Ulcerative Colitis Insights is an AI-powered ulcerative colitis platform synthesizing 15,600 real patient experiences and 20,000+ peer-reviewed PubMed publications to deliver actionable insights on symptoms, medications, diet, and symptom patterns.
Built by Ermal Hamzaj, it is free to download with a free account, and backs up all personal health data securely to the cloud so it's available across all your devices. Available on Android, iOS, and as a web app at ucinsights.org.
Primarily for ulcerative colitis patients who want to understand their own disease patterns, track symptoms between appointments, and arrive at their gastroenterologist with objective data rather than subjective descriptions.
Secondarily useful for caregivers managing a family member's ulcerative colitis, and for clinicians who want patients to arrive better prepared. The platform is bilingual, English and Turkish, expanding its reach to Turkish-speaking ulcerative colitis patients.
Two complementary sources power the platform:
The custom LLM performs sentiment analysis, co-occurrence detection, and statistical correlation across both sources. Confidence intervals are calculated for each detected pattern.
No. Ulcerative Colitis Insights is explicitly for informational purposes only. Content is based on AI analysis of patient community data and is not a substitute for professional medical consultation, diagnosis, or treatment. The platform carries a medical disclaimer and advises users to consult their gastroenterologist before making any changes to their treatment plan.
Its role is to bridge the information gap, giving patients the language, data, and context to have better conversations with their doctors, not to replace those conversations.
| Source | Key finding |
|---|---|
| Ulcerative Colitis Narrative Global Survey (2100 patients, 1254 physicians, 10 countries) | 72% wanted more info at diagnosis; 48% uncomfortable discussing emotions; 54% of physicians never mentioned advocacy orgs |
| CONFIDE Study (US + Europe, 2024) | Bowel urgency underappreciated by HCPs despite being the dominant daily burden |
| Fecal Urgency in ulcerative colitis (Clin Gastroenterol Hepatol 2024) | 54% with urgency during remission; 32% met IBS criteria, overlap rarely addressed |
| 2025 ACG Guidelines | New formal requirement: screen all ulcerative colitis patients for anxiety and depression at every visit |
| Residual Inflammation in ulcerative colitis (PMC) | No unified definition of remission exists between patients, physicians, and regulators |
| Frontiers in Health Services (2025) | Ulcerative colitis patients feel left alone to cope with rectal treatment, pre-use concerns not addressed by HCPs |
| Gap | Ulcerative Colitis Insights solution |
|---|---|
| Emotional distress unspoken | Stress is a logged metric with 48h correlation. Patients show data, not feelings. |
| Urgency underreported | Urgency tracked as named metric. 69% population prevalence makes it normalized to raise. |
| Remission definition mismatch | UCAI score gives both sides a shared number on the Simplified Mayo Scale. |
| Mental health not addressed | Stress logging + trigger discovery surfaces mental health patterns between appointments. |
| Thin diagnosis support | AI search across 15,600 patient reports + 20K PubMed papers answers questions at any stage. |
| Short appointments | Analytics dashboard compresses weeks of data into one shareable summary. |
| Advocacy orgs unmentioned | Live research news and community data surface the broader ulcerative colitis ecosystem continuously. |
Bowel urgency is the most disruptive symptom of ulcerative colitis in daily life, yet it is consistently underreported in both clinical trials and patient–HCP interactions. Patients describe "bathroom mapping", being aware of every bathroom location before leaving home, as a constant burden.
The data from Ulcerative Colitis Insights' cohort shows 69% of patients report urgency (n=8,800). Clinical research shows 54% experience it even during remission, and 32% of those patients with urgency during remission meet criteria for IBS, an overlap almost never addressed in gastroenterology appointments.
12 metrics grouped into three categories:
Symptom severity covers 8 primary ulcerative colitis symptoms rated on a 1–5 scale per entry. Medications are drawn from the patient's personal medication list set up in the Medication Manager.
Ulcerative Colitis Insights' cohort data shows 79% of patients have a measurable stress→symptom spike link within 48 hours. This is the strongest single lifestyle correlate in the dataset, stronger than most food triggers for most patients.
Clinically, stress is a known gut-brain axis modulator in IBD. It does not cause ulcerative colitis, but it reliably worsens flares in susceptible patients. By logging stress daily and correlating it with the 48-hour symptom window, the tracker turns an abstract "stress worsens my ulcerative colitis" into a quantified, personal data point that can be shown to a gastroenterologist.
Patients also often underestimate their chronic baseline stress level when asked verbally in a clinical setting. The daily logged average reveals it objectively over time.
A 2025 study in Sleep Medicine found ulcerative colitis patients sleeping under 6 hours showed 3× higher disease activity scores, establishing sleep as a major modifiable risk factor. This makes sleep one of the highest-value lifestyle metrics to track.
