Ulcerative colitis in the postpartum period
Autops. Case Rep
; 10(4): e2020187, 2020. tab, graf
Article
in En
| LILACS
| ID: biblio-1131861
Responsible library:
BR26.7
ABSTRACT
We describe a scarcely reported case in which ulcerative colitis (UC) occurred in the postpartum period. The aims of this case report are to reinforce the recent assertion that a diet is a ubiquitous environmental factor in inflammatory bowel disease (IBD) and that a plant-based diet (PBD) is recommended for IBD. A 29-year-old woman normally delivered her first child. She first noticed bloody diarrhea 4.5 months after delivery. She was diagnosed with UC (left-sided colitis, moderate severity). Sulfasalazine induced remission. She then experienced and learned about PBD during an educational hospitalization. She resumed breast-feeding and stopped medication. An interview and questionnaire revealed a change in her diet 3 months after delivery, from a sound diet (plant-based diet score 25) to an unhealthy diet (score 9). It happened along with a change in residence, from her parent's home where her mother prepared traditional Japanese meals to her home where she prepared meals by herself. A feeling of release from childbirth prompted her to eat sweets and cheese despite being aware that the quality of the meals deteriorated. We described a scarcely reported case in which UC occurred in the postpartum period. It happened along with a change in her diet, from a sound diet to an unhealthy diet due to a feeling of release from childbirth. She replaced an omnivorous diet by PBD and stopped medication. The critical role of diet is largely ignored by healthcare professionals. We believe that greater appreciation of diet will change and improve management of IBD.
Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Colitis, Ulcerative
/
Postpartum Period
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Autops. Case Rep
Journal subject:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Year:
2020
Document type:
Article
Affiliation country:
Japan
Country of publication:
Brazil