Sunday 30 April 2023

One famous dog and a powerful new approach for understanding biology and evolutionary history

 Ever since scientists first read the complete genetic codes of creatures like fruit flies and humans more than two decades ago, the field of genomics has promised major leaps forward in understanding basic questions in biology.

And now comes a major installment of that promise. In what Howard Hughes Medical Institute Investigator and HHMI Professor Beth Shapiro calls a treasure trove of research, more than 150 researchers from 50 institutions are publishing 11 different papers in the April 28, 2023, issue of Science. The research brings new insights from the Zoonomia Project, an unprecedented collaborative effort led by Elinor Karlsson, director of the Vertebrate Genomics Group at the Broad Institute of MIT and Harvard, that compares and analyzes the complete genomes of 240 different mammalian species, from aardvarks to zebus.

The findings from this enormous amount of genetic data include pinpointing genes that underlie the ability to hibernate or how brains grew larger, as well as identifying the small fraction of genes that makes humans unique. "These 11 papers are just a sampling of the type of science that can be done with the new genetic data," says Shapiro, professor of ecology and evolutionary biology at the University of California, Santa Cruz. "They show how important these large consortia and foundational datasets really are."

Two of the papers, co-authored by Shapiro and her Santa Cruz team, break new ground by showing how much valuable information can be found in genomes of a single species, such as endangered orcas, or even in the DNA of an individual. That individual is a sled dog named Balto, who has been immortalized in movies and a statue for helping to bring lifesaving diphtheria antitoxin to Nome, Alaska in an epic journey across the Alaskan wilderness in the winter of 1925. With just a snippet of the dog's preserved skin and "these amazing new techniques we didn't have before, we were able to do this cool scientific thing," says HHMI postdoc Katie Moon, lead author of the Balto paper and a member of Shapiro's team.

Source: ScienceDaily

Sunday 23 April 2023

Managing an ulcerative colitis flare

 Ulcerative colitis is a chronic inflammatory bowel disease that causes the lining of the large intestine and rectum to swell and develop sores.

Most people with ulcerative colitis (UC) have periods of active symptoms, and these are known as flares, or flare-ups. They are followed by periods when the symptoms disappear, called remission.

The most important part of treatment for UC is managing and easing the symptoms and increasing the length of remissions.

Diet plans

A diet plan can be crucial to preventing and managing flares.

It might involve having a list of foods and drinks that do not trigger symptoms or a full meal plan that incorporates them. A doctor or dietitian can help recommend options and improve the healthfulness of a plan.

To identify safe and triggering foods, it can help to keep a journal that tracks meals and any symptoms.

Stress

Managing stress is an important part of a UC prevention plan, as stress may trigger flaresTrusted Source.

Among the many ways to manage stress levels are exercise, therapy, and relaxation techniques or relaxing activities.

Medications

A doctor can prescribe a variety of medications to treat bowel inflammation. Current guidelines recommend long-term treatment with one of the following types of drug.

These medications can help prevent flares by changing how the immune system works:

  • TNF-α antagonists, such as infliximab (Remicade) or adalimumab (Humira)
  • anti-integrin agents, such as vedolizumab (Entyvio)
  • Janus kinase inhibitors, such as tofacitinib (Xeljanz)
  • interleukin 12/23 antagonists, such as ustekinumab (Stelara)
  • immunomodulators, which may be methotrexate or a type of thiopurine, such as azathioprine

5-aminosalicylic acid

Historically, 5-aminosalicylic acid, or 5-ASA, has been a key treatment option for UC. A person can take it in pill form or as suppositories to reduce inflammation.

Examples include mesalamine (Azacol), balsalazide (Giazo), and sulfasalazine (Azulfidine).

Doctors can also prescribe a sulfa-free form of the drug for people who are allergic to sulfa.

Corticosteroids

Newer treatment options aim to reduce the need for steroid use.

Steroids have an anti-inflammatory effect, but doctors only prescribe them for short-term use, if other medications are not working. They are not a first-line choice because they can cause side effects and long-term complications.

The doctor will work with the individual to make a treatment plan that suits them best.

Surgery

A doctor may suggest surgery if dietary changes and medications are not working or further complications have developed.

