If you have any of these symptoms and you have been diagnosed with ulcerative colitis, your disease may have become significantly worse. Some of these symptoms also may be signs of toxic megacolon. This is a condition in which the colon swells to many times its normal size. Toxic megacolon requires emergency treatment. Left untreated, it can cause the colon to leak or rupture. This can be fatal.
When you have ulcerative colitis (UC), you’ll definitely take medicine to help manage it. There are several kinds your doctor will consider, depending on what you need.
Most people with UC take prescription drugs called aminosalicylates (or “5-ASAs”) that tame inflammation in the gut. These include balsalazide, mesalamine, olsalazine, and sulfasalazine. As long as you avoid your trigger foods, these may be enough if your disease is mild to moderate.
You may need something else if your condition...
Watchful waiting is not appropriate when you have any of the above symptoms. If your symptoms are caused by ulcerative colitis, delaying the diagnosis and treatment may make the disease worse. And it can increase your risk of other problems.
Even when the disease is in remission, your doctor will want to see you regularly to check for complications. Some of these problems can be hard to detect. It is always a good idea to call your doctor's office for advice.
Who to see
Health professionals who can diagnose ulcerative colitis include: