Post-Inflammatory Issues in Colitis: Expert Insights - Gastroenterology and Hepatology

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Post-inflammatory bowel disease issues?


Hello Dr.
Tsai: I previously inquired about colitis on July 7.
Although my doctor informed me that the biopsy results showed no disease and my blood tests were normal, I initially observed inflammation, redness, and ulcers during the colonoscopy.
My doctor mentioned that some people's colons can naturally appear a bit red.
Do you share this opinion? Would taking probiotics like New Biophilia help improve this issue? I apologize for bothering you again, and thank you for your assistance!

Lai En, 20~29 year old female. Ask Date: 2017/08/07

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: You should trust the results of the colonoscopy as seen by your clinical physician.
Probiotics can help adjust the types of bacteria in the intestines.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/08/07

More Info


Understanding post-inflammatory issues in colitis is crucial for managing symptoms and improving overall gut health. Colitis, which refers to inflammation of the colon, can manifest in various forms, including ulcerative colitis and infectious colitis. The inflammation can lead to symptoms such as abdominal pain, diarrhea, and rectal bleeding.
In your case, it’s reassuring that the biopsy results did not indicate any significant disease, and your blood tests were normal. However, the presence of inflammation and ulcers during the colonoscopy suggests that there was an acute episode of colitis. It’s important to note that some individuals may have a naturally more vascular or reactive colon, which can appear red or inflamed without necessarily indicating a chronic condition. This phenomenon can sometimes be mistaken for disease, but it may simply be a variant of normal anatomy or a response to transient factors such as diet, stress, or infections.

Regarding your question about the use of probiotics, such as the new strain of Lactobacillus (often referred to as "new表飛鳴"), there is evidence suggesting that probiotics can be beneficial in managing gut health. Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. They can help restore the natural balance of gut bacteria, which may be disrupted during episodes of colitis. Some studies have shown that certain strains of probiotics can reduce inflammation, improve gut barrier function, and alleviate symptoms associated with inflammatory bowel diseases (IBD).

However, the effectiveness of probiotics can vary depending on the specific strain used and the individual’s unique gut microbiome. It’s essential to consult with your healthcare provider before starting any new supplement, especially if you have a history of gastrointestinal issues. They can help determine the most appropriate probiotic for your situation and monitor your response to it.

In addition to probiotics, maintaining a balanced diet rich in fiber, fruits, and vegetables can support gut health. Avoiding known irritants, such as spicy foods, alcohol, and excessive caffeine, may also help minimize symptoms. Staying hydrated and managing stress through relaxation techniques or physical activity can further contribute to overall well-being.

If you continue to experience symptoms or have concerns about your gut health, it’s crucial to follow up with your healthcare provider. They may recommend additional tests or treatments to ensure that any underlying issues are addressed. Regular monitoring and open communication with your healthcare team are key to effectively managing post-inflammatory issues in colitis.

In summary, while your initial findings may not indicate a chronic condition, the presence of inflammation should not be overlooked. Probiotics may offer some benefits, but it’s essential to approach their use thoughtfully and in consultation with your healthcare provider. Maintaining a healthy lifestyle and staying vigilant about any changes in your symptoms will be vital in managing your gut health moving forward.

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