Ulcerative Colitis Nursing Measures

Written by Ren Zheng Xin
Gastroenterology
Updated on September 27, 2024
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Ulcerative colitis is a type of chronic nonspecific inflammation. Care measures include dietary care and emotional regulation. In terms of diet, it is best to eat at home as much as possible, eat less takeout and street food, and maintain a regular, nutritious diet with foods that are high in protein and calories, such as lean meats and eggs. It's also important to eat plenty of vegetables like cabbage and carrots, and avoid spicy, stimulating, and cold foods. During acute episodes, a light diet should be maintained to reduce irritation to the gastrointestinal tract. Additionally, attention should be paid to emotional regulation. Patients should maintain a positive and optimistic attitude, which is beneficial for the treatment and prognosis of ulcerative colitis.

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Written by Zhu Dan Hua
Gastroenterology
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Is the routine blood test normal for colitis?

Patients with colitis generally have normal routine blood tests, indicating that their white blood cells, hemoglobin, and platelets are generally normal. Patients with colitis commonly present clinically with abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower abdomen and left side, with symptoms such as bloating, colicky pain, and dull pain, often occurring sporadically and generally related to diet and bowel movements. If abdominal pain improves after passing gas or stools, then the bowel movement abnormalities typically manifest as an increased frequency of bowel movements, generally more than 2 times. The stool texture is relatively loose, appearing mushy, and some patients may have watery stools. However, patients generally do not have bloody stools, and there are no clear changes in bowel abnormalities at night after a good sleep, so treatment is currently considered symptomatic.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Which part to massage for colitis?

Firstly, one can massage certain areas of the abdomen, such as Zhongwan, Tianshu, and Liangmen, as well as the Guanyuan point in the lower abdomen. The massage should progress from gentle to firm, using the small fish edge for rolling techniques or the large fish edge for pressing techniques, and finally pinpoint massage on certain abdominal acupoints. The second area for massage is the distal extremities, such as the legs where you can massage points like Zusanli, Shangjuxu, Xiajuxu, Sanyinjiao, and Yinlingquan, and in the hands at points like Sanli and Neiguan, to alleviate symptoms of colitis. Of course, if the massage is performed by another person, back acupoints such as Weishu, Dachangshu, and Sanjiaoshu can also be massaged to effectively relieve symptoms of colitis.

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Written by Wu Hai Wu
Gastroenterology
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Can people with colitis eat lotus root?

Patients with colitis can eat lotus root. For dietary considerations, patients should avoid spicy and irritating foods, and also avoid strong tea, coffee, and spirits. It's also important not to eat unripe vegetables and fruits but instead consume vitamin-rich vegetables regularly and in measured amounts. Since lotus root is not considered a spicy or irritating food, it is suitable for colitis patients to consume. Patients should also avoid overeating, prefer small frequent meals, establish a routine for bowel movements, and avoid foods with too much coarse fiber.

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Written by Wang Zhen Quan
Colorectal Surgery Department
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What should you not eat with colitis?

So what foods should we avoid for patients with colitis? First of all, we should try not to eat milk and seafood, because milk and seafood are types of foreign proteins to the human body, which could potentially become allergens. Because colitis patients are likely to experience colonic allergies after consumption, resulting in worsened diarrhea, so it is advisable to avoid these foods as much as possible. Secondly, we should minimize the consumption of high-fat foods, because patients with colitis have poor digestive functions, particularly weak in digesting fats. Incompletely digested high-fat foods can cause "slippery gut" leading to diarrhea. Over time, the accumulation of fats can also induce complications such as fatty liver, etc. Therefore, foods high in fats such as lard, cream, walnuts, peanuts, almonds, etc., should be avoided or eaten sparingly. Third, it is important to eat less gas-producing food: because colonic inflammation in colitis, due to chronic and recurrent episodes, causes alternation of ulcers and scar fibrosis in the colonic mucosa, which reduces the elasticity of the colonic inner wall. Consuming more gas-producing foods, such as sweet potatoes and soybeans, may cause acute intestinal dilation due to the filling of gas in the intestines, or even lead to complications such as ulcer perforation. Fourth, eat fewer vegetables containing coarse fiber: the fiber in vegetables can absorb intestinal water and have a laxative effect, which might aggravate diarrhea. Therefore, foods high in coarse fiber like celery, crown daisy, cabbage, spinach, etc., should be consumed in limited quantities.

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Traditional Chinese Medicine
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Which part of the body is moxibustion applied for colitis?

For patients with colitis, moxibustion can be performed. How should the moxibustion points be selected? First, local points can be used, which are on the abdomen. Commonly chosen points include the Tianshu and Dachangshu points, as well as Zhongwan and Daheng. Moxibustion can be performed using moxa sticks with suspension or ginger separation techniques. For distal points, the Sanyinjiao point can be chosen, as well as the lower union point of the large intestine and the Shangjuxu point for managing chronic colitis. Additionally, the Gongsun and Yinlingquan points can be selected to regulate the stomach and intestines, achieving the effects of warming the meridians, promoting circulation, relieving pain, and balancing the digestive system.