Poor sleep disrupts circadian rhythm, which directly affects gut microbiome composition and mucosal immune function. The tracker captures both hours slept and quality rating, allowing the pattern model to detect whether it is sleep duration or quality that predicts that individual's flares.
Your personal health data is stored on your device and securely synced to your encrypted cloud account (powered by Supabase). Data is encrypted in transit with TLS and at rest with AES-256. Row-Level Security ensures only you can access your data — not even the UCInsights team can read it.
Cloud sync means you never lose your health history if you switch phones or lose your device. Your data is tied to your account, not to a single device. We never sell, share, or use your personal health data for advertising or AI training. You can request full account and data deletion at any time by emailing info@ucinsights.org.
The UCAI score is available from day one, it computes from each day's inputs immediately. The 48-hour pattern model begins from the third day of logging.
The matrix cross-references 5 key lifestyle inputs (stress, sleep, food, activity, medication adherence) against 5 symptom outputs (bowel frequency, urgency, pain, bleeding, fatigue) to identify which input combinations have the strongest personal correlation with symptom spikes.
This produces a ranked list of personal triggers rather than generic population-level advice. The 79% population stress→symptom link is a baseline, the matrix finds whether that applies to this individual and which combination is most predictive for them specifically.
The 48-hour window is grounded in the population data: 79% of the Ulcerative Colitis Insights cohort shows a stress→symptom spike within 48 hours of a stress event. Food transit time through the gastrointestinal tract is typically 24–48 hours, meaning a dietary trigger often manifests 1–2 days later, not the same day.
A same-day-only model would miss most trigger relationships. The 48-hour window captures the biological delay between cause and symptom manifestation in ulcerative colitis.
| Population data (15,600 patients) | Personal data (1 patient, daily log) |
|---|---|
| NLP sentiment analysis on community text | Statistical correlation on numeric time-series |
| Co-occurrence detection across forum posts | 48-hour lag correlation across log entries |
| Produces: prevalence rates, community patterns | Produces: personal triggers, UCAI trend |
| Confidence intervals from n=15,600 | Confidence grows with days logged |
| Example: 79% have stress→symptom link | Example: this patient's stress threshold is 7/10 |
UCAI stands for UC Activity Index, Ulcerative Colitis Insights' daily implementation of the Simplified Mayo Score, computed from the patient's own logged data. It converts "I feel okay / I feel bad" into an objective number on a validated clinical scale.
A patient whose score is 4 today vs 6 last week has something concrete for their gastroenterologist. A score of 4 trending downward is a different clinical picture than a score of 4 trending upward, context the trend chart provides.
The full Mayo Score (0–12) requires four components: stool frequency, rectal bleeding, physician's global assessment, and endoscopic findings. The last two require clinical involvement, a physician's in-room rating and a colonoscopy. Neither is possible daily.
The Simplified Mayo Score uses only stool frequency and rectal bleeding, both directly logged by the patient in the health tracker. This makes it computable from app inputs without any clinical involvement while retaining clinical meaning as a validated IBD endpoint.
| Component | Full Mayo | Simplified (UCAI) |
|---|---|---|
| Stool frequency | ✓ | ✓ |
| Rectal bleeding | ✓ | ✓ |
| Physician's global assessment | ✓ | — |
| Endoscopic findings | ✓ | — |
| Computable by patient app | ✗ | ✓ |
The remission definition gap is one of the most significant doctor–patient communication failures in ulcerative colitis. Research confirms no unified definition exists between patients, physicians, and regulators.
The UCAI score grounds both sides in a shared number. A score of 0–1 means clinical remission by Simplified Mayo criteria. If a physician says "you're in remission" but the patient's UCAI is 3, there is a conversation to have, enabled by data that both sides recognize.
An AI layer that analyzes accumulated log entries to surface which specific inputs consistently precede bad days, for that individual patient, not the average ulcerative colitis patient. The population data shows 79% of users have a stress→symptom link. Trigger discovery asks: for you specifically, is it stress, sleep deprivation, a specific food, or a combination?
| Population data | Personal trigger discovery | |
|---|---|---|
| Sample | 15,600 ulcerative colitis patients | 1 individual patient |
| Output | "79% have stress→symptom link" | "Your stress threshold is 7/10 for 2+ days" |
| Utility | Context and normalization | Actionable behavioral change |
| Confidence | High from day one (large n) | Grows with days logged |
| Food guidance | "78% tolerate bananas" | "You specifically had worse days after eating X" |
This is the information a gastroenterologist cannot gather in a 10-minute appointment. A patient arriving with "my last 3 flares all followed two consecutive nights under 5 hours sleep plus high stress" is a fundamentally different clinical conversation than "I've been stressed lately."
