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Ulcerative colitis stool pattern

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Ulcerative colitis is a disease that primarily affects the digestive tract. It can cause bloody diarrhea, abdominal pain, and an urgent need to empty the bowels with ulcerative colitis subdivided according to the extent and activity of the disease. Increased Increased frequency of defecation (83%), urgency (85%), a feeling of incomplete evacuation (78%) an Background: Although an accurate diagnosis of inflammatory bowel disease (IBD) and differentiation between ulcerative colitis (UC) and Crohn's disease (CD) can be made in most patients, it is sometimes impossible to distinguish UC from CD even after thorough pathological study. Recently, clinicians have used the term indeterminate colitis (IC) for patients with features of both diseases that.

Verywell Health - Ulcerative Coliti

The Mayo Score for Ulcerative Colitis was originally devised in 1987 for a clinical trial for pH dependent 5-ASA (Asacol) at the Mayo Clinic. Comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The physician's global assessment accounts for other signs/symptoms. Mayo Scoring System for Assessment of Ulcerative Colitis: Which one should you choose? The partial Mayo score performed as well as the full Mayo score to identify patient perceived clinical response. 1 The Partial Mayo clinic score can easily be performed at the bedside for not only initial assessment, but also follow-up visits to assess the impact of clinical interventions Narrow stools and ulcerative proctitis. Quick background on me. I was diagnosed in 2003 with a mild case of UP. My symptoms were only constipation with blood/mucus and stomach pain. I took Rowasa enemas and it quickly cleared up. Off and on over the years I've had mild flare ups with same symptoms

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The prevalence of symptoms and stool patterns was assessed prospectively in 96 patients with ulcerative colitis subdivided according to the extent and activity of the disease. Increased frequency of defecation (83%), urgency (85%), a feeling of incomplete evacuation (78%) and tenesmus (63%) were the most frequent symptoms experienced by patients with active colitis Ulcerative colitis always involves the rectum (i.e., proctitis), and it may extend proximally in a contiguous pattern to involve the sigmoid colon (i.e., proctosigmoiditis), the descending colon..

Inflammation in ulcerative colitis starts in the rectum and may spread to the colon. Symptoms may be constant or may come and go. They include diarrhea, weight loss, abdominal cramping, anemia, and blood or pus in bowel movements. There's no cure for ulcerative colitis [Influence of a combination of lactobacilli and bifidobacteria upon disease activity, stool pattern and nutritional status of ulcerative colitis patients]. [Article in Spanish] Santana Porbén S(1). Author information: (1)Escuela de Medicina de La Habana, La Habana, Cuba. A quasi-experimental clinical assay was carried out to assess the. [Influence of a combination of lactobacilli and bifidobacteria upon disease activity, stool pattern and nutritional status of ulcerative colitis patients] Nutr Hosp . Nov-Dec 2010;25(6):971-83 The prevalence of symptoms and stool patterns was assessed prospectively in 96 patients with ulcerative colitis subdivided according to the extent and activity of the disease. Increased frequency of defecation (83%), urgency (85%), a feeling of incomplete evacuation (78%) and tenesmus (63%) were the most frequent symptoms experienced by. Ulcerative colitis is an inflammatory bowel disease. Inflammation in the lining of the large intestine (the colon) causes ulcers to form. This can cause bleeding, diarrhea, weight loss, and fatigue. Ulcerative colitis is an autoimmune disease. That means the immune system, which normally helps fight off infections, mistakenly attacks the lining.

Epidemiology. Typically ulcerative colitis manifests in young adults (15-40 years of age) and is more prevalent in males but the onset of disease after age of 50 is also common 1,3,5.A combination of environmental and genetic factors are thought to play a role in the pathogenesis, although the condition remains idiopathic

  1. The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) is a newer endoscopic scoring system that includes an assessment of vascular pattern, bleeding, and ulcers and excludes mucosal friability. In this system, the vascular pattern is rated as 1-3 with 1 as normal, 2 as patchy loss of vascular pattern, and 3 as complete loss of vascular.
  2. imal signs of systemic illness: S3: Severe ulcerative colitis: ≥ 6 stools/day with blood, heart rate ≥ 90/
  3. In a long-standing colitis, a featureless colon with complete loss of haustration, total blurring of the normal vascular pattern, and a granular-like mucosa develops. Treatment of the condition depends on the extent of disease and inflammation

