Ulcerative Colitis Specialists

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What is Ulcerative Colitis?

Ulcerative colitis causes inflammation of the large intestine, also known as the colon. Doctors categorize ulcerative colitis as a type of inflammatory bowel disease. In ulcerative colitis, the lining of the large intestine becomes inflamed and develops open sores, known as ulcers. These ulcers produce mucus and pus, which causes abdominal pain and feeling like you need to empty your bowels frequently.

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Common Causes of Ulcerative Colitis

The exact cause of ulcerative colitis is unknown. Previously, diet and stress were suspected, but now gastroenterologists know these may aggravate, but don't cause colitis. When your body tries to fight off a virus or bacterium, an abnormal response causes the immune system to attack cells in the digestive tract. Some risk factors may include age (colitis often begins before age 30) and family history.

Getting a Diagnosis

Your gastroenterologists will make a diagnosis based on your medical history, a physical examination, and various tests. Following this, your provider will typically evaluate your colon, using a sigmoidoscopy or colonoscopy.

Chronic bleeding from ulcerative colitis can cause a shortage of red blood cells, a condition known as anemia. Because ulcerative colitis interferes with nutrient absorption, some people with the condition may experience weight loss or problems with their skin, eyes, joints, liver, or kidneys.

Esophagitis

The repeated exposure of the esophagus to stomach acid can cause inflammation, leading to a condition known as esophagitis. This inflammation may result in pain, difficulty swallowing, and in severe cases, bleeding.

Dental Problems

The acid from the stomach can erode tooth enamel, leading to dental issues such as tooth decay, sensitivity, and an increased risk of cavities.

Barrett's Esophagus

Long-term and untreated GERD can cause changes in the lining of the esophagus, known as Barrett's esophagus. Barrett's esophagus is a precancerous condition that may increase the risk of developing esophageal cancer over time.

Barrett's Esophagus and Esophageal Cancer

In rare cases, Barrett's esophagus can progress to esophageal adenocarcinoma, a type of cancer. Regular monitoring and treatment are essential to manage the risk of cancer in individuals with Barrett's esophagus.

Strictures

Chronic exposure to stomach acid can cause the formation of scar tissue in the esophagus, leading to the narrowing of the esophageal passage. This condition is called a stricture and can result in difficulty swallowing.

Pulmonary Fibrosis

Severe cases of GERD, especially when it leads to aspiration (inhalation of stomach contents into the lungs), may contribute to the development of pulmonary fibrosis, a condition where lung tissue becomes scarred.

Respiratory Issues

Stomach acid that reaches the throat and airways can irritate, leading to respiratory problems such as coughing, wheezing, asthma, or recurrent pneumonia.

Bleeding

Inflammation in the esophagus can cause small blood vessels to bleed. This can lead to the development of iron-deficiency anemia.

What is The Treatment for Ulcerative Colitis?

The treatment for ulcerative colitis focuses on reducing inflammation and managing symptoms. Medications such as anti-inflammatory drugs, immunosuppressants, and biologics are commonly used to control flare-ups and maintain remission. Dietary changes may also help manage symptoms. In some cases, surgery to remove the colon is considered if medications are ineffective. It's important to follow your gastroenterologist's recommendations to reduce flare-ups and improve your quality of life.

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Frequently Asked Questions About Ulcerative Colitis

What is the difference between ulcerative colitis and Crohn's disease?

Both ulcerative colitis (UC) and Crohn's disease are types of inflammatory bowel disease (IBD), but they affect the digestive tract differently. Ulcerative colitis causes continuous inflammation and ulcers in the lining of the colon and rectum, while Crohn's disease can affect any part of the digestive tract, often in patchy areas.

Can diet help manage ulcerative colitis?

Yes, diet plays an important role in managing symptoms. While no single diet works for everyone, many patients find relief by:

  • Eating small, frequent meals
  • Avoiding high-fat, spicy, or high-fiber foods during flares
  • Staying hydrated
  • Limiting dairy or caffeine if they worsen symptoms

Your provider or a registered dietitian can help you create a personalized nutrition plan.

How many people in the United States have ulcerative colitis?

About a million people in the US have ulcerative colitis.

How often should I see my gastroenterologist if I have ulcerative colitis?

This depends on your condition's severity and stability. During flare-ups, visits may be more frequent. Once your symptoms are under control, regular check-ins every 6–12 months help monitor your health and adjust treatment as needed.

When does ulcerative colitis usually develop?

Ulcerative colitis usually develops between the ages of 15 and 30, although it can appear at any age. Inflammation associated with ulcerative colitis can flare several times through life to cause recurring signs and symptoms.

Does ulcerative colitis increase my risk of colon cancer?

Yes, long-term inflammation of the colon can increase the risk of colorectal cancer. That's why patients with ulcerative colitis are usually advised to have more frequent colonoscopies, often starting 8–10 years after diagnosis, to monitor for precancerous changes.

What are common triggers for ulcerative colitis flare-ups?

While triggers vary from person to person, common ones include stress, certain foods (like high-fat or spicy meals), infections, and missing medications. Tracking your diet and symptoms can help identify what worsens your condition and help your provider create a personalized management plan.