People with ulcerative colitis (UC) now have clearer guidance on preventive healthcare beyond managing their condition. The American Gastroenterological Association (AGA) recently released updated recommendations to help patients and doctors stay on top of essential screenings and vaccinations.
Higher Risks Require Extra Vigilance
UC and other forms of inflammatory bowel disease (IBD) can increase the risk of certain cancers and infections. Medications used to control UC, such as immunosuppressants and biologics, may further raise these risks. The new guidelines aim to ensure patients receive the right preventive care at the right time.
Key Screenings for UC Patients
Regular skin cancer checks are advised, especially for those taking specific UC medications. Women should follow standard cervical cancer screening schedules, as some IBD treatments may heighten risks. While UC doesn’t increase the likelihood of most other cancers, staying up to date with general screenings—like mammograms and prostate exams—remains important.
Vaccines Play a Critical Role
Vaccinations are a major focus of the new guidelines. UC patients, particularly those on immune-suppressing drugs, should ensure they are protected against flu, COVID-19, pneumonia, and shingles. Timing matters—some vaccines should be given before starting certain medications. Live vaccines, like the measles shot, should be avoided while on immunosuppressants.
Additional Health Checks to Consider
Bone density scans are recommended for those with long-term steroid use or other risk factors. Mental health screenings are also encouraged, as living with a chronic condition like UC can increase anxiety and depression risks. Hepatitis B testing is advised before starting immunosuppressive therapy, along with vaccination if needed.
Why Colon Cancer Screening Wasn’t Included
While UC patients face a higher risk of colorectal cancer, the AGA chose not to include it in these guidelines. Gastroenterologists already prioritize colonoscopies for IBD patients, so the focus here was on other often-overlooked aspects of care.
A Team Effort for Better Health
Managing UC involves more than just treating symptoms. Patients are encouraged to work closely with their gastroenterologists and primary care providers to create a personalized preventive care plan. By staying proactive, those with UC can reduce risks and maintain better overall health.
The new guidelines serve as a roadmap for patients and doctors alike, ensuring nothing falls through the cracks in the pursuit of long-term wellness.
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