Clinical features and pattern of indeterminate colitis

5 / 22. Ulcerative colitis symptoms are similar to those of another inflammatory bowel condition called Crohn's disease. UC only affects your large intestine. But Crohn's can happen anywhere in. Ulcerative colitis is a chronic disorder that affects the digestive system.This condition is characterized by abnormal inflammation of the inner surface of the rectum and colon, which make up most of the length of the large intestine.The inflammation usually causes open sores (ulcers) to develop in the large intestine Ulcerative colitis (UC) is a long-term condition that affects your large intestine, but it can also have an impact on other parts of your body, including your skin. Learn about the kind of skin. Scientists believe that there is more than one cause of ulcerative colitis. Let Verywell guide you through those causes, in order to seek treatment

The prevalence of symptoms and stool patterns was assessed prospectively in 96 patients with ulcerative colitis subdivided according to the extent and activity of the disease. Increased frequency of defecation (83%), urgency (85%), a feeling of incomplete evacuation (78%) and tenesmus (63%) were the most frequent symptoms experienced by patients with active colitis Ulcerative colitis appears in a continuous pattern and affects the innermost lining of the GI tract. Crohn's disease can affect all areas of the digestive tract and may be found anywhere from the mouth to the rectum, though it most commonly affects the end of the small intestine, the ileum A. Ulcerative Colitis A. Stool Frequency and Rectal Bleeding Subscores 57 UC involves the rectum and it may extend proximally in a contiguous pattern to affect part of th Definition, Etiology, PathogenesisTop. Ulcerative colitis (UC) is a diffuse inflammatory condition involving the rectum and extending proximally to a varying degree. UC and Crohn disease are the two major forms of inflammatory bowel diseases (IBD). The etiology of IBD remains uncertain but centers on an overactive intestinal immune response in individuals with a genetic predisposition Ulcerative colitis usually has a fluctuating pattern and, in most cases, allows a fairly normal life. In some more serious cases, however, the disease can result in a sharp deterioration of the general conditions and the appearance of serious complications (for example, severe anemia, colon perforation), thus requiring the admission in hospital facilities for intensive therapy

Ulcerative Colitis NCLEX Review Care Plans. Ulcerative colitis is a medical condition that involves the inflammation and ulcer formation in the lining of the colon (large intestine) and rectum. It is a type of inflammatory bowel disease (IBD) that can have progressive symptoms over time and could be both debilitating and life-threatening if. Ulcerative colitis is an idiopathic, chronic inflammatory disorder of the colonic mucosa, which starts in the rectum and generally extends proximally in a continuous manner through part of, or the entire, colon; however, some patients with proctitis or left-sided colitis might have a caecal patch of inflammation. Bloody diarrhoea is the characteristic symptom of the disease Bloody stool: Variable. Malnutrition: Common. Ulcerative Colitis. Age of onset: 15-35 years and 55-70 years. Symptoms: May include stool urgency,fatigue, increased bowel movements, mucous in stool, nocturnal bo l movements and abdominal pain. Bloody stool: Common. Malnutrition: Less common. Continuous and uniform inflammation in the large. Ulcerative colitis (UC) is a chronic relapsing and remitting inflammatory disorder of the gastrointestinal tract, and, besides Crohn's disease (CD), it is one of the two major forms of inflammatory bowel disease (IBD) [1]. The aetiology of UC remains unclear. Medical therapies to completely cure the disease are not available The normal range of stool pattern varies from one passage every other day to two to three per day. An increase in the frequency and volume of stools occurs in both types of IBD and passage of blood is the rule in ulcerative colitis. Typical early symptoms pointing to IBD include constipation and blood coating of solid stool in ulcerative.

