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How often should I have a colonoscopy with ulcerative colitis?

Medically reviewed by Carmen Pope, BPharm. Last updated on Nov 25, 2024.

Official answer

by Drugs.com

If you have ulcerative colitis (UC), and you have had it for at least 8 years, then you should have a colonoscopy every 1 to 2 years. This is because people with UC have an increased risk of colorectal cancer.

References
  • The Risk of Colorectal Cancer in Crohn’s Disease and Ulcerative Colitis Patients. Crohns and Colitis Foundation. 2021. https://www.crohnscolitisfoundation.org/what-is-ibd/colorectal-cancer

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What can I eat or drink with ulcerative colitis?

These foods help settle your stomach and ensure you receive enough vitamins and minerals during an UC flare and include low-fiber fruits such as bananas, cantaloupe, honeydew melon, and cooked or canned fruits; lean protein, which is found in fish, lean cuts of pork, chicken, soy, eggs, and firm tofu; refined grains, found in sourdough, potato or gluten-free bread, white pasta, white rice, mashed potatoes, and oatmeal; fully cooked, de-seeded, skinless, non-cruciferous vegetables such as asparagus tips, cucumbers, potatoes, and squash; homemade protein shakes or oral supplements; using olive oil instead of other oils or fats; apple sauce; or herbal or green tea. Continue reading

Which is worse: Ulcerative colitis or Crohn's disease?

Although ulcerative colitis and Crohn’s disease are both long-term, inflammatory conditions that affect the digestive tract, ulcerative colitis (UC) may be considered “worse” because surgery may be required earlier and, in certain circumstances, more urgently, in people with severe and extensive UC. With sudden, severe UC, medications and intravenous steroids are unable to control the symptoms, and rarely, uncontrolled bleeding can occur from deep ulcerations in the colon. Severe, sudden UC can also lead to toxic megacolon (a rapid enlargement of the colon) which is a potentially life-threatening complication caused by severe inflammation that requires immediate surgery. Symptoms include severe pain, distension or bloating of the abdomen, fever, rapid heart rate, constipation, and dehydration. Continue reading

How long do ulcerative colitis flare-ups last?

Flare ups of ulcerative colitis usually last for days or weeks and are unlikely to get better by themselves. Without treatment they can persist for longer, which can cause further damage to the lining of the colon. Ulcerative colitis tends to be a progressive condition which means that as time goes on, flare ups become more frequent and last for longer and periods of remission get shorter. Continue reading

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