While surgery is usually a last resort, several options can help:

  • Removing the colon, rectum, and anus. After removing these organs, the surgeon makes an opening in the abdomen and passes part of the small intestine through the opening, forming a stoma. The person will wear a detachable ostomy bag over the stoma to collect their waste.
  • Removing only part of the lower tract. After this surgery, a person can have bowel movements as before, but they may still experience UC.
  • Creating a new rectum from the small intestine. The surgeon then attaches this to the anus. The person can still use the bathroom, but they need to wear a bag initially, as the new rectum heals. They may still experience UC.

See a doctor about any UC symptoms that spark concern. Persistent diarrhea lasting longer than 48 hours, for example, signifies something more serious than a typical bug.

As the symptoms of UC are often similar to those of other chronic bowel diseases, such as irritable bowel disease, the doctor will need to rule out similar illnesses.

To reach a diagnosis, a doctor looks at the person’s family history, their symptoms, and the results of a physical exam and, sometimes, a colonoscopy.

A colonoscopy involves examining the inside of the colon using a thin, flexible tube with a camera attached.

After diagnosing UC, the doctor gives a clear plan of action, outlining what steps to take when symptoms flare up. They also provide information about managing UC, including common triggers to avoid.

When a person experiences a flare, they do not necessarily need to see a doctor, as long as a management plan is in place.

The plan should include:

  • a list of safe foods
  • a list of foods to avoid
  • safe medications to take to manage pain, nausea, and diarrhea
  • when to call the doctor

When a person experiences a UC flare, they also should continue their prescribed treatment.

If following a flare management plan is not helping, or if symptoms are worse than usual, contact a healthcare provider.

Source - Medical News Today




Saturday 22 April 2023

Risks of leaving ulcerative colitis untreated

 Ulcerative colitis is a long-term condition that affects the bowels. Without treatment, symptoms can get worse, and the inflammation may spread further along the colon, which can lead to complications.

Ulcerative colitis is a type of inflammatory bowel disease. In people with ulcerative colitis, an overactive immune system attacks the lining of the colon, causing ulcers and inflammation. Symptoms typically include:

  • frequent diarrhea
  • abdominal pain
  • bloody stools
  • stomach cramps

These symptoms can range from mild to severe, and they tend to come and go in cycles.

When a person has few or no symptoms, doctors refer to it as being in remission. When symptoms suddenly get worse, they call it a flare-up.

In this article, we discuss the potential consequences of people leaving ulcerative colitis untreated, and whether a person can die from this condition.

We also cover when to see a doctor and treatment options.

Ulcerative colitis tends to be a progressive condition that does not get better on its own.

Without treatment, symptoms may persist and get worse, and inflammation may spread within the colon. There is also a risk for further damage to the lining of the colon with every flare-up. This can make it harder for a person to manage the condition, going forward.

In children, not treating ulcerative colitis can limit growth and interfere with their overall development.

If people do not treat ulcerative colitis, it may lead to:

  • nutritional deficiencies
  • loss of appetite
  • swollen abdomen
  • fatigue
  • unintended weight loss
  • anemia
  • fever
  • rapid heartbeat
  • bleeding from the rectum
  • ruptured bowel
  • greater risk of colon cancer

Ulcerative colitis may also increase the risk of physical and mental health complications, such as:

  • Doctors can prescribe a range of medications to treat people with ulcerative colitis. Treatment aims to relieve symptoms and induce and maintain remission.

    Available treatment options for ulcerative colitis can include:

    • Antidiarrheal medications: These can help reduce or stop diarrhea but are usually for short-term use.
    • Aminosalicylates: This class of drugs can help control inflammation in people with mild to moderate symptoms.
    • Corticosteroids: Doctors often prescribe these for short-term relief of more severe symptoms and to induce remission
    • Immunomodulators: These drugs suppress the immune system to help reduce inflammation in the colon. An immunomodulator might be necessary if treatment with an aminosalicylate was unsuccessful.
    • Biologics: These are antibodies that target specific parts of the immune system. Healthcare professionals typically reserve biologics for people with symptoms that do not respond to other treatments.
    • Dietary supplements: Supplements can help address anemia and other nutritional deficiencies.
    • Antibiotics: Infected abscesses and ulcers may require a course of antibiotics if untreated ulcerative colitis has caused them to occur.
    • Surgery: A healthcare professional may recommend surgery for people with severe or difficult-to-treat ulcerative colitis. This can involve removing part or all of a person’s colon.

    Lifestyle changes may also help a person better manage their ulcerative colitis. For instance, researchTrusted Source suggests that a low-fat diet with plenty of vegetables may reduce the risk of developing ulcerative colitis.

