Category Archives: Education

Ulcerative Colitis: An (Often Misunderstood) Autoimmune Disease

I was inspired to write this piece since my husband suffers from the disease himself and has additional disorders because of it. This is not a Christian article particularly (though it’s obvious from internet comments that Christians can be just as unsympathetic in their ignorance of the disease as anyone else), but one that many found useful at the now defunct Yahoo! Voices, where it had been published.  It was my most viewed and used article, by far, there.  So, instead of trying to republish it elsewhere, I’m posting it here.  I hope you find it informative and of value to pass on!  We hope that a cure may be found some day.

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UC is not a disease with localized symptoms only, as many believe

Ulcerative Colitis is not just ulcers in the colon due to stress or eating habits, as many people mistakenly believe. It is an autoimmune disease that is controlled through medication, if possible, and the removal of the colon if medications fail.

My husband has moderately severe ulcerative colitis (UC) and, despite being on medication, has frequent symptoms. Difficult for him, then, is his encounters with people who think this disease is no big deal or it can be self-cured. While some people with UC respond so favorably to medication that they remain in remission for very extended periods, for many this is not the case, and, there is no such thing as curing yourself of UC.

It seems hard to lead people to understand that UC is an autoimmune disease that has very little to do with controllable factors in a person’s life. About 500,000 people in the U.S. have UC, and about 50% of these have milder cases that respond well to medicines. The other 50% have more symptoms, have to go through difficult treatments, and may even have to have their colon removed.

The white areas are ulcers (image is from author's husband's colonoscopy).
The white areas are ulcers (image is from author’s husband’s colonoscopy).

What is Ulcerative Colitis?

Ulcerative colitis is a single disease, but it does vary significantly in its manifestation. It can be quite mild if found and treated early, or it can be deadly if not treated. The colon is an upside-down U-shaped organ, and UC can affect just the lower part of it (“proctitus”), the left side of it (“distal colitis”), or all of it (“pancolitis”). My husband has pancolitis, and no doubt this is partly due to a late diagnosis.

What happens with UC is that, for reasons currently unknown, the body attacks things in a person’s colon–and the colon itself–because it mistakenly views these things as infections. The colon becomes chronically inflamed, and this in turn further damages the colon. Left untreated the colon can become completely nonfunctional (called “toxic megacolon”), swell significantly, perforate, and cause death.

Ulcerative Colitis Symptoms

All of the symptoms listed below can range from mild to severe, and keep in mind that not everyone experiences all of these symptoms.

  • In children, a slowed growth rate
  • Abdominal pain and cramping; diarrhea
  • Blood and pus in stool
  • Weight loss; loss of appetite
  • Fever
  • Fatigue
  • Swelling and pain in joints
  • Nausea and vomiting
  • Lumps in skin that become ulcerated and then spread; mouth sores
  • Swelling of the iris of the eye

Complications from Ulcerative Colitis

  • Malnutrition, caused by malabsorption and/or medications
  • Bone loss and low bone density, caused by medications. (My husband had a foot break from only exerting normal pressure on it, and at a later point was found to have basically no vitamin D in his system.)
  • Anemia, and in some cases, massive internal bleeding
  • Colorectal cancer; cancer risk significantly increases each decade
  • Blood clots (especially in the legs, and clots formed there may travel to the lungs)
  • Kidney stones and liver abnormalities
  • Weight gain from certain medications, and emotional distress
  • Toxic megacolon, which leads to death if the colon is not removed

How is Ulcerative Colitis treated?

There are varying treatments, depending on the severity of the disease. They include proper nutrition relative to UC, prescribing “aminosalicylates” for mild to moderate UC, “immunosuppresents” for more severe levels of UC, and more difficult to handle drugs for emergencies or very nonresponsive cases. Please see Ulcerative Colitis: Medications for a detailed overview.

