At Home Christian Jessen 2014 - 90

| GUT ISSUES|

UL CERAT I VE COL I T I S

DIARRHOEA AND
ABDOMINAL PAIN
ARE SYMPTOMS OF
ULCERATIVE COLITIS

HOW IS IT DIAGNOSED? 'What we call "red flag"
symptoms for Crohn's would be abdominal pain, fatigue
and diarrhoea that is sometimes mixed with blood and
mucus,' says Helen Terry, director of research and
support at Crohn's and Colitis UK. 'Other pointers are
losing a lot of weight and a family history of Crohn's.'
Your doctor will organise blood and stool tests and
possibly a colonoscopy (where a small camera is used
to study the inside of your colon).
WHAT CAN MY DOCTOR DO? The main treatment
for Crohn's is anti-inflammatory drugs, including
steroids, to reduce inflammation in the gut, and
antibiotics. Crohn's disease tends to occur in patches
- some people may need surgery to remove parts of their
gut. Nutritional therapy can sometimes help, too.
WHAT CAN I DO? Keep a food diary to see if any
foods worsen your symptoms. And if you smoke, give up.

This is a disease affecting the large bowel, or colon. It's
a long-term condition in which ulcers (sores) form in the
lining of the colon producing blood and mucus.
WHO'S AT RISK? Anyone but, like Crohn's disease,
it's often seen in young people and can run in families.
WHAT ARE THE SIGNS? Symptoms of ulcerative colitis
can be mild or severe and may come and go. They include:
abdominal pain or cramps
frequent, urgent diarrhoea
blood and/or mucus in the stools
weight loss
HOW IS IT DIAGNOSED? Your GP will organise
blood and stool tests. If these suggest you have ulcerative
colitis, you will be referred to hospital for a colonoscopy
- a gastroenterologist will insert a fine tube with a small
camera through your back passage to study your colon.
WHAT CAN MY DOCTOR DO? Your doctor can
prescribe anti-inflammatory drugs, including steroids,
to relieve your symptoms. Drugs to suppress the immune
system can help to lengthen periods of remission. If the
condition doesn't respond to medication, you may need
surgery to remove all or part of your colon.
WHAT CAN I DO? Avoid stress. Keep a food diary,
and possibly cut out milk products.

YOUR DIGESTIVE TRACT

Crohn's moan
AT LEAST ONE IN
1,000 PEOPLE IN
THE UK HAS
CROHN'S DISEASE

Celebrities also coping with a pain in the gut...
US SINGER,
ANASTACIA, 42,
developed Crohn's
disease at age 13. 'It
was so bad I had to
have my small intestine
removed. I now control
my illness with a cleanliving lifestyle.'

090 | JULY 2014

ACTOR, JEFF
HORDLEY, 40,
(Emmerdale's bad boy)
was diagnosed with Crohn's
while at drama school.
'Keeping fit helps and
I control my condition
through medication, diet
and supplements.'

SINGER-WRITER,
ESTELLE RUBIO,
35, developed digestive
symptoms and a skin
rash for years before
coeliac disease was
diagnosed. 'But I am
now so happy because
at last I'm in control.'

OLYMPIAN, STEVE
REDGRAVE, 51,
was diagnosed with
ulcerative colitis
just before the 1992
Olympics and later with
diabetes. 'Both diseases
are controlled, but make
me feel knackered.'

How the food you put in your
mouth gets into your system

The digestive system is made
up of the gastrointestinal (GI)
tract, the liver, pancreas, and
gallbladder. When food enters
your mouth, the production of
saliva aids chewed mouthfuls of
foods to pass easily into the
25cm gullet (oesophagus) and
down into the stomach.
The bits of mushed-up food move
by muscular wave action, and a
flap (epiglottis) shuts off the air
passage to prevent you choking.
The cardiac sphincter (a valve)
closes to prevent the stomach
contents going up instead of
down (reflux). Strong muscles in
the stomach wall break down the
food and allow it to pass into the
long tube of the small intestine
(small bowel), where most
digestion takes place. Juices from
the pancreas and liver help to
reduce the broken-down food to
a thin watery mixture that can be
absorbed into the bloodstream.
Any leftover food now passes
into the large intestine (the colon),
where further minerals and water
enter the blood. Finally all the
waste moves into the rectum,
hardens and is discharged.



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