Pancolitis is a very severe form of ulcerative colitis which spread throughout the entire large intestine including the right colon, the left colon, the transverse colon, descending colon, and the rectum. Pancolitis is a kind of inflammatory bowel disease that affects the entire internal lining of the colon. The exact cause of this condition is unknown but autoimmune diseases and genetic predispositions might play a role in its advancement. Patients with pancolitis will have the symptoms similar to ulcerative colitis including rectal bleeding as a result of ulcers, pain in the abdominal region, inflammation in varying degrees, and diarrhea (often containing blood along fatigue, fever, and night sweats. In the present case as the functioning of the large intestine is reduced patient is unable to procure nutrients from food which lead to Vitamin D deficiency which is treated by giving calcium supplements. Apart from this due to loss of blood from ulcer and hematochezia the patient is diagnosed with Iron deficiency anemia and treated with iron supplements. In the current case, patient is also suffering from colon tuberculosis may be due to the decreased immunity and is presently on anti-TB treatment. The current treatment of pancolitis is focused on forcing the disease into remission, with the ultimate goal to reach an improved quality of life, reduction in the need for medicine, and minimization of the risk of cancer. The medications presently utilized include anti-inflammatory agents and corticosteroids to alleviate inflammation and immunomodulators which act to suppress the immune system.
Pancolitis, Immunomodulators, Vitamin D deficiency, Iron deficiency anemia
