Symptoms
Chronic ulcerative colitis usually begins in the lower part of the bowels and spreads upwards. The first symptom of the trouble is an increased urgency to move the bowel, followed by cramping pains in the abdomen and bloody mucus in the stools. As the disease spreads upwards, the stools become watery and more frequent and are characterised by rectal straining. All this loss of blood and fluid from the bowels results in weakness, fever, nausea, vomiting, loss of appetite and anaemia.
The patient may develop a bloated feeling because the gas is not absorbed or expelled normally. Some patients suffer from constipation alternating with period of loose bowel movements. Still others may suffer from a persistent diarrhoea for years together. The patient is usually malnourished and may be severely underweight. He may suffer from frequent insomnia.
Ulcerative colitis in its severe form may also lead to nutritional problems. The improper assimilation of the ingested foods due to inflammatory conditions may cause deficiency diseases. This may gradually result in nervous irritability, exhaustion and depression. In very severe cases, the patient may even develop suicidal tendencies.

Causes
The main cause of colitis is chronic constipation and the use of purgatives. Constipation causes an accumulation of the hard faecal matter which is never properly evacuated. Purgatives used as a ‘cure’ only increase irritation. Often, colitis is caused by a poorly digested roughage, especially of cereals and carbohydrates, which causes bowel irritation. The disease may also result from an allergic sensitivity to certain foods especially milk, wheat and eggs. Often, the intake of antibiotics may upset the bacterial flora in the intestines and interfere with proper digestion.
Severe stress may also produce ulcerative colitis. During any form of severe stress, outpouring of adrenal hormones causes such destruction of body protein that at times parts of the walls lining the intestines are literally eaten away. Such stress also depletes the body of pantothenic acid. Experiments on animals have shown that they can develop ulcerative colitis when they are kept on diets deficient in pantothenic acid.

Treatment
The usual treatment of colitis with suppressive drugs is based on the assumption that colitis is due to germ infection, which it is not. The suppressive drugs drive back into the system the toxic matter in the colon which nature is endeavouring to eliminate in the form of mucus. They suppress the symptoms temporarily, without removing the cause. In such cases, the symptoms recur and colitis becomes chronic. Plain warm water or warm water with a little olive oil used as a wash-out is the only method of softening and removing the accumulations of hardened matter sticking to the walls of the colon.
Diet plays an important part in the treatment of colitis. It is advisable to observe a juice fast for five days or so in most cases of ulcerative colitis. The juices may be diluted with a little boiled water. Papaya juice, raw cabbage and carrot juices will be especially beneficial. Citrus juices should be avoided. The bowel should be cleansed daily with a warm water enema.
After the juice fast, the patient should gradually adopt a diet of small, frequent meals of soft cooked or steamed vegetables, rice, dalia (coarsely broken wheat), well ripened fruits like banana and papaya, yogurt and home-made cottage cheese. Sprouted seeds and grains, whole meal bread and raw vegetables may be added gradually to this diet after about 10 days. All food must be eaten slowly and chewed thoroughly.
Foods which should be excluded from the diet are white sugar, white bread and white flour products, highly seasoned foods, highly salted foods,strong tea, coffee and alcoholic beverages and foods cooked in aluminium pans.
Ripe bananas are highly beneficial in the treatment of ulcerative colitis, being bland, smooth, easily digested and slightly laxative. They relieve acute symptoms and promote the healing process.
An effective remedy for ulcerative colitis is the use of butter- milk. It is the residual milk left after the fat has been removed from yogurt by churning. Buttermilk enema twice a week is also soothing and helps in re-installing a healthy flora in the colon.
Another valuable remedy for colitis is tender coconut water, it is soothing to the soft mucosa of the colon. Cooked apple also aids the healing of ulcerative conditions because of its ample concentration of iron and phosphorous.
The patient should have a bowel movement at the same time each day and spend 10 to 15 minutes in the endeavour. Straining at stools should be avoided. Drinking two glasses of water the first thing in the morning will stimulate a normal bowel movement. An enema may be used if no bowel movement occurs.
Complete bed rest and plenty of liquids are very important. The patient should eliminate all causes of tension, adjust to his disability and face his discomfort with patience.

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