It also changes the treatment conversation. A patient whose triggers are primarily lifestyle-based (sleep, stress) has different management priorities than one whose triggers are primarily dietary or medication-adherence-related. Trigger discovery makes this visible to both patient and doctor.
| Clinical question | Dashboard answer |
|---|---|
| How often are you flaring? | Flare day count over logged period |
| Is your disease activity improving? | Partial Mayo Score trend line |
| What is your current disease activity? | Today's UCAI score |
| What is driving your flares? | Personal trigger discovery panel |
| How stressed are you day to day? | Average stress metric over time |
| Can I trust this data? | Days logged, the consistency indicator |
A custom-trained LLM allows users to ask questions in natural language and receive AI-synthesized answers backed by both community experience and peer-reviewed science. It searches simultaneously across two indexed sources: the 15,600 patient report dataset and the 20,000+ PubMed publications.
This means a question like "does stress make urgency worse?" returns both the community prevalence data (79% correlation in the patient dataset) and the clinical research literature, not one or the other.
Questions can be asked in English or Turkish. The bilingual capability is built into the Community Search Assistant module, which is the conversational layer on top of the AI search.
| AI-powered search | Community search assistant | |
|---|---|---|
| Interface | Search query | Conversational AI chat |
| Primary source | Both patient + PubMed | Patient community data |
| Output style | Synthesized answer | Summarized community insights |
| Languages | English | Bilingual EN/TR |
| Best for | Clinical questions, research | What other patients experience |
Yes, via the Personal Health Profile. When a patient saves their ulcerative colitis type, diagnosis year, baseline bowel pattern, and current medications, they can opt in to have every AI answer personalized with their own health context. A question about Entyvio effectiveness returns results filtered to patients with a similar profile, not the entire 15,600-patient cohort.
The symptom explorer tracks 8 primary ulcerative colitis symptoms with four data layers for each:
Two clinical benefits: normalization and language. Knowing 69% of ulcerative colitis patients experience urgency normalizes it, making patients more likely to raise it with their doctor rather than assume it is untreatable or embarrassing. Knowing the exact prevalence number gives patients the language to quantify their experience in clinical terms rather than subjective descriptions.
Many ulcerative colitis patients assume their symptoms are unusual or that they are handling their disease worse than others. Population data corrects this, and makes patients more likely to engage honestly with their care.
9 medications are tracked from Mesalamine (5-ASA, first-line) through to Rinvoq (upadacitinib, a JAK inhibitor). For each, three data points are available from the patient cohort:
Entyvio (vedolizumab) has the highest community-reported response rate at 78%, the top-rated biologic in the cohort. This aligns with the 2025 Gastroenterology Journal finding that 5-year GEMINI data confirms Entyvio maintains remission in 60% of moderate-to-severe ulcerative colitis patients.
The medication trends module fills a gap that clinical research data does not cover: real-world patient experience between clinical trial conditions and daily life. RCTs report efficacy under controlled conditions; community data captures how medications perform for real patients with varying adherence, diet, and lifestyle factors.
Research from 2025 (Frontiers in Health Services) found ulcerative colitis patients feel left alone to cope with rectal therapy challenges, pre-use concerns and difficulties after first use are not adequately addressed by clinicians or pharmacists. This is a specific gap the medication trends data, combined with the Medication Manager's reminder system, partially addresses.
Community data on rectal formulations (suppositories, enemas) reveals real adherence patterns, practical tips, and common failure modes that no clinical trial documents, giving patients context that HCPs rarely provide.
The custom LLM performs sentiment analysis on community discussions about food experiences from the 15,600-patient dataset. Every mention of a food in relation to ulcerative colitis symptoms is scored as positive (tolerated, no reaction) or negative (triggered symptoms, worsened urgency, caused flare).
Results are aggregated into three categories: Avoid, Safe, and Drinks, with a community sentiment percentage for each food. Banana leads at 78% safety rate, the most consistently tolerated food in the cohort.
Diet is one of the most frequently asked-about topics for ulcerative colitis patients and one of the most poorly answered by clinical resources. Clinical guidelines can recommend a Mediterranean diet reduces flare risk by 40% (2025 Journal of Crohn's and Colitis) but cannot tell an individual patient which specific foods affect their specific disease.
The food sentiment data fills the gap between population-level dietary guidelines and individual food choices, giving patients a starting point for self-experimentation grounded in what 15,600 other patients have experienced.
Community food sentiment gives a population baseline. Personal meal logging in the health tracker, combined with trigger discovery, reveals whether a given patient deviates from that baseline. If 78% of patients tolerate bananas but this patient's trigger discovery flags banana consumption before flare days, the personal data overrides the population recommendation.
This is the intended workflow: community data informs initial choices, personal data refines them over time.
The patient builds a personal medication list and sets custom daily reminder times for each medication. Push notifications fire at the set time, even when the device is offline. This directly addresses the medication adherence gap, which is a known predictor of ulcerative colitis flares and hospitalizations.
