This is a short - easy to understand - description. I was first diagnosed with distal UC (or left sided). Never had the loss of appetite or fever, etc. but the rest is right on....
Are there different forms of UC?
Typically, inflammation from UC begins at the end of the digestive tract, in the rectum, and may spread up the colon. Unlike Crohn’s disease, UC does not skip around to different areas of the colon; the inflammation encompasses one entire section.
Physicians may use different terms to describe UC, depending on how much of the colon is diseased. Ulcerative proctitis is inflammation located in the rectum and symptoms include diarrhea, bloody stool, rectal pain, and an urgent need to move the bowels. Proctosigmoiditis is inflammation located in the rectum and sigmoid colon and symptoms include diarrhea, bloody stool, crampy pain, and pain on the left side of the abdomen. Left-sided colitis (also called limited or distal colitis) is inflammation in the left side of the colon (rectum and sigmoid and descending colon) and symptoms include diarrhea, bloody stools, weight loss, loss of appetite, and occasionally severe left-sided pain. Pancolitis is inflammation throughout the whole colon and symptoms include diarrhea, cramps, significant weight loss and severe abdominal pain.
Ulcerative proctitis, proctosigmoiditis, and left-sided colitis may all be treated with medicines that are introduced through the anus such as a foam or suppository. Pancolitis must be treated with oral medication in order for the drugs to reach the entire colon and have the best effect.
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc. Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse. Cannot tolerate mesalamine!
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far. Starting 6-MP Feb. 28 along with 20 mg. prednisone.
Probiotic Align, Prilosec for GERD