I Hate IBD (Inflammatory Bowel Disease)

Ulcerative Colitis Symptoms


There are a wide range of symptoms with ulcerative colitis and they can vary greatly between patients, this is primarily dependent on the amount of the colon and rectum that is suffering from inflammation.

Those with only the rectum and a small amount of the colon affected generally experience milder symptoms then when the entire colon is involved.

Approximately 50% of those suffering from ulcerative colitis experience relatively mild symptoms.  The other 50% may have severe symptoms including bloody diarrhea, cramping, nausea, and fever.  Like Crohn’s disease the symptoms of ulcerative colitis can come and go.  The symptom free periods, called remission, can last for months or several years but eventually return.  This unpredictable nature makes it sometimes difficult for doctors to diagnose.

Ulcerative colitis is classified by its location.  There are symptoms associated with each of the four classifications:

Ulcerative Proctitis

Inflammation is confined to the rectum.  For many people the only symptom is rectal bleeding, other may also have rectal pain.  This pain is described as a feeling of urgency or the inability to defecate even with the urge to do so.

A small percentage of those with ulcerative proctitis will develop more server symptoms.

Left-sided Colitis

Inflammation begins from the rectum extending up the left side through the sigmoid and descending colon.  Symptoms can include bloody diarrhea with cramping and abdominal pain.  Some patients experience weight loss or loss of appetite.

Pancolitis

Pancolitis affects the entire colon which can cause bloody diarrhea, sometimes severe.  The diarrhea may be accompanied with abdominal cramping and pain.  Another common symptom of pancolitis is weight loss, night sweats and fatigue.

Fulminant Colitis

A rare form of ulcerative colitis, fulminant colitis can be life threatening and affects the entire colon.  Symptoms include diarrhea and severe abdominal pain.  Occasionally patients can experience dehydration or even shock.