Expert Care to Control Ulcerative Colitis and Achieve Lasting Remission
Ulcerative colitis is a type of inflammatory bowel disease (IBD) that causes inflammation and ulcers in the inner lining of the colon and rectum. Unlike Crohn disease, it affects only the large intestine and stays in the innermost layer of the bowel wall. It typically causes bloody diarrhea and follows a pattern of flare-ups and remission.
The exact cause is unknown, but ulcerative colitis results from an overactive immune response in genetically susceptible people, influenced by gut bacteria and environmental factors. It usually begins in the rectum and can extend continuously through part or all of the colon.
Persistent bloating can have many possible causes, which is why there is no single clear answer. It may be related to food sensitivities, IBS, constipation, hormonal changes, or bacterial imbalances in the digestive system. Because symptoms often overlap, a proper medical evaluation is important to identify the exact cause.
At Shaya Digestive & Liver Clinic, evaluation begins with a detailed discussion of symptoms, diet, medical history, medications, and lifestyle factors. Diagnostic evaluation may include:
Comprehensive Medical History
Understanding symptom patterns often provides valuable clues.
Blood Testing
Laboratory studies may help identify:
H. pylori Testing
Testing may be recommended when stomach-related symptoms are present.
SIBO Breath Testing
Used to evaluate bacterial overgrowth within the small intestine.
Colonoscopy
May be recommended depending on age, symptoms, family history, and risk factors.
Upper Endoscopy (EGD)
Can help evaluate reflux, gastritis, ulcers, and upper digestive tract disorders.
Dr. Saranya Addepally is a board-certified gastroenterologist with six years of clinical experience, treating a broad range of digestive and liver conditions. She is especially passionate about women’s GI health—areas where patients often feel overlooked or hesitant to seek care.
Her medical journey began in India, where she completed her training before moving to the United States to pursue advanced education in medicine and Gastroenterology at the University of Arkansas.
After several years in practice, she relocated to Houston to continue serving patients in the community. Following two years with a local group, she established her own practice, grounded in the principles and core values she believes are essential to delivering thoughtful, patient-centered care.
It is a chronic inflammatory bowel disease that causes inflammation and ulcers in the lining of the colon and rectum, usually causing bloody diarrhea.
Ulcerative colitis affects only the colon and rectum and stays in the inner lining. Crohn disease can affect any part of the gut and goes deeper into the wall.
Medications can keep most people in long-term remission. In severe cases, surgery to remove the colon can effectively cure the disease.
Long-standing inflammation of the colon does raise the risk of colon cancer, which is why regular colonoscopy surveillance is an important part of care.
Flares can be triggered by missed medications, certain foods, infections, stress, and some pain relievers like NSAIDs.
Yes. Colonoscopy is used to diagnose ulcerative colitis, monitor inflammation, check healing, and screen for colon cancer over time.
Treatment aims to calm inflammation, stop flare-ups, and maintain long-term remission. After confirming your diagnosis, your gastroenterologist builds a personalized plan that may include:
At Shaya Digestive & Liver Clinic, we provide:
There is no single “quick fix” for ulcerative colitis, but lasting remission is very achievable. See a gastroenterologist for ongoing bloody diarrhea, urgency, weight loss, or severe cramping. At Shaya Digestive & Liver Clinic we focus on long-term control. To help manage ulcerative colitis:
Offering Fast Track GI appointments
Specialized Gastroenterology Appointments Within 3–5 Business Days
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