Ulcerative Colitis Stool Pattern - Clinical Consideration

  1. Mild ulcerative colitis: mucosa has a granular, erythematous (redness) appearance, with loss of the vascular pattern and friability (2). Moderate ulcerative colitis: erosions or microulcerations are evident (2) Severe ulcerative colitis: shallow ulcerations with spontaneous bleeding can be seen (2
  2. from mild colitis (3.0 ± 1.8 mM/L) to severe colitis (21.4 ± 18.6 mM/L). It thus appears that mild colitis displayed a fecal pattern characterized by normal pH and bicarbonate, slightly impaired electrolyte handling, high short-chain fatty acid values, and only moderately increased lactate. Severe colitis, o
  3. Ulcerative colitis is a disease that is often encountered by endoscopists. Although endoscopic features of acute self-limiting infectious colitis overlap considerably with those of idiopathic inflammatory bowel disease, there are inflammatory changes and patterns that are suggestive of ulcerative colitis
  4. e if you have ulcerative colitis and which type of ulcerative colitis you have
  5. Ulcerative colitis tends to be continuous throughout the inflamed areas. In many cases, ulcerative colitis begins in the rectum or sigmoid colon and spreads up through the colon as the disease progresses. In Crohn's disease, the inflammation may occur in patches in one or more organs in the digestive system. For instance, a diseased section of.
  6. osalicylic acid therapy for mildly to moderately.

Ulcerative Colitis. Ulcerative colitis is a chronic, recurring disease of the large bowel, colon. The colon is the five to six foot segment of intestine that begins in the right-lower abdomen, extends upward and then across to the left side, and downward to the rectum. It dehydrates the liquid stool that enters it and stores the formed stool. In ulcerative colitis, inflammation occurs only in the large intestine (colon) and is limited to the inner lining of the intestinal wall. The inflammation nearly always starts in the lowest part of the colon (the rectum) and extends upwards in continuous pattern. The length of colon that is involved varies between patients This document presents the official recommendations of the American Gastroenterological Association (AGA) on the management of moderate to severe ulcerative colitis (UC). The guideline was developed by the AGA Institute's Clinical Guidelines Committee and approved by the AGA Governing Board. It is accompanied by a technical review that provides a detailed synthesis of the evidence from which. Ulcerative colitis 1. or an elevated ESR (≥30 mm/hour). • Mayo score - Stool pattern, Most severe rectal bleeding of the day, Enoscopic findings, Global assessment by physician • Severe bleeding - up to 10 percent of patients • Fulminant colitis and toxic megacolon - fulminant colitis with more than 10 stools per day. In ulcerative colitis, about 5% to 10% of people have symptoms all the time. Chronic belly pain and urgent trips to the bathroom can interfere with work, child care, and social life. 14 / 2

Ulcerative colitis is a disease that causes inflammation and sores, called ulcers, in the lining of the large intestine. The inflammation usually occurs in the rectum and lower part of the colon, but it may affect the entire colon. Ulcerative colitis rarely affects the small intestine except for the end section, called the terminal ileum Alcohol and Ulcerative Colitis Flare-Ups. Common effects of alcohol can exacerbate IBD symptoms and contribute to the worsening of your condition. One study has found about 75 percent of people reported a worsening of IBD symptoms after consuming alcohol. Certain properties of alcohol are likely responsible for the increased risk of IBD flare-ups

Ulcerative colitis (UC) is a disease characterized by remitting and relapsing inflammation of the large intestine. UC, Crohn disease (CD) and indeterminate colitis account for the disorders that represent the inflammatory bowel diseases (IBDs). Many patterns of presentation are possible within the pediatric age group Ulcerative Colitis . Ulcerative colitis is a chronic, recurring disease of the large bowel. The large bowel (colon) is the 5 to 6 foot segment of intestine that begins in the right-lower abdomen, extends upward and then across to the left side, and downward to the rectum

Ulcerative colitis stool: Appearance, symptoms, and treatmen

  1. al pain and diarrhea mixed with blood. Weight loss, fever, and anemia may also occur. Often, symptoms come on slowly and can range from mild to severe. Symptoms typically occur intermittently with periods of no symptoms between flares
  2. What is ulcerative colitis flare up. Ulcerative colitis flare-ups: 5 pointers to control them. Diet and way of life modifications may additionally help control ulcerative colitis symptoms and prolong the time between flare-ups. An ulcerative colitis flare-up is the return of symptoms after a length of remission
  3. (M3.GI.16.7) A 53 year-old woman with history of ulcerative colitis presents to the emergency department with a severe flare. The patient reports numerous bloody loose stools, and has been febrile for two days. Vital signs are: T 101.9 HR 98 BP 121/86 RR 17 Sat 100%
  4. model of ulcerative colitis in mice. This model represents certain pathophysiological features of human's ulcerative colitis involving weight loss and diarrhea. Main Objective The aim of this project is to study the ileal motility pattern in a disease model of ulcerative colitis in mice. Specific Objectives a
  5. al ileum. Biopsy specimens show active chronic colitis

