Ulcerative Colitis Pain Treatment: 5 Options for Relief

Staff
By Staff
5 Min Read

Once you’ve described your pain accurately, your doctor will likely be able to track down its cause and begin treating it. Here are some ways to manage UC pain.

1. Medication

Sticking to your prescribed medication regimen is one of the best ways to manage UC symptoms, including pain. Your doctor can prescribe a number of drugs to treat your symptoms. These work by modifying how your immune system functions and, as a result, decrease the inflammation in your gut. If you skip doses or don’t take the medication as prescribed, you will reduce its effectiveness and risk having a flare.

If you’re experiencing mild pain, your doctor may recommend acetaminophen (Tylenol). But you may need to limit or avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil) or naproxen (Aleve). Although the exact association between NSAIDs and UC flares is unclear, some research indicates they may increase pain and symptoms and even trigger flares. Only take these medications if your doctor advises them.

2. Diet and Nutrition

Although the exact link between food and UC isn’t yet clear, your diet can play a role in triggering or easing your symptoms. You may find that adopting a diet low in certain sugars or fiber — particularly insoluble fiber, which passes through the gastrointestinal tract undigested — or free of lactose may help you manage UC symptoms like pain.
In particular, some research suggests a low-FODMAP diet, which involves the temporary elimination and reintroduction of certain types of carbohydrates and fiber, can be effective for people with UC. One meta-analysis of nine studies found that a low-FODMAP diet helped with symptoms like abdominal pain and bloating, but more research is needed to confirm these findings.

Also note that excessive amounts of red and processed meats and sugar-sweetened beverages should be avoided, as these have been linked to an increased risk of UC flares.

3. Stress Management

Similar to depression, stress can exacerbate the pain and other symptoms of UC. Do your best to manage stress through practices like yoga and mindfulness, which in turn may help lessen your UC pain.
You might also consider joining a support group, where you can find helpful advice and comfort in talking with others who have UC. And if you experience consistent stress, seeing a mental health professional could help you learn coping strategies.

While these stress-busting therapies are not a replacement for any UC medication you might be taking, they can be a great complement to the medication regimen and improve overall outcomes.

4. Complementary Therapies

Adding complementary and integrative therapies (options that aren’t part of conventional medicine) to your existing treatment plan may help ease UC pain and other symptoms.

“Therapies like yoga, massage therapy, acupuncture, and hypnotherapy have been shown to help,” Kane says. Discuss any complementary and integrative therapies with your doctor before starting any, so you’ll be aware of the pros and cons.

5. Surgery

Surgery is a long-term treatment option for UC. Research shows up to 30 percent of people with UC may need surgery at some point, in part because of severe symptoms that no longer respond to medication.
Surgery options include a proctocolectomy (the removal of the rectum and the colon), a colectomy (the removal of all or part of the colon), and an ileostomy (a procedure where a surgically created hole in the small intestine is fixed to the abdominal wall to allow the passage of stool). After a colectomy, many people are candidates for an ileo-anal pouch anastomosis. Although complications can occur after the surgery and it can take up to a year to recover, in most cases, the procedures are successful.

Read the full article here

Share This Article
Leave a comment

Leave a Reply

Your email address will not be published. Required fields are marked *