The ultimate treatment is the removal of the colon, or proctocolectomy. There are two different surgeries relating to proctocolectomy: the outcome of one is having an exterior bag that collect stool; the outcome of the more difficult procedure is that stool is expelled through the anus, made possible by a surgeon forming an interior “bag” from the small intestine. To read more about these procedures, see Removing the Colon: Surgical Options and Opportunities.

The CCFA: An Advocacy and Support Group

The CCFA, or Crohn’s and Colitis Foundation of America, is a nonprofit organization that funds research into inflammatory bowel diseases (IBDs) and publishes the scientific journal “Inflammatory Bowel Diseases.” The group not only has local chapters, but all kinds of information for coping with UC and other IBDs, research information (including clinical trials needing participants), leads to support groups and doctors, and an online community. If you want to find out more about UC and IBDs, or if you want to help find a cure through giving, the CCFA would be a great place to start.

 

Additional Sources

Ulcerative Colitis – PubMed Health/A.D.A.M. Encyclopedia

Survival and cause-specific mortality in ulcerative colitis: follow-up of a population-based cohort in Copenhagen County – NCBI/PubMed.gov

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Everyday sayings from the Bible – There may be more than you think!

Broken heart (base photo by Alex Bruda, Freeimages.com; filtered by author).
Broken heart (base photo by Alex Bruda, Freeimages.com; filtered by author).

Did you know that the everyday expression “broken heart” (or “brokenhearted)” is considered to be derived from the Bible?  Yes, even by secular sources.  If you read your Bible you may already know that expressions such as going to the “land of Nod,” or having “feet of clay,” are not from fairytales or other old works of fiction.

In fact, very many idioms, phrases, and expressions in the English language originated from the Bible.  This post holds a good number of them (but not all)–27–chosen specifically for their commonness.  Some are so common that I not only made the list and checked it twice (see what I did there?  That phrase is from the 1934 song “Santa Claus is Coming to Town“), but thrice.

The blind leading the blind. The biblical meaning may imply willful ignorance, but the saying today refers more generally to the uninformed blindly following the uninformed. “But [Jesus] answered and said, ‘Every plant which My heavenly Father has not planted will be uprooted. Let them alone. They are blind leaders of the blind. And if the blind leads the blind, both will fall into a ditch'” (Matthew 15:13-14).

A broken heart; brokenhearted. This ancient term for the depressed is from Psalms 34:18,”The Lord is near to those who have a broken heart, and saves such as have a contrite spirit.” “Brokenhearted” is first used in Luke 4:18: “. . . He has anointed Me to preach the gospel to the poor; He has sent Me to heal the brokenhearted . . . ”

By the skin of your teeth. Some explain this to be referring to the film you can feel on your teeth when they’re not clean, and thus, being saved in whatever situation by the ultra-slimmest of margins. “My bone clings to my skin and to my flesh, and I have escaped by the skin of my teeth” (Job 19:20).

Drop in the bucket. If something is like one drop in a bucket of water, it’s very insignificant. As Isaiah 40:15 says, “Behold, the nations are as a drop in a bucket, and are counted as the small dust on the scales . . .”

Feet of clay. Today this refers to someone having a secret character flaw that may cause their ruin, and is take from Daniel 2:32-33: “This image’s head was of fine gold, its chest and arms of silver, its belly and thighs of bronze, its legs of iron, its feet partly of iron and partly of clay.”

Fight the good fight. This has come to mean making a purposeful effort to work on behalf of a morally right cause. Originally it referred to the struggle to maintain one’s faith: “Fight the good fight of faith, lay hold on eternal life, to which you were also called . . .” (1 Timothy 6:12).

Fly in the ointment. This saying alludes to plans that are spoiled by a small thing, but as can be seen by the original verse below, it was meant to convey that bad behavior by an otherwise honorable person can raise questions about their true character. “Dead flies putrefy the perfumer’s ointment, and cause it to give off a foul odor; so does a little folly to one respected for wisdom and honor” (Ecclesiastes 10:1).

