Can UC be progressive? Yes.

There are varying degrees of ulcerative colitis severity: mild, moderate to severe, and very severe. Each varying degree, along with the symptoms you are currently experiencing, may require a different treatment approach that you will determine with your gastroenterologist. However, if your disease activity changes, make sure to update your doctor and keep an open conversation going.

With ulcerative colitis, inflammation can affect the inner lining of the colon. Left untreated, it can progress over time and cause more inflammation, which could lead to colon damage and worsening symptoms. To properly diagnose UC, an endoscopy test will be performed to look at the level of inflammation inside your digestive track.

Visualizing the level of inflammation is not only possible, but also necessary. This is how the extent and severity of the disease can be determined by your doctor to categorize your ulcerative colitis as proctitis, left-sided colitis, or extensive colitis (pancolitis).

By getting a detailed picture of your colon your doctor will be able to diagnose, treat, and monitor the response from the treatment given to you.

UC can affect your body in many ways. These are usually referred to as extraintestinal manifestations, or EIMs. If you’re experiencing EIMs you should tell your doctor so you can receive the proper care or be referred to a specialist.

Because ulcerative colitis can be a progressive disease, flare-ups and symptoms can get worse over time. That’s why it’s important to keep your gastroenterologist up to date on symptoms you’re experiencing.