Brief Summary: This study is the first experience with GSK2982772, a receptor-interacting protein-1 (RIP1) kinase inhibitor, in subjects with active ulcerative colitis (UC). The primary objective will be to investigate the safety and tolerability of repeat oral doses of GSK2982772 60 mg or placebo three times daily for 42 days (Part A) followed. A. Ulcerative colitis (UC) is one of the two inflammatory bowel diseases (IBDs), along with Crohn's disease (CD). UC is limited to the colon; it extends proximally from the anal verge in an uninterrupted pattern to a part of or the entire colon. Extracolonic manifestations also include uveitis, pyoderma gangrenosum, pleuritis erythema nodosum.

Ulcerative Colitis: Stool Symptoms and Treatmen

The extent of colitis usually remains constant from the onset with the length of colonic involvement defining the classification of ulcerative colitis: proctitis (limited to the rectum), proctosigmoiditis or left-sided colitis (extending up to the splenic flexure), or pancolitis/extensive colitis (extending into the transverse colon) Core tip: The disease course of ulcerative colitis (UC) can be difficult to predict. There is no generally accepted definition of severe UC. There are several outcomes indicating a severe disease course, including progression of the disease extension, a high relapse rate, the development of acute severe colitis, colectomy, the occurrence of colorectal cancer and UC-related mortality Pus/ Blood in the stool, reduced appetite, anemia, increased heart rate, and frequent digestive problems are some typical symptoms of the disease. Ulcerative Colitis affects the mental health of the patient as well and can cause low self-esteem, anxiety, and affect personal relationships too

Inflammatory bowel disease,

In ulcerative colitis, the inflammation pattern is continuous and only affects the innermost layer of the intestinal wall. On occasion, it may be hard to distinguish between these conditions, and an individual may be diagnosed with a condition called indeterminate colitis . 1- In ulcerative colitis, a pattern of diffuse inflammation is generally observed, with involvement of the mucosal layer only, leading to mostly shallow erosions. For Crohn's disease, more discontinuous inflammation is seen that is transmural in nature, which could lead to deep fissures that extend through the GI wall Ulcerative colitis (UC) is a chronic disease affecting the large The pattern of disease activity is most often described as relapsing and remitting, with symptoms of and prognosis of ulcerative colitis 1. We recommend stool testing to rule out Clostridioides difficile in patients suspected of having UC (strong recommendation, very low.

emedicine

Stool patterns changing

Inflammatory bowel disease (IBD) is a term for two conditions (Crohn's disease and ulcerative colitis) that are characterized by chronic inflammation of the gastrointestinal (GI) tract. 1 Prolonged inflammation results in damage to the GI tract. Some of the differences between Crohn's disease and ulcerative colitis • Ulcerative colitis - nonspecific inflammatory bowel disease of unknown endoscopic vascular pattern • Microscopic Appearance valve causes it close and retain stool, permitting patients to wear a simple bandage over a skin-level stoma • 2-4x/d, the patient introduces a tube.

Mayo Score / Disease Activity Index (DAI) for Ulcerative

The diagnosis of ulcerative colitis is made from the patient's medical history, a stool examination, sigmoidoscopy findings, and biopsy of specimens from the rectum or colon. Stool Samples. Stool samples from patients with ulcerative colitis contain pus cells, red blood cells, and commonly eosinophils (a type of white blood cells) Irritable bowel syndrome produces cramplike pains and bouts of diarrhea and/or constipation. The more serious disorders, Crohn's disease and ulcerative colitis, are both forms of inflammatory bowel disease. IBD damages the tissue of the small bowel and the large bowel, respectively, through the process of inflammation Difference between Ulcerative Colitis and Crohn's disease. Ulcerative Colitis: UC is limited to rectum and colon. It is a continuous pattern with intestine lining and inflammation. Patients can experience a relapse next year. Crohn's disease: It can develop everywhere in GI tract between mouth and anus. It appears in patches that might. Overview. Overview Inflammatory bowel disease is a common condition.It is divided into two types: Crohn disease and Ulcerative colitis. Both these condition differ in pathology, progression and complication, but they do share a lot similar characteristics as well Management Approach for IBD. On the basis of these findings, the patient was diagnosed with IBD, likely ulcerative colitis. Management of pediatric IBD should be based on clinical symptoms.

