Ulcerative colitis (UC) - a chronic inflammatory disease of the colon mucosa, resulting from the interaction between genetic factors and environmental factors.It can manifest itself quite early and is characterized by frequent exacerbations.
Ulcerative colitis can manifest itself quite early.At age 12, Amanda Sina Griffith suddenly started simultaneously painful stomach cramps and bloody stools."Even before that, I felt slight pain in the stomach, and my doctor suggested that it is the result of a bacterial infection.But it was worse. "- She recalls.The diagnosis was the ulcerative colitis.Now, at the age of 31, Amanda, the mother of a seven-month baby, and public relations consultant from Norton, Massachusetts, notes that th
MD, Gerard E. Mullin, director of integrated office supplies and gastrointestinal diseases in the Johns Hopkins Hospital in Baltimore, knows a lot of stories, stories like Amanda.He notes, though stress is not a direct cause of ulcerative colitis, it increases the risk of exacerbations of the disease.
Ulcerative colitis affects the colon and rectum.While the cause of ulcerative colitis is not fully understood, researchers believe it an autoimmune disease in which the body's immune system is extremely sensitive and affects healthy tissues and organs.
Symptoms Crafted pain and cramping in the abdomen, low-grade fever, rectal bleeding and diarrhea, rarely - fatigue, loss of appetite and anemia.In some patients, there is pain, redness and swelling of the joints and liver disorder.
Treatment of mild to moderate ulcerative colitis begins with taking medications that reduce inflammation and reduce the risk of exacerbations.In the absence of positive changes, your doctor may prescribe stronger medication to the patient.Although the effect of these drugs directed against the physical pain, but not against stress, they help the patient to get rid of anxiety caused by the disease.
«People with this disorder tend to be more easily subject to stress.Let's just say, their immune system is hyperactive, and it needs to be calm "- says Jerad E. Mullin.
the body's response to stress is conventionally called the "fight or flight": there is an allocation of certain hormones, including adrenaline, as well as special molecules - cytokines.They stimulate the immune system that triggers inflammation.People with ulcerative colitis in the remission of symptoms it causes a return, ie the so-called exacerbations.
Furthermore, exacerbation can be caused by antibiotic treatment, oral contraceptives, nonsteroidal anti-inflammatory drugs: aspirin, ibuprofen, naproxen.Some products also can provoke inflammation, although ulcerative colitis is not a consequence of a certain diet.
not only individual stressful situations, such as loss of a job or divorce, make a person more prone to exacerbations of ulcerative colitis, but also the daily life of the disease becomes an ordeal.For example, for most people going to the restaurant or party with friends - it's nice event, but for patients with ulcerative colitis, which is to know in advance where is the washroom, and is in constant fear of not catch up to her to get these simple entertainment can become a nightmare.
«Since these patients have their own special needs, they often feel like outcasts, thus being in a constant state of stress," - said Jerad E. Mullin.
There are many ways to avoid such stress.First of all, try to find a doctor who understands."Many physicians should be aware of the emotional states related illness, which would help to improve the work with patients" - says Jerad E. Mullin.
For example, relatively short-term cognitive therapy based on the acceptance of the fact that a person is able to change their physical condition by changing the perception of it, is often very effective.Along with it may be used yoga and meditation.
To top it all, a great emotional support can have training in groups consisting of patients with the same disease.In these people develop a sense of community and a sense of social isolation disappears.
Laura Wingate, manager of outpatient professional programs of the American Relief Fund sick to Olite th and Crohn's disease (which has about 300 support groups) offers the following advice to those considering joining the group:
•Find out for yourself what the result of visiting a support group you want.Whether you are looking for advice on treatment, or how to deal with the disease in daily life, or do you prefer practical training?In some groups, more attention is paid to the discussions, in other - practice.
• Talk to the leader of the group to learn more about its specificity: groups can be differentiated by age, etc.
• Visit more than one class, to objectively judge them.At first, you may find that you have little in common with the members of the group, but eventually your opinion may change.Wingate said that in a private meeting on the training easier for people to make friends with each other.But for the lack of opportunity to attend the classes in person, try to visit the online training.
Amanda Griffith priority puts the desire to overcome the stress, "Feeling nervous tension, I try to disconnect from the situation: deep breathing, going for a walk, read a book or start cooking.I try to do anything to distract from the disturbing thoughts, and usually I do it. "
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