Managing Ulcerative Colitis: Effective Treatment Strategies

Ulcerative colitis is a chronic, recurring condition characterized by inflammation of the colon and rectum. Common symptoms include abdominal pain, diarrhea, and the presence of mucus or blood in the stool. Diagnosis typically involves endoscopic procedures and histological examinations to rule out other conditions that may cause similar symptoms. Because this disease tends to last for many years and often recurs, long-term treatment plans are essential.

Five Major Types of Medications Used in Treatment:

1. Mesalamine preparations, such as mesalamine enteric-coated tablets or extended-release granules;

2. Corticosteroids, including dexamethasone and prednisone acetate tablets;

3. Immunosuppressants, such as azathioprine and cyclosporine;

4. Biologic agents, like infliximab for injection;

5. Probiotics to help restore healthy gut bacteria.

The primary goals of ulcerative colitis treatment are to rapidly relieve symptoms—such as pain, frequent bowel movements, and rectal bleeding—and to maintain long-term remission. This includes preventing flare-ups and reducing the frequency of relapses.

Western Medicine Approaches:

In conventional medicine, mesalamine-based therapies are often used for long-term maintenance. Patients may be advised to continue taking these medications for at least three years or even indefinitely to keep the disease under control.

Traditional Chinese Medicine (TCM) Perspectives:

From a TCM perspective, integrative approaches can offer additional benefits. During acute flare-ups, combining oral herbal remedies with herbal enemas may enhance symptom relief and support mucosal healing when used alongside Western medications.

Supporting Long-Term Remission Through Herbal Care:

During periods of remission, oral herbal treatments focusing on spleen-strengthening, qi-boosting, and dampness-resolving formulas—often supplemented with blood-activating herbs—can significantly reduce recurrence rates. These natural therapies also contribute to an improved quality of life by supporting digestive wellness and immune balance.

By combining modern medical treatments with complementary strategies, patients can better manage ulcerative colitis and enjoy longer periods of symptom-free living.