Clinical Case of Ulcerative Colitis

Clinical case of ulcerative colitis 1
CLINICAL CASE OF ULCERATIVE COLLITIS
Student’s Name
Institutional Affiliation

Clinical case of ulcerative colitis 2
Question 1
Ulcerative colitis is a severe medical condition that affects the colon. As the name
suggests, it is as a result of inflammation and ulceration of the colon. Early detection of the
condition helps in the management and suppression of the condition as opposed to when it is
detected late. Just like any other part of the body, inflammation of the colon presents with the
characteristic signs of irritation and swelling (Galbraith et al, 2015). It is as a result of the body
response to a harmful stimuli and mainly bacterial infection. As the case of Eleanor, ulcerative
colitis causes several structural and functional changes in the colon as the disease worsens. These
changes have severe consequences that directly lead to weight loss as the case of Eleanor. For
example, an MRI conducted revealed that she had pancolitis.
Pancolitis is the inflammation of the entire colon. The inflammation had spread across
the whole colon and this had negatively impacted her health as the colon is an important part of
the digestive system responsible for the final stages of absorption. Severe inflammation spreads
to the rectum and the colon and rectum eventually become dysfunctional. Because of this
inflammation, defecation becomes painful and the patient may result to skipping meals and not
feeding so as not to defecate leading to a serious weight loss. The pain associated with colonic
ulceration may also affect feeding habits of the patient hence leading to weight loss (Craft et al,
2015). The feeling of bloating is also a big contributor of poor feeding habits linked to weight
loss.
Previous diagnostic tests performed on Eleanor revealed that she had pseudopolyps.
These are areas of scarred tissue. Inflammation of the colon is associated with ulceration. These
ulceration eventually leads to scarring of the tissue. This structural change in the colon has
severe repercussions as the colon cannot absorb water and other nutrients of importance. The

Clinical case of ulcerative colitis 3
colon is responsible for water and electrolyte absorption. However when it is scarred by the
worsened condition, these functions are affected and may lead to weight loss as important
nutrients cannot be absorbed. Electrolytes are also important when it comes to body maintenance
and homeostasis and scarring can lead poor health outcomes (Hill & Glew, 2017).
The functional aspects of the colon are severely affected by ulcerative colitis. For
example there is loss of motility of the colon with worsening of the condition. The colon loses its
normal motility in the digestion process and assumes a more rigid phase hence affecting its
digestive and absorptive properties. The lack of absorption of water and electrolytes leads to
severe diarrhea as there is increased watery luminal content. This diarrhea negatively affects
health leading to weight loss. The colon also shortens and loses its structural integrity with
severe inflammation and scarring leading to a characteristic lead pipe colon
Question 2
Pain is an unpleasant form of stimuli caused by injury or an illness. The human body is
composed of a network of sensory nerves that transmit such a sensation to the spinal cord and
brain for processing. Sensory nerves are responsible for sensation while motor nerves are
responsible for movement. As stated by LeMone et al. (2015, there is an interconnection between
sensory and motor nerves that enable the body to react in a reflex mechanism. For example, a
pain sensation on the arm due to a burn causes an individual to react and respond to the stimuli
by moving the arm away from the trigger which in such a case would be a fire. There are
different types of pain depending on where, which part and duration of pain perception on the
body.