The patients with ulcerous colitis limited the rectum (proctitis) or colitis limited the final part of the left colon (proctosigmoiditis) usually are those that better take ulcerous colitis. The treatment with medecines by oral route or enemas can be sufficient. Serious the indirect effect of ulcerous colitis are little frequent in these patients. In those with more extensive disease, the indirect effect of ulcerous colitis are the loss of blood of the inflamed internal that can lead to the anemia and can even require treatment with iron supplements and blood transfusions. In rare occasions, the acute colon can expand until a great size when the inflammation becomes very serious.
This condition is known like megacolon toxic. The patients who suffer megacolon toxic the indirect effect are fever, pain and abdominal distension, dehydration and undernourishment. Unless the patient improves quickly with the medication, the surgery usually is necessary to prevent the breakage with colon. In a published Scandinavian study, to more than 500 patients with ulcerous colitis, I am realised a pursuit to them up to 10 years after the diagnosis, and it was discovered that the rate of mortality did not differ generally from the population. In addition, the rate of accumulated colectomy after 10 years was of 9.8%, 50% of the patients were almost free of relapse in the last five years of the study, and only 20% of the patients with proctitis or disease of the left side progressed until pancolitis.
The indirect effect of ulcerous colitis can affect other parts of the body: A ten percent of the patients can develop inflammation of the joints (arthritis). Some patients have low backache due to arthritis of the iliac joints sacrum. The ankylosing spondylitis (AS) is a type of arthritis that affects to the vertebrales joints of the individuals with ulcerous colitis. It seems that there is a greater incidence of the ankylosing spondylitis in patients with intestinal inflammatory disease. In rare occasions, the patients can develop in the skin nodules of red color (knotted erythema). Others can have, red and painful eyes (uvetis, epiescleritis). Due to these indirect effect of ulcerous colitis, risk by permanent deterioration of the vision can exist, ocular pain or reddening, is symptoms that require evaluation of a doctor. Biliary diseases of the liver and conduits also can be associate to indirect effect of ulcerous colitis. For example, in patients with a rare called disease esclerosante colangitis, repeats the infections and the inflammation in the biliary conduits and can produce the fever appellant, yellowish coloration of the skin (jaundice), the cirrhosis, and the necessity of a liver transplant. Finally, the patients with ulcerous colitis also could have a greater tendency to form sanguineous clots, especially when she is the active disease. In summary: The majority of the people with ulcerous colitis can take a normal life and activates with few restrictions. Although it does not have cures, the upheaval it can control with the present treatments. For some patients, the course of the disease can be more difficult and complicated, being necessary more tests and intensive therapy. The surgery sometimes is necessary. In all the cases, the attention of pursuit with the doctor is essential to control the disease and to prevent and to treat any complication that could arise. original Author and source of the article