Chapter 03 · The Basics

Disease Origin – Cause of Ulcerative Colitis

The specific cause of inflammatory bowel diseases (IBDs), including ulcerative colitis (UC), remains unknown, but it is understood to have a multifactorial origin — meaning several factors work together to trigger the disease.

Cause of Ulcerative Colitis

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Nothing you did caused or could have prevented UC

It results from several risk factors coming together, not one specific trigger.

Ulcerative Colitis Risk Factors

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Genetic Factors

More than 200 genes are linked to the development of inflammatory bowel diseases (IBD), like ulcerative colitis.

Having a parent or sibling who has IBD increases your risk.

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Environmental and Lifestyle Factors

Imbalance in the gut bacteria, exposure to certain factors, or lack of exposure.

Gut bacteria are influenced by:
  • Cigarette smoking
  • Hygiene practices
  • Antibiotic use
  • Recurrent gastrointestinal infections
  • Diet and food choices
  • Breastfeeding

Having a higher socioeconomic background has also been linked to IBDs.

What Happens When You Develop UC?

In ulcerative colitis, your immune system, which typically fights off harmful infections, mistakenly attacks your own cells. There are different theories about why this happens.

Theory 1

Mistaken identity

Immune system cells misinterpret good gut bacteria as harmful and attack them.

Theory 2

The immune system doesn’t “turn off”

After an immune response to a viral or bacterial infection, the immune system doesn’t turn off and continues attacking healthy tissues, even after the infection has gone.

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If any symptom is worrying you, contact your medical team. TeenHealthInsight is a health education resource — not a substitute for medical advice, diagnosis, or treatment from your doctor or gastroenterologist.

Want a quick recap? → Explore: Ulcerative Colitis has myths and facts around diabetes, symptom explorer, flashcards, quizzes, transition and travel checklists, and much more.

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