    Lifestyle modifications that may help a person manage their symptoms include:

    • drinking more liquids but avoiding sodas and other fizzy drinks
    • replacing large meals with smaller, more frequent ones
    • using a journal to track foods that may trigger flare-ups
    • limiting high-fiber and high-fat foods, during flare-ups

Friday 21 April 2023

Foods to eat and avoid with ulcerative colitis

 Dietary measures — such as eating or avoiding certain foods — may help manage ulcerative colitis (UC). Foods to eat include cooked vegetables and lean proteins. But, alcohol and processed meats might worsen symptoms.

There is no single diet for people with ulcerative colitis, but identifying and eliminating the foods that trigger symptoms can help reduce discomfort.

Doctors do not know the exact cause of this disease, but they believe it has linksTrusted Source to environmental factors, Westernized diets and lifestyles, and genetics. Managing the diet may help a person manage ulcerative colitis.

This article explores which foods may trigger ulcerative colitis. It also looks at which foods might benefit people with this form of inflammatory bowel disease (IBD).

To discover more evidence-based information and resources for Crohn’s disease and ulcerative colitis, visit our dedicated hub.

A person’s diet may contain various potential triggers, so it can be difficult for someone with ulcerative colitis to know what is safe to eat.

Some nutrients, such as fiber, may be hard for someone to digest during a flare-up. They may be able to eat these foods outside of a flare-up but find they cause discomfort when symptoms occur.

Because they may not be able to consume various foods, people with ulcerative colitis are at a higher riskTrusted Source of nutrient deficiencies. Other factors, such as problems with nutrient absorption, may also contribute to this.

To ensure they get enough nutrients, someone with ulcerative colitis must eat foods high in vitamins and minerals, including iron, calcium, and vitamin A.

Some of the more suitable food choices for someone with ulcerative colitis may include:

  • Omega-3-rich foods: Foods, such as salmon, mackerel, walnuts, flaxseed, hemp, and chia seeds, provide plenty of omega-3 fatty acids, which may have health benefits for people with ulcerative colitis. The International Organization for the Study of Inflammatory Bowel Diseases (IOIBD) recommends a higher intake of these foods for those with the condition.
  • Some probiotic foods: These include yogurts, which contain active probiotics. The “good” bacteria in these can aid digestion. Some studiesTrusted Source have shown using probiotics regularly can help reduce ulcerative colitis flare-ups and symptoms.
  • Low fiber fruits: Fruits, such as bananas, cantaloupes, and cooked fruits, may be suitable for people with ulcerative colitis.
  • Refined grains: These may be easier to digest than whole grains. They include potato, white pasta, gluten-free bread, white rice, and oatmeal. Manufacturers enrich many white bread and grain products with extra minerals and vitamins.
  • Lean protein: Sources of protein that exclude red meat may be suitable for someone with ulcerative colitis. These include fish, chicken, eggs, and firm tofu.
  • Cooked vegetables: People with ulcerative colitis may tolerate noncruciferous cooked vegetables without the skin. These include cucumbers, squash, and asparagus tips.
  • Plenty of fluids: People with conditions, such as ulcerative colitis, may need to drink extra fluids, as diarrhea can lead to dehydration.
  • Dietary supplements: Oral vitamin supplements and protein shakes may help people with ulcerative colitis get enough nutrients. However, a person should consult a doctor before they start taking supplements.
  • Diet can affect ulcerative colitis flare-ups. However, this will vary from person to person, as not all people respond the same way to a particular food.

    Some foods may act as potential triggers for ulcerative colitis. These include:

