Question

Nancy Dove, age 30, has had episodes of diarrhea and cramping abdominal pain for 8 months. Recently she developed bloody stools, fatigue, and weight loss. Her mother had ulcerative colitis. On physical exam, you find normal vital signs and her cardiac and neurological assessments are normal as well. Her bowel sounds are normal, her abdomen is flat and she has diffuse tenderness to the abdomen but no rebound tenderness. You review her labs. She is positive for occult blood (there is blood in her stool). Her CBC shows anemia. Her stool sample is negative for C. Diff toxin but she does have positive WBCs in the stool. She has just returned from having a colonoscopy and the report indicates she has inflammation and multiple small bleeding ulcers throughout the rectum and sigmoid colon, the biopsy results read: Ulcerative Colitis. Her working diagnoses are now Mild Anemia and Ulcerative Colitis.

What complications can occur with UC and how can Ms. Dove try to avoid these complications?

Answer 1

Answer;

The complications which Ms Dove could feel are like ...

- severe or moderate dehydration

-kidney stones.

-inflammation of skin,joints ,and eyes.

-sepsis/blood infection.

-fever

-joint pain,mouth sores , inflammation.

-stress.

Ms dove can try to avoid the complications by taking drugs prescribed like , sulfasalazine , olsalazine . Etc for inflammation.

In 2018 FDA approved tofacitinib.

Antibiotics for blood infection.

Antipyretic for fever .

Take certain foods which are good for UC are blue berries, cherries, tomatoes.

Specific corbohydrate diet for bowl moments.

Low fop map diet should be taken to reduce gut discomfort.

Try to avoid stress ,by watching movies or talking to some other.