Mayo Score for Assessment of Ulcerative Colitis - Updated

Ulcerative colitis is a disease in which the lining of the colon (the large intestine) becomes inflamed and develops sores (ulcers), leading to bleeding and diarrhea. The inflammation almost always affects the rectum and lower part of the colon, but it can affect the entire colon ( figure 1 ) Ulcerative colitis (UC) is a chronic relapsing-remitting form of inflammatory bowel disease (IBD) characterized by diffuse mucosal inflammation that is restricted to the colon. It involves the rectum in approximately 95% of cases, and, depending on the degree of anatomical involvement, the disease may extend proximally in a contiguous pattern. Seeley, Erin H; Washington, Mary K; Caprioli, Richard M et al. (2013) Proteomic patterns of colonic mucosal tissues delineate Crohn's colitis and ulcerative colitis. Proteomics Clin Appl 7:541-9 M'Koma, Amosy E (2013) Letter to Editor. Adv Enzyme Res 1:77-7 Ulcerative colitis is a kind of eczema of the colon, often associated with blood stagnation in the lower half of the body, and is Pitta Kapha in nature. Excess bile acids, fermentation of fecal matter can also irritate the colon. Disclaimer: 'Ulcerative Colitis' could be serious and should be checked by a medical doctor Even though, in the majority of cases, the diagnosis of pancreatitis precedes that of ulcerative colitis, pancreatitis can precede, follow or coincide with the occurrence of ulcerative colitis . It is important to ascertain the cause of loose stools in each episode of exacerbation of ulcerative colitis as both IBD and pancreatic insufficiency.

Narrow stools and ulcerative proctiti

  1. In the setting of acute severe ulcerative colitis, flexible sigmoidoscopy confirms the diagnosis and all the necessary information. If the distal colon is normal, the diagnosis is not ulcerative colitis and the management is beyond the scope of this article. Stool microscopy and culture should be performed as part of the initial assessment
  2. 1 Introduction. Inflammatory bowel diseases (IBD), including ulcerative colitis (UC) and Crohn's disease (CD), are disorders of chronic inflammation of the gastrointestinal (GI) tract. IBD is associated with a large numbers of extraintestinal manifestations (EIMs). EIMs are present in 10.4% of patients with UC. Common EIMs include arthropathies, mucocutaneous, and ophthalmological.
  3. Understanding Ulcerative Colitis. First off: What is ulcerative colitis (UC)? UC is a chronic inflammatory bowel disease (IBD) known for its inflammation of the large intestine (rectum and colon). The innermost lining becomes inflamed, and ulcers may form on the surface
Inflammatory bowel disease - Hiren Chatrola

Symptoms and stool patterns in patients with ulcerative

  1. Stool Pattern? 2.Most Severe Rectal Bleeding of the Day? 3.Endoscopic Findings? 4.Global Assessment by Physician? About. The Mayo Score for ulcerative colitis disease activity provides an assessement of disease severity and can be used to monitor patients during therapy. The score can range from 0-12 with higher scores indicating worse severity
  2. Ulcerative colitis is a type of inflammatory bowel disease (Crohn's Disease being a separate but related entity). Ulcerative colitis is confined to the mucosa (inner lining) of the large intestine (colon and rectum) and starts in the rectum extending proximally into the colon in a continuous pattern of spread
  3. Ulcerative colitis is a disease that causes inflammation and sores, called ulcers, in the lining of the rectum and colon. Ulcers form where inflammation has killed the cells that usually line the colon, then bleed and produce pus. Inflammation in the colon also causes the colon to empty frequently, causing diarrhea