    • Lactose products: Lactose is a sugar within dairy products such as milk, cheese, and yogurt. While lactose is not problematic for all people with ulcerative colitis, these products can trigger symptoms in some individuals.
    • Red meat and processed meats: The IOIBD recommends people with ulcerative colitis limit their intake of these foods to avoid worsening symptoms.
    • Alcohol: Alcoholic drinks, such as wine, beer, and liquor, may trigger ulcerative colitis symptoms in some people.
    • Carbonated drinks: Some sodas and beers contain carbonation that can irritate the digestive tract and cause gas. A 2022 studyTrusted Source also linked drinking carbonated soft drinks to a higher risk of developing ulcerative colitis in the Arabic population.
    • Nonabsorbable sugars: Consuming artificial sweeteners, such as sorbitol and mannitol, could trigger symptoms. The sugars in some fruits, such as prunes, pears, and peaches, may also be difficult for the body to absorb and could worsen symptoms.
    • Insoluble fiber foods: These include raw green vegetables such as broccoli, whole nuts, whole grains, and fruits with the skin. They may increase the number of bowel movements, the amount of gas, and abdominal cramping.
    • Sugary foods: Cakes, pastries, candy, and juices could trigger an ulcerative colitis flare-up.
    • High fat foods: A person with ulcerative colitis should avoid high fat foods, such as butter, fatty meats, and coconut, and fatty, fried, or greasy foods.
    • Spicy foods: These include hot sauces, chilies, and hot peppers. Spicy foods may trigger or worsen a flare-up.
    • Gluten: This is a protein present in wheat, rye, and barley. It can sometimes trigger symptoms in those with ulcerative colitis. A 2020 review articleTrusted Source from New Zealand found that, in one 2014 studyTrusted Source, a gluten-free diet significantly benefitted 66% of participants with IBD by reducing symptoms and flare-ups.
    • Dietary emulsifiers: According to the IOIBD, people with ulcerative colitis should limit their intake of emulsifiers such as carboxymethylcellulose and polysorbate-80. Manufacturers add these to many processed foods.
    • Keeping a food journal is a suitable way for someone with ulcerative colitis to identify potential dietary triggers.

      A daily food journal allows a person with the condition to make informed decisions about their diet. They should organize it so that it is easy to read and share with a doctor. Some useful information to include would be:

      • the date
      • which foods a person ate, including a list of extras, such as sauces
      • the time of day at which a person ate the food
      • any immediate reactions
      • any flare-ups or worsening symptoms

      Food journals are particularly helpful when people are looking to add additional types of food to their diets.

      By adding one food at a time and recording it, a person can determine whether the food is a safe choice by assessing their symptoms.

      Diet plans for people with ulcerative colitis will vary. The best tend to start with a food journal, which shapes the food choices and ideas in the plan.

      Diet plans should include the following:

      • Foods to eat: This will consist of foods a person knows will not aggravate their symptoms.
      • Foods to avoid: A diet plan should also list the specific foods that are known triggers.
      • Balanced nutrition: One of the most significant complications for people with ulcerative colitis is inadequate nutrition due to certain food tolerances. To avoid losing out on nutritional benefits, a person should look for ways to modify foods rather than avoid them. For example, peeling or cooking a fruit or vegetable might make it more tolerable.
      • Supplements: Some otherwise nutritious foods that are high in nutrients may not be digestible for some people. A person may need to compensate for this shortfall in nutrition. In these cases, an individual can take supplements to replace nutrients they cannot get in their food. They can speak with a registered dietitian or doctor about which supplements may be best, as people’s needs will vary.
      • Meal plans: These should consider a person’s schedule and include snacks. The better the planning of a meal, the more likely someone will stick to eating foods that do not aggravate their symptoms.
      • Medical approval: It is a suitable idea to seek approval from a doctor or registered dietitian. These professionals can offer advice and suggest alternative food choices that an individual might not have considered.

      People should continue logging their foods and symptoms, even after establishing a diet plan. Ulcerative colitis symptoms can change over time, so it is essential to track and record any diet-related changes.

      Occasionally reviewing the diet plan will help account for any changes. It is also vital to inform a doctor if flare-ups worsen or occur more often.

      Some premade diets and plans are available, such as the low FODMAP diet. However, these dietary programs may not be suitable for everyone with ulcerative colitis. Anyone looking to switch diets or follow a premade plan should talk with a doctor or dietitian first.

    • Some recent research has investigated new developments in how certain diets affect IBD and ulcerative colitis.

      In a 2021 review of studiesTrusted Source, researchers found that the Mediterranean diet may benefit people with IBD. However, the authors stated that more research is necessary to investigate this link.

      Researchers also noted that plant-based and reduced-calorie diets might benefit those with IBD. However, they pointed out that reduced-calorie diets are not appropriate options for those at risk of nutritional deficiency.

      The review also found that the low FODMAP diet did not appear to reduce IBD but may reduce certain gastrointestinal symptoms.

      Additionally, a gluten-free diet did not seem to have a notable effect on IBD symptoms. However, one 2014 studyTrusted Source in the review found that 66% of people reported an improvement in at least one IBD symptom following a gluten-free diet. Additionally, 38% of participants also reported having fewer or less severe flare-ups while on the diet.

      However, the research into ulcerative colitis and diet is limited. Scientists need to do more research to provide well-informed dietary guidelines for those living with the condition.

