Living with ulcerative colitis, a type of inflammatory bowel disease (IBD), can feel like having a constant companion that interferes with daily activities.
Ulcerative colitis (UC) is a type of inflammatory bowel disease (IBD) that causes your large intestine (colon and rectum) to get inflamed and sore. This inflammation creates tiny open sores, called ulcers, inside your colon.
Think of your colon as a smooth tube. In ulcerative colitis, the lining of this tube becomes inflamed and develops tiny breaks or ulcers. These changes can lead to a range of symptoms, including:1
Stomach Troubles
You might feel cramps or pain in your belly.

Your tummy might make gurgling or rumbling sounds.
Issues in the Bathroom
You might have to go to the bathroom a lot more often than usual (diarrhea).

You might see blood or mucus (a slimy substance) in your stool.

You might feel like you really need to go, but then nothing happens when you get there.
Feeling Tired
You might feel really tired and weak all the time.
You might lose your appetite and not feel like eating.
Here are a few factors that might put you at risk for developing UC:2
Things you can’t change
Family history: If someone in your family, like a parent or sibling, has UC or another similar condition, you might be 3-4x more likely to get it too. It’s like inheriting your mom’s blue eyes – sometimes things run in the family!
Age: UC can happen at any age, but it’s most often diagnosed in people between 15 and 30 years old.
Things that might increase your risk
Where you live: People in developed countries, like the United States, seem to have a higher risk of UC compared to those in developing countries. This might be because of differences in diet or environment.
Things that might decrease your risk
Having your appendix removed: For some reason, having your appendix taken out seems to make you a little less likely to be impacted by UC.3
Remember:
These are just risk factors. Having them doesn’t mean you’ll definitely get UC, and not having them doesn’t mean you’re completely safe.
It’s always best to talk to your doctor if you have any concerns or questions about your health.
Life with Your Constant Cmpanion
Having IBD can impact many aspects of your life – whether you’re at your job or on a date. Here are some ways to learn how to live with your constant companion.