Pain is one of the key markers of Ulcerative Colitis. However, your pain location and severity often differ from person to person. Ulcerative Colitis (UC) pain originates from inflammation in the inner lining of the large intestine and can feel like stabbing pain or cramping in the abdominal area. However, some people with UC also experience pain in other areas of their body, such as their joints. Many people with UC, diagnosed or undiagnosed, assume the pain in their gut and their joints is unrelated, since UC is a GI condition. Let’s explore how they’re related.
Ulcerative Colitis is categorized as an autoimmune disease, which means that the body’s immune system attacks itself instead of protecting itself. In someone with UC, the immune system repeatedly sends white bloods cells to the intestinal lining to continue to attack what it views as a problem. This continued attack causes a buildup of inflammation in your intestinal lining. This inflammation can become so severe that it causes open sores (ulcers) to form in the innermost lining of the colon, large intestine or rectum. These sores can ooze mucus and pus, and cause pain in the area. Many people with UC also experience joint pain, a product of this inflammation spreading throughout the body. Increased pain is often a sign that inflammation is increasing and that your condition is becoming worse.
Learn more about our approach to Ulcerative Colitis and how to better manage your symptoms.
Each person perceives pain differently and thus describes their pain in different ways. We list common pain descriptors below:
UC pain location can also differ from person to person, depending on which part of their colon is most affected. The most common UC pain locations are listed below:
The link between Ulcerative Colitis and joint pain is not exactly clear, but researchers believe that the immune system overreacts in response to UC, the inflammation becomes systemic and can spread to your joints. Although not all people with UC have joint pain, many find that as their GI symptoms worsen, so does the pain throughout their body. In these situations, it’s important to work with your doctor and dietitian to ensure this is a product of your UC and not a convergent health condition such as Rheumatoid Arthritis.
While UC pain can be managed through diet, there are also many behaviors that can contribute to UC pain.
While there is no cure for UC, there are ways to relieve the pain and reduce the inflammation you feel. Dietary modifications are one strategy to help manage the pain. Shifting to a low fiber, low residue diet can help you find relief. Incorporate more low fiber fruits such as bananas, non-cruciferous vegetables such asparagus, cucumbers, and carrots, refined grain products like white bread and white rice, and lean protein sources like chicken, fish, and eggs. Additionally, try to avoid consuming refined sugar, alcohol, caffeine, high fat foods, high fiber foods, and spicy foods.
Beyond nutrition, there are other ways to control the pain you feel. Focusing on managing your stress level can help. Yoga, meditation, and breathing exercises are some activities you can try on your own. Joining a support group or speaking to a mental health professional may help as well. Talking to your doctor about different medications to help control pain is also important.
Although Ulcerative colitis is life-long, that doesn’t mean your UC pain has to be. When UC is well-managed, you can experience long periods of remission and become symptom-free. The key is to modify your approach based on the stage of your condition and learn to listen to your body. If you’re having trouble managing your UC, we recommend working with a dietitian who can help you obtain and sustain remission.
Learn more about our approach to Ulcerative Colitis and how consistent improvements to your diet and nutrition can help you better manage your symptoms.