Young people are always looking forward and never seem to consider that they can have any problems with their bodies. But if you are curious and ask your friends around you, how many of them suffer from intestinal diseases? The answer will be quite a few. Recently, I met so many friends who suffer from enteritis, and a very scary one, called ulcerative colitis. Have you heard of it? The cause of the disease is not yet clear, we need to know in advance! Ulcerative colitis is also known as idiopathic ulcerative colitis, chronic non-specific ulcerative colitis. It is a chronic disease with an undefined cause, characterized by diffuse mucosal inflammation and ulcerative lesions occurring in the colon. The onset of the disease is mostly seen in young adults aged 20 to 40 years old, but can also be seen in young children aged 2 to 15 years old and children. The main symptoms of ulcerative colitis: 1, diarrhea to mucus blood stool, rarely yellow thin paste or watery stool. The lighter ones defecate 3 to 4 times a day, the heavier ones 7 to 8 times a day or even dozens of times. Diarrhea often occurs after meals or early in the morning
Some occur at night. 2, abdominal pain is mostly in the left lower abdomen or lower abdomen, and the whole abdomen can be involved in extensive lesions of the intestinal segment. The degree of pain is mostly mild to moderate cramping pain. There is a pattern of pain – bowel movement – relieved after stool. 3. The discomfort or pain in the abdomen before defecation and the urgency of defecation are called “internal urgency”, and the embarrassment in the anus, the discomfort during defecation and the feeling of heavy fall after defecation are called “posterior weight”. Other symptoms include abdominal distension, loss of appetite, nausea, vomiting, emaciation, anxiety, depression, paranoia, insomnia, anemia, disturbance of water and electrolyte balance, hypoalbuminemia and nutritional disorders. Complications: toxic dilatation of the colon, intestinal perforation, colonic hemorrhage, intestinal polyps, perianal abscess, anal fistula, anal fissure, colonic stricture and obstruction, etc. The reason is that ulcerative colitis has a long course, recurrent, aggravated year by year, the onset of the characteristics of a long time, and a few patients can be fulminant onset, the condition is serious, and even life-threatening, so should be actively treated in a timely manner. Treatment: Treatment includes medical treatment and surgical treatment. Internal treatment is mainly drug therapy. Surgical treatment is mainly surgical treatment, mainly for toxic megacolon, perforation, bleeding, intolerable extracolonic symptoms and cancer indications. 1.Total colon and rectal resection and ileostomy can completely remove lesions and possible recurrence, and also remove the risk of cancer, which is the gold standard of surgery for the treatment of ulcerative colitis. 2. Colorectal resection and ileorectal anastomosis can preserve the function of the rectum and anus and free the patient from ileostomy, but there is a risk of recurrence and cancer. 3. Colorectal resection and ileal pouch anastomosis removes all diseased mucosa, preserves the bladder and genital parasympathetic nerve, avoids permanent ileostomy, and preserves the anal sphincter. The procedure has been widely adopted since its improvement.