Use over-the-counter medication
2
Identify and avoid triggers
1
Try deep breathing
4
Apply heat
3
Practice yoga
5
Get some gentle exercise
6
Consider therapy
7
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UC triggers vary from one person to another.
Some common triggers include:
Identify and avoid triggers
Certain over-the-counter (OTC) medications may help reduce UC cramps. That includes pain medication such as acetaminophen (Tylenol).
OTC medications are also available to treat other UC symptoms, like gas, constipation, and diarrhea, which may contribute to cramps.
Talk with your doctor or pharmacist to learn which OTC medications may be safe and most effective for you. Your doctor may advise you to avoid nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) and naproxen (Aleve), which may actually worsen symptoms.
Use over-the-counter medication
Applying heat to your abdomen may help soothe cramping and discomfort. Consider:
Apply heat
Because stress is a UC trigger, finding ways to manage it can help reduce symptoms and flares.
One strategy that can help? Deep breathing exercises.
Try deep breathing
A 2019 research review found that yoga may reduce stress and improve quality of life for people with IBD. If you have cramps from gas buildup or constipation, certain yoga positions might help you pass gas or have a bowel movement. These include:
Practice yoga
Exercise stimulates your body’s production of endorphins, which are stress-relieving chemicals. Making time for regular exercise may help:
Get some gentle exercise
Cramps and other UC symptoms may cause stress. In turn, stress may worsen your symptoms.
Different types of therapy, like cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) may help you develop coping strategies to manage stress and pain.
To break the stress-UC cycle, consider asking your doctor for a referral to a mental health specialist who has experience supporting people with IBD
or other chronic conditions that cause pain.
Consider therapy
7 Tips to Find Relief for Ulcerative Colitis Cramps
What to Keep in Your
high fat foods
spicy foods
dairy products
too much or too little fiber
sweetened beverages
caffeine
alcohol
stress
Consider using an app, spreadsheet, or paper journal to track potential triggers and symptoms. Log your food and beverage intake, stress levels, and other potential triggers. This may help you identify triggers that make your cramps worse and take steps to limit exposure.
applying a heating pad
using an electric blanket
trying a hot water bottle wrapped in a
light cloth or towel
taking a warm bath or shower
Use these strategies for up to 15–20 minutes at a time. Start at a moderately warm temperature and gradually increase the heat if needed. Avoid very high temperatures, which may burn your skin.
To practice deep breathing, follow these steps:
1. Sit or lie in a comfortable position with your eyes closed.
2. Place one hand on your abdomen and one hand on your chest.
3. Inhale through your nose for a count of four.
4. Hold your breath for a count of four.
5. Exhale through your mouth for a count of six.
6. Repeat. You should feel your belly rising with each breath.
You might also benefit from other relaxation techniques or mindfulness exercises, such as progressive muscle relaxation, guided imagery, or meditation.
Child’s Pose (balasana)
Cat-Cow Pose (chakravakasana)
Wind-Relieving Pose (pawanmuktasana)
Consider taking a yoga class or watching an online tutorial to learn how to perform these poses and others.
reduce pain
lower stress levels
improve mood
support overall well-being
Some people find that high intensity exercise worsens UC symptoms, especially during a flare.
If that's the case, consider taking part in low- to moderate-intensity activities, like going for a walk.