Ulcerative Colitis: Diagnosis and Treatment - American

Ulcerative colitis, a disease of the mucosal surface of the colon, almost always involves the rectum and may extend proximally in a continuous fashion to involve the entire colon. The extent of. Pediatric Ulcerative Colitis Activity Index. The PUCAI was devised by paediatric gastroenterologists to provide a noninvasive instrument to assess disease activity in children in whom repeated endoscopy is less acceptable to patients and parents [].It comprises six descriptors with different levels, creating a total score ranging from 0 to 85: abdominal pain, rectal bleeding, average stool. The first is ulcerative colitis, an inflammation (-itis) affecting only the colon and associated with the formation of ulcers. In some cases, only the rectum is involved, and we speak of ulcerative proctitis (proctos greek = rectum). The second main type of IBD is Crohn's disease. Named for its discoverer, the American. Correlation between Ulcerative Colitis Endoscopic Index of Severity, Lichtiger Index and Fecal Calprotectin in Ulcerative Colitis Patients. Nakov RV. 1 *, Nakov VN , Gerova VA. 1, Penchev PI. 1, Tankova L and Kundurzhiev TG. 2. 1. Clinical Center of Gastroenterology, University Hospital Queen Joanna, Medical University of Sofia 1527, Bulgaria .

The Radiology Assistant : Bowel wall thickening - CT-pattern

Ulcerative Colitis: Symptoms, Treatment, Living With It

Characteristic endoscopic and histological findings in the absence of evidence of an infectious cause suggest ulcerative colitis. The mucosal changes characteristic of ulcerative colitis, as detected by proctosigmoidoscopy or colonoscopy, include loss of the typical vascular pattern, granularity, friability, and ulceration (Figure) Ulcerative colitis will result in cramping abdominal pain, loose and bloody stools, bowel incontinence, fatigue, loss of weight and appetite and anemia due to chronic blood loss. Unlike Ulcerative colitis, Crohn's has extraintestinal manifestations as well, with the involvement of skin, eyes, joints, and liver Ulcerative colitis is a disease that occurs in developed nations, and is more common in cities than in the countryside. Approximately 1 million people in the U.S. suffer from ulcerative colitis. Individuals with ulcerative colitis usually develop the disease between ages 15 and 25 although the disease may begin at any age

[Influence of a combination of lactobacilli and

How is Ulcerative Colitis Diagnosed? Diagnosis of ulcerative colitis can be suspected from the symptoms. Certain blood and stool tests' are performed to rule out an infection that can mimic the disorder. A visual examination of the lining of the rectum and lower colon (sigmoidoscopy) or the entire colon (colonoscopy) is always required Ulcerative colitis (UC) is uncommon in the tropics and sub-tropics. We report a case of UC in a 7 year old girl whose parents were both Nigerians. This report is to alert healthcare professionals in sub-Saharan Africa that UC is not a rare health problem, especially in children. The patient presented with frequent passage of blood stained stool, abdominal pain and significant weight loss Each year, 38,000 Americans are diagnosed with ulcerative colitis (UC), according to the Crohn's and Colitis Foundation of America. UC is a type of inflammatory bowel disease that causes inflammation and ulcers in the large intestine (i.e. the colon)

Ulcerative colitis - Harvard Healt

Non-specific ulcerative colitis was diagnosed in the summer of 2006, and he started Sulfasalazin up to 4 g/day, but that treatment didn't result in significant improvements. In June 2007, worsening of condition was noticed: weight loss by 7 kg, stool frequency up to 12 times a day, semi-liquid feces, blood and pus in stool, general weakness Ulcerative Colitis. Ulcerative colitis is a chronic, recurring disease of the large bowel. The large bowel (colon) is the 5 to 6 foot segment of intestine that begins in the right-lower abdomen, extends upward and then across to the left side, and downward to the rectum. It dehydrates the liquid stool that enters it and stores the formed stool. Ulcerative Colitis Acupuncture Solution. Ulcerative colitis (UC) is an inflammatory bowel disease. It causes inflammation, irritation, and ulcers in the lining of the large intestine and colon. There is no Western medicine cure, and people often have symptoms off and on for life. But acupuncture and Chinese medicine can help Ulcerative colitis (UC) is an inflammatory disorder of unknown etiology that causes colonic inflammation [1,2,3].If left untreated, the condition follows a remitting and recurring course throughout the patient's lifetime, and the number of cases around the world is increasing [].Maintaining remission improves quality of life (QOL) and decreases the risk of carcinogenesis [5, 6] Ulcerative colitis is a non-specific chronic inflammation of gut characterized by referral bloody stool, diarrhea and abdominal pain. Endoscopic features of the disease severity and mucosal healing stage are strongly associated with treatment response and prognosis in the future

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