Do You Know the Different Types of UC?

Staff
By Staff
3 Min Read

A colonoscopy is the only way to definitively diagnose UC and its subtypes. This procedure is performed under general anesthesia and involves inserting a colonoscope (a long, lighted tube with an attached camera) into your rectum and then into your colon.

A colonoscopy can help doctors see the amount of ulceration and bleeding that has occurred in the mucosa (the lining of the colon).

If you are in remission, the severity of the disease, which is determined using a rating system based on colonoscopy results, can help predict how likely your UC is to relapse within five years, according to a 2021 study.
Doctors may also request other types of imaging tests and lab tests. These can provide valuable information and help rule out other medical conditions with symptoms that mimic those of UC. These tests include:

Lab Tests

Lab tests can include blood work to check for nutrients, antibodies, or signs of infection.

Blood work can identify nutritional markers like iron and protein; when these levels are low, they can indicate more severe disease. Markers of inflammation in the blood, such as C-reactive protein, and other signs of infection may also be present.
Your doctor may request a stool sample analysis and check for white blood cells and proteins in the stool, which can indicate UC.

They may also use the stool sample to rule out other possible conditions.

X-rays

Your doctor may not recommend an X-ray unless you have severe symptoms. An X-ray can help show if you have other serious complications associated with UC, such as a perforated colon.

Sigmoidoscopy

A flexible sigmoidoscopy is similar to a colonoscopy, but it is less intrusive. This procedure uses a flexible tube with a light to view just the lower portion of the colon, which consists of the two areas leading up to your rectum: the descending colon and the sigmoid colon. A sigmoidoscopy is typically used to evaluate the severity of UC after it’s been diagnosed.

Chromoendoscopy

A chromoendoscopy is a type of colonoscopy that involves injecting a blue dye into the colon. The blue dye helps to highlight possible precancerous lesions and polyps in the colon.

Your doctor may then take a small sample of colon tissue (biopsy) or remove any polyps they find.

Biopsy

If your doctor removes a small tissue sample or a polyp from your colon, they will send it to a lab for examination. The lab can help screen for worsening UC as well as colorectal cancer.

CT Scan

Your doctor may recommend a CT scan to assess inflammation in your colon. It can also help to rule out other potential causes of your symptoms and find complications, such as abscesses and fistulas.

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