Labor of love. When you feel a strong purpose toward non-paid work you’re doing, then it’s a “labor of love.” “God is not unjust to forget your work and labor of love which you have shown toward His name . . .” (Hebrews 6:10, and 1Thessalonians 1:3).

Land of Nod. The Land of Nod is the place where Cain was exiled to for having murdered his brother; it has nothing to do with sleep, which it means in speech today. We can only guess, but perhaps it comes from the idea of being spiritually asleep after being cast from God.  “Then Cain went out from the presence of the Lord and dwelt in the land of Nod on the east of Eden” (Genesis 4:16).

Out of the mouth of babes. The idea of this saying is that innocent people will speak in truth, without pretense, worry, or jadedness. There are two places where this comes from in the Bible, Psalms 8:2 and Matthew 21:16: “. . . And Jesus said to them, ‘Yes. Have you never read, “Out of the mouth of babes and nursing infants You have perfected praise”‘?”

Rise and shine. No, “rise and shine” is not from some teen encouragement flick, but from Isaiah 60:1:  “Arise, shine; for your light has come! And the glory of the Lord is risen upon you.”

See eye to eye. Seeing eye to eye isn’t referring to a staring contest, but that people see something in the same way–that they agree. “Your watchmen shall lift up their voices, with their voices they shall sing together; for they shall see eye to eye when the Lord brings back Zion” (Isaiah 52:8).

A thorn in the flesh. Today, this simply refers to something that is continually annoying. The apostle Paul had a specific irritation, however, when he wrote:   “And lest I should be exalted above measure by the abundance of the revelations, a thorn in the flesh was given to me, a messenger of Satan to buffet me . . .” (2 Corinthians 12:7). My favorite modern take on this can be found at Redjaw Cartoons.

Wits’ end. When someone is at their wits’ end, they are beyond being able to think about something (and usually quite frustrated about it). The expression comes from Psalm 107:27: “They reel to and fro, and stagger like a drunken man, and are at their wits’ end.”

Writing on the wall. This expression means that something bad is about to happen.   It is from the spooky story in Daniel chapter 5, but here is an excerpt. “This is the inscription that was written [by a supernatural hand]: MENE, MENE, TEKEL, UPHARSIN. This is the interpretation of each word. MENE: God has numbered your kingdom, and finished it; TEKEL: You have been weighed in the balances, and found wanting; [UPHARSIN and] PERES: Your kingdom has been divided, and given to the Medes and Persians (verses 25-28).

A bird in the hand is worth two in the bush.  This exact expression in its current form is not in the Bible, actually, but a similar biblical phrase is considered to be the first in English that means the same thing.  This may seem a bit wanky, but I’m conveying what at least some etymologists say.  The meaning of this phrase – to have something you know is good is not worth throwing away for things that may or may not be better – has equivalents in many languages.  The phrase from the Old Testament is found in Ecclesiastes 9:4b:  “A living dog is better than a dead lion.”  The oldest written phrase close to its current form is found in an ancient source, but not nearly as ancient as the OT:  “He is a fool who lets slip a bird in the hand for a bird in the bush” (Plutarch, c. AD 100, in Of Garrulity).

As old as the hills.  Meaning “very old indeed,” this expression is a shortened version of Job 15:7:  “Are you the first man who was born?  Or were you made before the hills?”  A similar but more specific expression is “As old as Methuselah.”  This is referring to the oldest recorded person in the Bible, Methuselah, grandfather of Noah, who was said to have lived 969 years (Genesis 5:27).

Apple of my [or his] eye.  This means that the “apple” referred to is the favorite of the beholder’s “eye.”  There are many instances of the expression in the old testament, but notably Deuteronomy 32:10 and Zechariah 2:8

Cast your bread upon the waters.  This is a less common saying nowadays (and is even absent from references), perhaps because it seems too nonsensical and doesn’t convey any meaning by itself.  I love the sound of it, though, so included it here.  It’s from Eccl.s 11:1:  “Cast your bread upon the waters, for you will find it after many days.”  Though the saying doesn’t seem to make any sense, it is an expression that hopes to invoke patience or diligence.

