Exercise Guidelines for Ulcerative Colitis Patients

Safe and Effective Physical Activity Recommendations

Gastroenterology

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Last updated: Mar 24, 2025

Introduction

Regular exercise is beneficial for ulcerative colitis (UC) management when approached correctly. This guide outlines safe exercise practices for UC patients.

Benefits of Exercise with UC

  • Reduced inflammation
  • Improved stress management
  • Better bone density
  • Enhanced immune function
  • Decreased fatigue

Recommended Exercise Types

Low-Impact Activities

  • Walking
  • Swimming
  • Stationary cycling
  • Yoga
  • Tai Chi

Strength Training

  • Body weight exercises
  • Light resistance training
  • Resistance bands

Exercise Guidelines

Before Starting

  1. Consult your gastroenterologist
  2. Start slowly during remission periods
  3. Have bathroom access nearby
  4. Stay hydrated

During Exercise

  • Monitor intensity (moderate level recommended)
  • Take frequent breaks as needed
  • Stop if experiencing pain or discomfort
  • Maintain proper breathing

Special Considerations

  • Avoid high-intensity workouts during flares
  • Exercise indoors when experiencing urgency
  • Keep exercise sessions short (20-30 minutes)
  • Listen to your body's signals

Warning Signs

  • Severe abdominal pain
  • Dizziness
  • Unusual fatigue
  • Increased bowel urgency

Progression Plan

  1. Begin with 5-10 minutes daily
  2. Gradually increase duration
  3. Slowly add new activities
  4. Build up to 150 minutes weekly

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