Ulcerative Colitis

Patient's Problem:

A 28-year-old female patient, Ms. Shah, presented to Dr. Jitendra Desai at Desai Surgical Hospital with a history of chronic diarrhoea, abdominal pain, and rectal bleeding. The symptoms had been intermittent but were becoming more frequent and severe, affecting her daily life and causing significant discomfort.

Diagnosis:

Dr. Desai conducted a thorough examination, including a physical assessment and detailed questioning about the patient’s symptoms, medical history, and family history. Based on the patient’s presentation and initial assessment, Dr. Desai suspected a chronic inflammatory bowel disease (IBD).

To confirm the diagnosis, the following tests were ordered:

Colonoscopy: This procedure involved examining the large intestine (colon) using a thin, flexible tube with a camera. The colonoscopy revealed extensive inflammation and ulceration of the colon lining, consistent with ulcerative colitis.

Blood Tests: Blood tests were performed to assess the patient’s inflammatory markers and rule out other potential causes of the symptoms.

Treatment:

Based on the diagnosis of ulcerative colitis, Dr. Desai prescribed a comprehensive treatment plan that included:

Medication: The patient was given medications to reduce inflammation, control diarrhoea, and relieve pain. These medications might include anti-inflammatory drugs, corticosteroids, or immunosuppressants.

Nutritional Therapy: The patient was advised to follow a specific diet to manage her symptoms and maintain adequate nutrition. This might involve avoiding certain foods that can trigger flare-ups and consuming a diet rich in nutrients.

Lifestyle Modifications: The patient was recommended to manage stress, get enough rest, and avoid smoking and excessive alcohol consumption.

Procedures:

Colonoscopy: As mentioned earlier, this procedure was performed to visualize the colon lining and confirm the diagnosis of ulcerative colitis.

Result:

With the prescribed treatment and lifestyle modifications, Ms. Shah experienced significant improvement in her symptoms. The diarrhea, abdominal pain, and rectal bleeding gradually subsided, allowing her to resume her normal activities. Dr. Desai continued to monitor the patient’s progress and adjust the treatment as needed.

Note: This case study is for illustrative purposes only and should not be considered a substitute for professional medical advice. If you have concerns about your health, please consult with a qualified healthcare provider.