A member asked:

How does a gastroenterologist treat crohn's disease?

5 doctors weighed in across 3 answers

Crohns: can be treated with mesalamine or Asacol or sulfasalazine, acute or severe cases can be treated with steroids or steroid sparing drugs like azathoprine or cyclosporine or biologic agents

Answered 12/15/2014

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Many approaches: Treatment depends upon the stage, extent and symptoms that the patient is experiencing. Steroids are often used for acute flares. Drugs like sulfasalazine are often used to try and induce remission. Antibiotics are sometimes needed. Antidiarrheal medications are often used. If disease is severe or if there are fistulas or fissures, surgery is frequently needed to remove a part of the colon.

Answered 12/15/2014

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Treatment: A good gastroenterologist pairs the strength of medical treatment with the aggressiveness of the disease using either an immunomodulator (methotrexate, 6MP) or a biologic (Remicade, Humira, (adalimumab) Entyvio). But it's also important to frequently monitor whether the medication is actually working to heal the intestine.

Answered 11/28/2017

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