Doctor insights on:
Drugs For Crohn's 20disease 20
Clinical Trials: Although available, experimental drugs are given in clinical trials, usually in academic or private institutions with doctors involved in research, where patients that have failed to existing treatment are treat. There are a variety of immunotherapy medications like Remicade (infliximab) that are available for Crohn's you could discuss with your doctor about. Ustekinumab is a clinical trial drug for Crohn's ...Read more
Should we believe gastro who wants to put husband on chemo drug (mercup?) for life for crohns? No discussion of diet.
Yes but: May be the right thing, but never hurts in any important decision to get a second opinion from another gastroenterologist or perhaps a colon and rectal surgeon who might have a slightly different perspective on the problem. Any good and confident physician should welcome and not be offended by you getting a second opinion. ...Read moreSee 1 more doctor answer
I'm worried because my back. I take mercaptopurine 20mg due to my Crohn's disease and was wondering if the drug could be the problem, what do you suggest?
Meselamine/5-ASA: Apriso is a long-acting form of 5-aminosalicylic acid (mesalamine) which are well-established preparations used in the management of inflammatory bowel disease. These drugs are most useful for the treatment of mild to moderate flares of ulcerative colitis and, especially, for maintenance of remission. The mechanisms are complex, but involve anti-inflammatory and prevents oxidative damage. ...Read moreSee 1 more doctor answer
Can I get mono more than once? I'm on immune suppressing drugs for Crohn's and I feel like I have mono again.
Yes: Mono a syndrome, named for the predominance of a particular white cell, the monocyte during the active illness. 80% is triggered by the EB virus, while a hand full of other viruses and germs can produce similar symptoms/monocyte predominance. If immune suppressed, you are more likely to have such problems.Confer with your doc as needed to manage symptoms. ...Read moreSee 1 more doctor answer
On third gastro. Why so hard to find doctor who will treat Crohn's without use of dangerous drugs for life?
Research treatment: Crohn's disease is a serious lifelong condition that can lead to multiple complications including strictures (narrowing ), bleeds, fistula's ( false passages). Depending on your crohn's extent and severity, the types of drugs needed may differ. Though almost all drugs have side effects, you have to make informed decision between the risk of untreated crohn's vs. The types of drugs needed. ...Read more
I have Crohn's disease & take cimzia (certolizumab pegol) injectables. It isnt taking care of all my symptoms. Is there another class of drug I can add with the cimzia (certolizumab pegol)?
6MP , MTX: The medications that can be used with Cimzia (certolizumab pegol) most commonly include 6mp - azathiorine or Methotrexate (in addition to Mesalamine / steroids). Natalizumab is an other biologic that can be used in those where anti-tnfs (like cimzia) fail, but they are not used together. ...Read more
I have Crohn's, stopped Flagyl in Dec. My stools have smelled terrible since then. A symptom of Crohn's to be worried about or the drug cessation?
Just been put on sertraline for anxiety, can already take codeine full time for suspected crohns will there be drug interactions? Should I worry!
Drug dependence: Codeine is an opiate-based pain killer. You are so young to be taking this full-time, long-term and risk physical dependence on this drug. Do not consume alcohol while on codeine and/or sertraline. Consider a second opinion for your symptoms of Crohn's and pain management. ...Read more
Inflammatory bowel: Crohn's disease is an inflammatory bowel disease, presumably run in families, more in caucasians, which can affect the whole GI from mouth to anus. It is a skipping inflammation, unclear cause, causing problem with absorption and secretory function and causes cramping, and diarrhea and the destruction of the intestinal lining results in fistula formations. ...Read moreSee 1 more doctor answer
Well, yes. : Patients with severe, untreated crohns can have life threatening intestinal bleeding and perforation and are also at higher risk for intestinal cancer. If this is about you or a loved one, do not despair. Just make sure you follow your doctor's instructions to the letter and keep him/her updated of any new symptom. Best to you and happy holidays. ...Read more
Gut disease: This is a serious, troublesome, incurable, chronic disease usually involving the gut, causing the wall to thicken and become blocked. The new biotech medicines have made it much easier to treat than in the past. You may hear it called "regional enteritis" or "terminal ileitis"; the latter doesn't mean it's terminal in the sense that it's usually fatal. ...Read more
An immune mediated: disease in which the body's immune system attacks the bacteria normally living in the bowels as foreign. This results in inflammation, narrowing, scarring, and perforation of the bowel. On the one hand, the immune system is overactive, and on the other hand the normal protective mechanisms don't act well to keep bacteria at bay in the intestine. ...Read more
Exercise is good: Tae bo seems to be pretty high energy and impact. If your disease is under good control, you should haven't have major issues, like incontinence. Check out this excellent article on exercise and ibd: http://www.Webmd.Com/ibd-crohns-disease/ulcerative-colitis/features/exercising-when-you-have-a-gi-disorder. ...Read moreSee 1 more doctor answer
Medical and surgery: Crohn's is an inflammatory condition of the intestine. It can respond well to medical management. If it is refractory and results in bleeding, perforation, stricture, or fails to respond to medical manangment then surgery is available. 50% of patients may require surgery at some time. ...Read moreSee 1 more doctor answer
Crohn's diet ?: When your crohn's disease is inactive, there are few dietary restrictions needed. When flaring however, the location of crohn's activity determines diet modification. If in the small bowel, consider cutting back on lactose & fatty foods, & add supplements to make up for vitamin & mineral malabsorptions. If colonic crohn's, avoid gut stimulants like caffeine, minimize alcohol, maybe add probiotics. ...Read moreSee 1 more doctor answer