Discusses Ulcerative colitis and particularly treatment and is for patients and the public. It is the second in the series of five videos on inflammatory bowel disease.
This video will attempt to answer the following QUESTIONS;
• What is mild to moderate ulcerative colitis (UC ) ?
• What is severe UC ?
• What are the two commonly used drugs to manage mild to moderate UC at presentation and flare ups ?
• Why is maintenance therapy important in UC ?
• What are the complications of UC if the patient has regular flare ups?
• Why is regular colonoscopy important after 8 to 10 years of chronic UC ?
• Colon is the large intestine.
• Ulcerative colitis is chronic inflammation of the inner lining of the colon..
• Flare-up or relapse is the return of inflammation and symptoms after a period of remission.
• Remission happens when the inflammation resolves and the patient is well and has no symptoms.
• Maintenance therapy is indicated to prevent relapse or flare up.
• In mild to moderate Ulcerative Colitis (UC), a shorter segment of colon is involved, and there is less severe inflammation.
• In severe UC, a larger length of colon is affected, with severe diarrhoea, fever, weight loss and sometimes disease affecting organs outside the colon.
• Two commonly used drugs in mild to moderate UC are mesalamine and steroids, which can be given rectally and / or orally.
• Maintenance therapy is important to prevent relapses or flare ups, which can sometimes result in severe UC . If life threatening it might require surgery to remove the whole colon and rectum.
• Regular colonoscopy is indicated ( to detect precancerous lesions) after 8 to 10 years of the disease, as the risk of colon cancer is increased.
The videos are easy to understand and tries to use everyday language as far as possible. The videos are full of images and follow a standard format of topic objective, word index, content and summary. Each topic covers diagnosis, investigation, management and prevention. Videos are an average of between 5 to 10 minutes. I created the videos, using my over 30 years of experience in managing patients with gut and liver problems . I am a gastroenterologist and hepatologist and was trained in Edinburgh , United Kingdom, and Tokyo and have worked in academia and the private sector.
As the adage goes “A picture is worth a thousand words”. I believe combining images and explanations using blackboards, helps one better understand a medical condition. With knowledge, a person gets a better sense of control, and hence is empowered to make informed decisions.