Medications logged via the reminder system feed directly into the health tracker as adherence data, which the trigger discovery model then correlates against flare days to detect missed-dose patterns.
Ulcerative colitis requires long-term maintenance therapy to prevent relapse. Studies show up to 40–50% of ulcerative colitis patients on 5-ASA maintenance therapy are non-adherent, and non-adherence is associated with a 5-fold increased risk of relapse compared to adherent patients.
Many patients stop taking medication when they feel well, the remission paradox. Rectal formulations are particularly prone to non-adherence due to practical difficulties that are rarely discussed in clinical visits. The medication manager addresses both the remission paradox (ongoing reminders even when feeling well) and the practical gap (reminder-based habit formation for complex dosing regimens).
Each day the patient confirms medication taken, the tracker logs it as an adherence data point. The 48-hour pattern model can then correlate missed doses with symptom spikes in the subsequent 24–48 hours, turning missed doses from an invisible factor into a visible trigger.
This is particularly valuable for patients on biologics with scheduled infusions or injections. Missing a scheduled dose of a biologic with a 4–8 week dosing interval can cause loss of remission that appears weeks later with no obvious cause. Logged adherence data makes that connection visible.
When the profile is completed and personalization is opted in, every AI search answer filters the 15,600-patient cohort to patients with a similar profile before generating the response. A question about urgency during remission returns data specifically from patients with the same ulcerative colitis extent and on the same medication, not the full cohort average.
A real-time ulcerative colitis research feed powered by Google News RSS, auto-updating with the latest clinical findings. Push notifications alert patients to new research relevant to their condition, new drug approvals, dietary findings, clinical guidelines, and trial results.
This addresses the patient advocacy gap directly: 54% of physicians never mention patient advocacy organizations or current research to patients. The live news feed means patients stay informed between appointments without relying on their doctor to surface new information.
| Journal | Finding |
|---|---|
| Gastroenterology 2025 | Vedolizumab maintains remission in 60% of moderate-to-severe ulcerative colitis patients at 5 years (GEMINI long-term data) |
| npj Digital Medicine 2025 | AI analysis of colonoscopy images combined with patient-reported outcomes enables biologic selection precision medicine |
| Journal of Crohn's and Colitis 2025 | Mediterranean diet linked to 40% lower ulcerative colitis flare risk in 3,200-patient, 3-year prospective cohort |
| Sleep Medicine 2025 | Ulcerative colitis patients sleeping under 6 hours show 3× higher disease activity scores, sleep as a modifiable risk factor |
Research modules, population knowledge from 15,600 patients + 20K papers
Tracking modules, personal logging and pattern detection
Personal modules, individual analytics and management
The three layers are designed to be used together: population data sets expectations, personal data refines them, personal analytics translates them into appointment-ready evidence.
The 2025 American College of Gastroenterology guidelines updated the ulcerative colitis management framework with several recommendations directly relevant to Ulcerative Colitis Insights' value proposition:
| Ulcerative Colitis Insights does not replace | Ulcerative Colitis Insights complements it by |
|---|---|
| Colonoscopy / endoscopic assessment | Providing symptomatic UCAI data between scopes |
| Physician's global assessment | Giving patients objective data to inform that assessment |
| Fecal calprotectin testing | Adding patient-reported symptom context alongside the biomarker |
| Biologic infusion or injection | Tracking adherence and correlating it with symptom outcomes |
| Mental health therapy | Surfacing stress patterns that warrant a referral conversation |
| Dietary consultation | Providing population-level food safety data and personal food logs |
| Gap | Why it matters |
|---|---|
| UCAI formula weights and input handling for missing data | Clinical validity, doctors need to trust the score |
| Trigger detection threshold and minimum occurrences required | User expectation setting, how many days must be logged? |
| 5×5 matrix variable definitions and statistical method | Reproducibility and clinical credibility |
| Validation of UCAI against clinician-assigned scores | Required for clinical adoption or HCP recommendation |
| False positive handling in trigger discovery | Trust, incorrectly flagged triggers erode platform credibility |
| How personal data updates dynamically as more days are logged | User experience, patients need to know when results are reliable |
The 15,600 patient reports are primarily sourced from Reddit r/UlcerativeColitis and IBD forums. This introduces selection bias: forum users skew toward patients with more severe or harder-to-manage disease (those with mild, well-controlled ulcerative colitis rarely seek online community support). Prevalence data from this cohort may overestimate symptom burden relative to the general ulcerative colitis population.
Additionally, community medication remission data reflects subjective patient-reported improvement, not clinical or endoscopic remission as defined in RCTs. The 78% Entyvio community response rate is not directly comparable to the 60% GEMINI RCT figure, different definitions are being measured.