Treating Anemia Caused By Ulcerative Colitis

Was this helpful?
(102)
Woman with stomachache

If you have ulcerative colitis, you know living with it can be tough. From stomach pain to diarrhea to fevers, you’ve probably experienced some unpleasant symptoms. In addition, studies suggest that more than 20% of people with ulcerative colitis also suffer from anemia, a condition in which your body has too few red blood cells, and this can make you feel even worse. The good news is anemia can be treated, but the right treatment can depend on what exactly is causing it. If you have ulcerative colitis, here are some important things for you to know.   

Ulcerative colitis increases the risk of anemia. 

Along with Crohn’s disease, ulcerative colitis is a type of inflammatory bowel disease (IBD). It causes long-term inflammation of the large intestine and the rectum, which results in the formation of ulcers, or sores, along its inner lining. The ulcers and inflammation lead to pain and diarrhea. Other symptoms of ulcerative colitis include:

Ulcerative colitis prevents your intestines from absorbing important vitamins and nutrients, like iron, folate and vitamin B12, which are needed to make red blood cells that deliver oxygen throughout your body. Additionally, as a result of blood loss that can occur, your body may lose red blood cells faster than it can replenish them. These factors increase the risk for anemia.

5 Things You Didn't Know About Anemia

Treatment for anemia may not be the same across the board.  

Since there are different factors that can contribute to anemia, identifying the cause can help guide your doctor to the best treatment. Usually this can be done through blood tests.     

  • Iron-deficiency anemia: This is the most common cause of anemia in IBD patients. Low iron levels are caused by bleeding during flares of ulcerative colitis, problems with absorbing iron through the intestines due to inflammation and diarrhea, and decreased intake of iron-rich foods. Treating this type of anemia may involve increasing iron in the diet or using iron supplements. Oral iron supplements are available, but they can sometimes cause further gastrointestinal distress, so intravenous (IV) iron may be required. With IV iron, you receive several infusions of iron directly into your bloodstream. Other treatments include special medications that help your body increase its production of red blood cells, or, in severe cases, a blood transfusion can be given.

  • Anemia of chronic disease: Sometimes the disease itself affects your body’s ability to create red blood cells. This is seen with some cancers and diseases like ulcerative colitis that result in ongoing inflammation. In this case, treating the underlying disease should also improve anemia. Typical treatments for ulcerative colitis include anti-inflammatories like corticosteroids and medications that suppress the immune system, which aim to prevent inflammation.

  • Vitamin-deficiency anemia: Low levels of vitamin B12 and folic acid are commonly seen with ulcerative colitis due to decreased intake of B12-rich foods and poor absorption in the intestines. To treat this type of anemia, vitamin B12 shots or folic acid supplements may be given

  • Anemia caused by medications: Some medications used to treat ulcerative colitis may suppress your body’s ability to create red blood cells or cause them to break down faster. Your doctor may need to change medications or lower your dose to treat your anemia.

Improving symptoms of anemia can improve your overall quality of life.

Since your red blood cells are used to transport oxygen throughout your body, you can imagine the negative effects of not having enough of them. When you are anemic, you can experience:

When anemia becomes severe, it can interfere with your ability to carry out daily activities, and in extreme cases, it can even affect organs like your heart. Research suggests that patients with IBD who successfully treat their anemia not only have fewer hospital trips, but also experience an overall improvement in quality of life.

Though many people with ulcerative colitis suffer from anemia, it’s not always recognized and properly treated. If you’re concerned you may be anemic, visit your doctor. Some further testing may help you find the treatment you need.

Was this helpful?
(102)
Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2019 Oct 9

  1. Anemia in Inflammatory Bowel Disease: An Under-Estimated Problem? Frontiers in Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298217/

  2. Management of Iron Deficiency Anemia in Inflammatory Bowel Disease – a Practical Approach. Annals of Gastroenterology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959949/

  3. Ulcerative Colitis. Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/ulcerative-colitis/home/ovc-20342755

Explore Ulcerative Colitis
Recommended Reading
  • No one knows for sure what causes irritable bowel syndrome (IBS). What brings on its symptoms, though, is a bit clearer. How you eat and what you eat can make a difference. So can several things that have nothing to do with food. Knowing these triggers and what to do about them can help you manage your IBS.
    October 25, 2016
  • Most people don’t discover they have hepatitis C until many years after they became infected, so is it too late to treat?
    July 25, 2019
  • Blood in stool can take many forms: pooping blood, bright red blood in stool, bloody diarrhea, bloody mucus in stool. There can be several causes of blood in stool. Find out which ones aren't cause for concern and which ones mean it's time to see a doctor.
    April 2, 2018
Next Up
  • Ulcerative colitis (UC) is a lifelong disease. And while several medications can ease symptoms, they may not work all the time for everyone. In addition, some have side effects.
  • While there's no cure for ulcerative colitis, treatment can help manage symptoms.
  • If you've been battling ulcerative colitis (UC) for some time, you understand the need to break free from symptoms. Perhaps past treatments haven't worked. Or maybe you've achieved remission, only to have your condition flare again. If you're facing increasing symptoms of UC, take heart. There are innovative therapy options that can help you gain control.
  • If you have ulcerative colitis (UC), you're probably focused on reducing the gastrointestinal upset and pain that comes with the disease. But there may be other disease-related health issues that need your attention as well. Although not as obvious, UC can cause certain complications outside the colon. Learn more about four potential risks and how you can better manage and prevent them.
  • Medication is the primary form of treatment for ulcerative colitis (UC). It can be quite effective in relieving symptoms. But medication treatment plans can vary dramatically from person to person, and there are a host of different drugs used to treat the disease. To help you better understand how medication can help achieve remission, below are answers to six common questions.  
  • There's no doubt that smoking causes a whole host of health problems—lung cancer, heart disease, and chronic obstructive pulmonary disease, to name just a few. In fact, it's America's No. 1 cause of disability, disease, and death.
  • Get an overview of ulcerative colitis, including causes, symptoms and treatments.
  • If you're living with ulcerative colitis (UC), it's important to watch for symptoms that could indicate ulcerative colitis complications like dehydration, osteoporosis and anemia. If you have UC and have severe abdominal pain, blood in your stool, or lower back pain, it's time to see your doctor.
Answers to Your Health Questions
Trending Videos