Ulcerative Colitis and Crohn's disease: Chronic disease..
The term colitis refers to an inflammatory disease of the large intestine (colon). The picture of colitis is mostly acute, 'recently onset' in societies. Patients present with ongoing bloody diarrhea and abdominal pain for the last few days. The most common cause of acute colitis is intestinal parasites (amoeba) and certain bacteria, especially in underdeveloped populations. In environments where hygiene and sanitation are insufficient, it is transmitted from food and colitis attacks, which can be severe, threaten the health of the person. These acute conditions can be treated in a short time with anti-parasitic or anti-bacterial drugs.
In the classical form of inflammatory bowel disease, there is a chronic disease picture, and patients mostly go to outpatient clinics for diarrhea that has been present for more than 3-4 weeks. They apply with complaints of abdominal pain. The main two tables of this disease title are Ulcerative Colitis and Crohn's Disease. The diseases are mostly permanent and tend to last for a lifetime and require close physician controls. Patients generally have a late diagnosis problem because of the thought of hemorrhoidal bleeding and the problem of shame. Colonoscopy and biopsy are required for diagnosis. The disease may involve part or all of the colon. In addition to determining the level of involvement and disease activity, the type of treatment can be decided by colonoscopic examination. Follow-up and treatment of the disease is based on close patient-physician dialogue. Close periodic colonoscopic examinations should be performed in accordance with the colon cancer screening program, especially when this disease exceeds 10-12 years and mostly in patients with whole colon involvement.
Crohn's Disease, unlike ulcerative colitis, most commonly affects the colon and small intestines, while it is a disease that can affect the entire digestive system from the mouth to the anus. The course of the disease is more serious. Intestinal obstruction, hollow interorgan tunnels called fistula in the anal region may occur in patients. The treatment of this disease, which is very difficult to diagnose, is extremely difficult. It carries complex follow-up criteria. Surgical interventions come into play in patients who develop complications (intestinal obstruction, abscess, etc.) while their medical treatment continues.
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