The symptoms tend to come and go. This is called having “flare-ups” or “relapses” when symptoms are present and “remission” when the symptoms are treated and go away. Most people with ulcerative colitis have a milder disease characterized by uncomfortable but manageable flare-ups that alternate with months or even years of asymptomatic remission. However, some people have more severe disease with frequent attacks and more serious symptoms. It is very important to let your doctor know early if you have recurrence of symptoms or worsening of actively treated disease. Symptoms such as severe pain, fever, inability to have a bowel movement, dehydration, or having a large amount of blood or pus in your stool may require more aggressive treatments and may even require hospitalization to get it under control.
Treatment
The goal of treatment for ulcerative colitis is to bring about remission of the disease and keep patients in remission for as long as possible. The treatment depends on the severity of the disease. There are no dietary restrictions, although you will want to avoid foods that increase your symptoms when the disease is active. Some people find it necessary to avoid milk products. Alcohol and caffeine do not appear to make the disease any worse although they may cause mild symptoms, especially during relapses. A healthy diet and supplemental multivitamin is recommended.
