Chronic Ulcerative Colitis is a common disease of the digestive system. The disease appears after infection, intestinal parasite infection, and chronic disease with progressive episodes. In addition, chronic colitis may also be due to neurological factors caused by psychological emotions and anxiety, stress affecting the regulation of the plant nervous system causing increased secretion of acids that cause intestinal ulcers. . The disease is most common in subjects aged 40 and over.

Due to the effect of various disease factors causing inflammation of the mucosa; Neurological damage, disorders of the intestinal microflora cause changes in the general amount of each bacterium that disrupt the process of fermentation and putrefaction, leading to hypersensitivity of the body to the bacterial system (increasing the number of Endogenous antibodies to intestinal antigens). All of these factors lead to dyskinesia, digestive, bowel and intestinal dysfunction.

Chronic ulcerative colitis diet:

Nutritious ingredients: 

• Protein (protein): 1g / kg / day; Should use foods such as lean meat, lean fish, yogurt, soy milk ...
• Energy: 30 - 35 Kcal / kg / day depending on the patient.
• Fat: eat limited to no more than 15g / day.
• Enough water, mineral salts and vitamins.

What foods should people with chronic colitis eat? 

• Rice, potatoes.
• Lean meats, fish, soy milk, lactose-free milk, yogurt.
• When eating fishy food such as shrimp, crabs, fish, eggs should eat less and eat immediately after processing.
• Green leafy vegetables: shrimps, spinach, vegetables ... should pick up the young vegetables to eat.
• Cruciferous vegetables: cabbage, radish.

Foods to avoid: 

• Eggs, milk, fried spring rolls, fatty meat, black beans, raw onions, pickled coffee, coffee, carbonated soft drinks because these foods cause bloating and bloating.
• Lactose-rich foods such as milk, sugars, honey, and sorbitol (found in some sweet candies) should not be used to combat diarrhea because patients exhibit poor absorption of these sugars. That eating will cause bloating, bloating and diarrhea.
• Avoid hard foods such as raw vegetables, corn, and bamboo shoots ... adversely affect ulcers. When preparing food should be steamed or boiled, avoid frying.

According to doctors, when suffering from colitis, in addition to a reasonable, scientific diet, patients also need to restore and regenerate the lining of the colon. Because when inflamed, the lining of the colon which is already damaged must be constantly exposed to toxins from food and viruses, bacteria, parasites, so it is easy to irritate and relapse again.

Screening for colon diseases

According to a gastroenterologist, there are three commonly used methods to screen for colorectal cancer: 

Fecal occult blood test 

 A fecal occult blood test is used to find blood in the feces, or stool, which can be a sign of polyps or cancer. A positive test, meaning that blood is found in the feces, can be from causes other than a colon polyp or cancer, including bleeding in the stomach or upper GI tract and even eating rare meat or other foods.

This is a cheap, simple test that has 70-80% detection sensitivity. Stool blood test in the stool is not specific, if positive, colorectal cancer is not sure. If the hidden blood in stool is positive, colonoscopy is needed to determine. 

Colonoscopy

 This is the most accurate method but the implementation is quite complicated. The patient must be intestinal, fasting. Endoscopy can be painful, so anesthesia is usually needed. During colonoscopy, if polyps are detected, your doctor will remove polyps during the colonoscopy. 

Colonoscopy helps to accurately diagnose colorectal diseases. 

Virtual colonoscopy

 The patient had to have a bowel enema and a CT scan of multiple sections, then the computer reconstructed the colon. Virtual colonoscopy can detect most polyps in the colon, then colonoscopy (real) to cut polyps.

 Risk Groups of colorectal cancer.

• Moderate-risk group: people over 40-50 years of age or a family history of someone with non-lineage cancer (parents, siblings): annual blood test in stool, annual colonoscopy 10 years, virtual colonoscopy every 5 years.
• High-risk groups:
  • Family history of colorectal cancer: if first-degree relatives (parents, brothers, sisters, children) with colon cancer before age 45 or from first-degree relatives with cancer: colonoscopy every 3 years, starting 10 years before the relative's age the youngest has cancer or is over 40 years old.
  • Family history of colorectal cancer: if first-degree relatives  with cancer after age 45: colonoscopy every 3 years, starting 10 years before the youngest relative has cancer or is 50 years old.
  • Personal history of colorectal polyps: one year after endoscopy if polyps are at high risk
  • Personal history of colorectal cancer: colonoscopy one year after surgery
  • Personal history of ovarian cancer, endometrial cancer: colonoscopy one year after surgery

• Very high-risk groups:
  •  Family history of people with polyps polyps: sigmoidoscopy, testing and genetic counseling every year, starting at 12-14 years old.
  •  Family history of non-polyps colon cancer: colonoscopy, tests and genetic counseling started 10 years before the youngest family member has cancer, done every 2 years.
  •  Patients with idiopathic ulcerative colitis should have an endoscopy every 2 years, beginning to do 15 years after diagnosis. 

Should you have any questions, please do not hesitate to contact us:

City International Hospital

• Phone: (8428) 6280 3333, ext. 0
• Address: No. 3, 17A Street, Binh Tri Dong B Ward, Binh Tan Dist. (Next to AEON Mall Binh Tan). Ho Chi Minh City.
• Website: https://cih.com.vn/en/
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Pharmacity Clinic (Managed by City International Hospital)

• Clinic location: 44 Quoc Huong, Thao Dien, District 2, Ho Chi Minh City.
• Helpline: (028) 700 3350 - 093 357 6086
• Clinic hours: 7:30 a.m. - 8:30 p.m.
• Consultation fee: 70,000 dong per visit. 

General disclaimer

 Always consult your doctor regarding any concern about your health. Your doctor will be in the best position to give the appropriate medical advice. For suspected undesirable drug reaction and seek medical attention immediately.