colon is extensively damaged. Symptoms can be debilitating, and surgical options might be considered for relief. 

What is the difference between colitis and ulcerative colitis?

Colitis broadly refers to inflammation of the colon, while ulcerative colitis specifically affects the colon and rectum. Ulcerative colitis is a type of colitis, and the distinction lies in the specific areas affected. 

What happens if you ignore colitis?

Ignoring colitis can lead to complications such as severe bleeding, perforation, an increased risk of colon cancer and a decreased quality of life. Timely medical intervention and adherence to treatment plans are crucial. 

What does colitis poop look like?

During flares, stools may be bloody or contain mucus. Changes in color, consistency or frequency warrant medical attention. Monitoring stool characteristics is an important aspect of managing colitis. 

Which is worse Crohn's or ulcerative colitis?

Both Crohn's disease and ulcerative colitis are serious conditions, but the extent and nature of inflammation differ. Crohn's can affect any part of the digestive tract, while ulcerative colitis is limited to the colon and rectum. 

What is the peak age for ulcerative colitis?

Ulcerative colitis often manifests between ages 15 and 30, with a second peak between 50 and 70. However, it can occur at any age, and its onset is unpredictable. 

Can stress cause colitis?

While stress doesn't directly cause colitis, it can exacerbate symptoms and contribute to flare-ups. Stress management techniques, such as regular exercise and relaxation methods, may be beneficial. 

How many bowel movements should you have with ulcerative colitis?

Frequency of bowel movements varies, but more than six bowel movements a day during a flare-up is common. Individual experiences may differ, and it's important to communicate changes your Florida Digestive Health Specialists healthcare provider

Can I live a normal life with colitis?

With proper management, many individuals with colitis lead normal lives. Adherence to treatment plans, lifestyle modifications and regular medical follow-ups contribute to overall well-being. 

Can you live with colitis without medication?

Medication for ulcerative colitis helps manage symptoms, prevent complications and improve quality of life. Living without medication may lead to symptom exacerbation and increased risk of complications. Consultation with a Florida Digestive Health Specialists healthcare provider is essential for an appropriate treatment plan tailored to individual needs.