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Home > West Medicine > Internal Medicine > Gastroenterology
K51.900

Ulcerative Colitis

消化内科

Common symptoms

衰弱、上腹不适、粪便黑色并带有血液、腹泻、腹痛、便秘、消瘦、恶心、消化不良

The pathology of disease

Ulcerative colitis is chronic mucosal ulcerative inflammatory bowel disease of colon/rectum (continuous from rectum), presenting with bloody diarrhea, mucus, abdominal pain, and weight loss. Treatment: induction (5-ASA oral/topical; corticosteroids) and maintenance (5-ASA; immunomodulators/biologics anti-TNF/vedolizumab/ustekinumab); nutritional support; treat severe flare (IV steroids/biologics; rescue ciclosporin); colectomy for refractory/dysplasia/cancer/toxic megacolon; surveillance colonoscopy every 1-2 years after 8-10 years; monitor extraintestinal manifestations; follow-up.

Common Symptoms

Bloody diarrhea; mucus; abdominal pain; continuous from rectum; mucosal

Causes and Pathogenesis

Immune dysregulation causes mucosal ulcerative colitis.

Treatment

5-ASA/steroids/immunomodulators/biologics; colectomy for complications; surveillance

Preventive Measures

Regular follow-up; treat flares early; avoid NSAIDs.

Department to Visit

It is recommended to visit the Gastroenterology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.