      Q:

      Can ulcerative colitis progress to a worse health condition if I eat the wrong thing?

      Anonymous

      A:

      ResearchTrusted Source suggests that consuming a diet high in meat and low in fruits and vegetables can increase the risk of ulcerative colitis flare-ups.

      In some cases, these flare-ups do not respond to medical treatment and may require surgery to remove part of the colon. Additionally, the risk for colon cancerTrusted Source is higher in people with ulcerative colitis, especially when the disease is more severe and a person has issues managing it.

      While there is no cure for ulcerative colitis, following a nutritious diet and avoiding trigger foods may help people manage symptoms and maintain good overall health.

    • There is no single diet plan that will work for all people with ulcerative colitis. However, identifying and eliminating any foods that may worsen an individual’s symptoms can help reduce discomfort.

      Foods that a person with the condition may want to avoid may include lactose products, alcohol, gluten, spicy foods, and foods high in sugar and fats.

      Some foods that may benefit individuals with ulcerative colitis include salmon, mackerel, chia seeds, walnuts, and other foods high in omega-3 oils.

      Creating a food journal may help a person identify and limit problematic foods. A doctor or dietitian can also assist in finding a diet plan that works for someone.

    • Source - Medical News Today

Thursday 20 April 2023

Remedies for ulcerative colitis constipation

 Ulcerative colitis is a chronic disease that affects the lining of the large intestine, causing inflammation and ulceration. Diarrhea is common, and constipation can also occur.

These symptoms can cause discomfort and affect a person’s quality of life. However, there are some ways in which people with ulcerative colitis can remedy constipation.

In this article, learn more about the link between ulcerative colitis and constipation and get some tips on how to manage this symptom.

1. Dietary changes

2. Keeping track of bowel movements

3. Exercise

4. Over-the-counter laxatives

5. Other medications

A range of other medications and prescription laxatives may help a person with constipation find relief.

These include:

Magnesium: A low dose can usually lead to a bowel movement within 6 hoursTrusted Source.

Lactulose: Although it can cause gas and may take longer to work than other options, lactulose can also relieve chronic constipation.

Sorbitol: This artificial sweetener is as effective as lactulose in relieving constipation and usually costs less.

Polyethylene glycol (PEG): Healthcare professionals mainly use PEG to clean out the digestive tract before a colonoscopy. However, one or two daily doses of 17 g can relieve chronic constipation.

Anthraquinones: Senna and other stimulant laxatives activate the digestive system and can usually promote a bowel movement within 6–8 hoursTrusted Source. They may cause cramps, however.

Diphenylmethane derivatives: These are similar to anthraquinones and can help people who are experiencing temporary constipation. Types include bisacodyl.

Castor oil: This oil can stimulate the intestines, but it may cause cramping.

Stool softeners: Examples include docusate sodium and mineral oil emollients. These treatments may not be suitable for long-term use. The use of mineral oils, for example, may lead to seepage and reduce the body’s ability to absorb some nutrients.

Enemas: Enemas work by distending and irritating the intestine. They are usually safe to use, but people should administer them with care to avoid damage.

Suppositories: OTC glycerin suppositories are available, but there is little evidence to support their use.

In addition to finding effective treatments, it is important to have the support of people who understand the experience of living with ulcerative colitis.

IBD Healthline is a free app for people who have received a diagnosis of ulcerative colitis. The app is available on the App Store and Google Play. 

IBS

Crohn’s disease

Celiac disease

Experts have not yet identified exactly what causes ulcerative colitis, but many believe that it is an autoimmune disease that results from a combination of genetic and environmental factors.

It is a long-term, or chronic, condition, and the symptoms can change or worsen over time.

However, treatment is available. Options includeTrusted Source:

Aminosalicylates: These help manage inflammation.

Corticosteroids: These help reduce inflammation and regulate the immune system.

Immunomodulators and biologic treatments: These change how the immune system works.

Other medications: Various options can help manage symptoms.

With treatment, symptoms can go away for weeks, months, or even years. This symptom-free period is called remission. However, some people will eventually need surgery.

For people with ulcerative colitis, constipation may be a recurring problem. Following a treatment plan and dietary guidelines can help a person manage the condition and improve their overall quality of life.

Q:

A:

People with ulcerative colitis should eat a diet that is rich in fruits and vegetables except during flare-ups. At this time, they should eat a low fiber diet.

Trusted Source Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Source - Medical News Today