Set your teeth on edge.  When something is upsetting or making you uptight, you might say that it’s setting your teeth on edge.  This comes from a few verses in the Bible, like Jeremiah 31:29, “In those days they shall say no more: ‘The fathers have eaten sour grapes, and the children’s teeth are set on edge'” (see also Jeremiah 31:30 and Ezekiel 18:2).

Wolf in sheep’s clothing.  This saying is so common, that the meaning seems rather obvious.  In case this is new to you, it refers to a person who has bad intentions who is fooling people by acting innocent of any malice; they have an insincere public face, coupled with ill-will.  The expression comes from Matthew 7:15:  “Beware of false prophets, who come to you in sheep’s clothing, but inwardly they are ravenous wolves.

Charity begins at home.  Interestingly, this expression doesn’t come from an obvious notion or ideal, but from a criticism of men (providers of the family) having problems with being a good provider.  1 Timothy 5:8 states:  “But if anyone does not provide for his own, and especially for those of his household, he has denied the faith and is worse than an unbeliever.”  Jesus talks of hypocrisy in a number of places in the New Testament, especially in Matthew 23, but what he says in Matthew 15:1-9 is particularly applicable here:  “But you [scribes and Pharisees] say, ‘Whoever says to his father or mother, “Whatever profit you might have received from me is a gift to God”— then he need not honor his father or mother.’  Thus you have made the commandment of God of no effect by your tradition. Hypocrites!” (15:5-7a).

Let Us Swords into Plowshares
Let Us Swords into Plowshares (Photo credit: Singing With Light) At U.N. Headquarters, N.Y.

Beat swords into plowshares. I time of peace when even defensive weapons will not be necessary.   From the yet to be fulfilled prophecy of Isaiah 2:4, “He shall judge between the nations, and rebuke many people; they shall beat their swords into plowshares, and their spears into pruning hooks; nation shall not lift up sword against nation, neither shall they learn war anymore.”

Salt of the earth. From Matthew 5:13:  “You are the salt of the earth; but if the salt loses its flavor, how shall it be seasoned? It is then good for nothing but to be thrown out and trampled underfoot by men.”

Don’t cast your pearls before swine. This saying warns of not sharing things that are important to you with those who just don’t care, and who might even belittle you about it. The original meaning is specifically spiritual.  Pigs (swine) will trample what’s thrown in front of them if it’s not ordinary food, so don’t toss spiritual food their way since they’ll only disdainfully muck it up.  From Matthew 7:6, “Do not give what is holy to the dogs; nor cast your pearls before swine, lest they trample them under their feet, and turn and tear you in pieces.”

Sign of the times. From Matthew 16:3.  Speaking with the Jewish leaders, Jesus said “. . . in the morning [you say], ‘It will be foul weather today, for the sky is red and threatening.’ Hypocrites! You know how to discern the face of the sky, but you cannot discern the signs of the times.”

Twinkling of an eye, In the.  Neither Shakespeare nor Robert Manning were the first to write this expression, but the Apostle Paul in 1 Corinthians 15:52: “in a moment, in the twinkling of an eye, at the last trumpet. For the trumpet will sound, and the dead will be raised incorruptible, and we shall be changed.”

Note:  Updated August 4, 2014.  A larger part of this article was first published at Yahoo! Voices.  It was integrated with a similar article here after Voices closed shop in 2014 and reverted all rights back to the original authors.  Edited slightly on 10-8-2014.

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Sources:

Expressions & Sayings Index

The Facts on File Encyclopedia of Word and Phrase Origins – Robert Hendrickson (2008)

The Phrase Finder

Scholastic Dictionary of Idioms, Phrases, Sayings & Expressions – Marvin Terban (1996)