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How Is Ulcerative Colitis Treated
Ulcerative colitis: Initial treatment of ulcerative colitis involves medications similar to Aspirin which work to reduce the inflammation of the colon. For acute episodes steroids may also be used. For patients who do not respond to medical treatment or develop intestinal obstruction, rupture, uncontrollable bleeding, or severe infection, surgery may be needed. ...Read moreSee 2 more doctor answers
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
Diverticulitis that: Is the infected condition of diverticulosis is treated with bowel rest and antibiotics. Once pain, fever and white blood cell count return to normal we start a liquid diet and gradually advance to a low residue diet which should be maintained for 4-6 weeks to allow the colon inflammation to completely resolve. If multiple episodes elective surgery may be appropriate to avoid further complications. ...Read moreSee 1 more doctor answer
Many options: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may work for mild ulcerative colitis (uc), but not crohn's disease. 2. Steroids work, but are only useful for short course because of side effects. 3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids. 4. Remicade, Humira are often effective for crohn's, sometimes for uc. 5. Surgery if needed. ...Read moreSee 1 more doctor answer
Ulcerative Colitis: The cause of Ulcerative Colitis is unknown. We know there is an increased risk if there is a family history, so genetics plays a part. Look at the National Library of Medicine's section on UC for a good synopsis of symptoms and general approaches to treatment. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001296/#adam_000250.disease.causes ...Read more
Cure for IBD?: Ulcerative colitis involves inflammation of the colonic mucosal surface, so colectomy (removal of the colon) is curative for it. Crohn's disease however is a transmural (full-thickness) inflammation of any part of the GI tract (from mouth to anus). Crohn's is not curable, but it is controllable with medications (see my previous healthtap answer regarding "step up" versus "top down" treatments. ...Read moreSee 1 more doctor answer
Autoimmune: Uc or ulcerative colitis is an autoimmune disorder which typically responds to steroids and other immune modulators as imuran (azathioprine). It is not contagious. Complete proctocolectomy with ilioanal j-pouch pull-through "cures" the disease, though backwash ileitis is a common finding on colonoscopy... ...Read moreSee 1 more doctor answer
Colonic inflammation: This is an auto-immune inflammation of the colon. It can occur at any age but is more common in teen years and young adult years. It has great variability but the typical symptoms are urgency, frequent trips to the bathroom, blood and mucus in runny stool. It can flare up and be life threatening in some cases. Medication and surgery are available and most have reasonable response. ...Read more
Ulcerative Colitis: UC is a autoimmune type disease in which there is an inflammatory response against the patients own cells of the colon. Common symptoms include pain, bloody diarrhea, weight loss and can lead to colon cancer. The disease requires treatment with medication and can also end up needing to be treated with surgery. ...Read more
Medications surgery: The mainstay of treatment is medical, however a small proportion of very sick patients end up needing a colectomy (removal of the colon). Medication regimen inlcudes a Mesalamine product (such as asacol), immunosuppresants (6mp, immuran), biologic agents (remicade, humira). Prednisone is used as little as possible and only to control acute flares. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 2 more doctor answers
Small vs large bowel: Enteritis refers to inflammation of bowel specifically small intestine but doesn't signify why. Colitis refers to inflammation of large intestine or colon but again doesn't explain why. Infection commonly causes inflammation. So can lack of blood eg ischemia. Radiation therapy. It's up to your docs to figure out what's going on and in mean time, give patient support, typically hydration & nutritio ...Read moreSee 1 more doctor answer
Ongoing irritation: Ulcerative colitis is inflammation of large intestine. It is an autoimmune condition, usually triggered by unhealthy lifestyle in genetically susceptible people. Avoiding grains, lentils, milk products, potatoes, peppers, tomatoes help heal the intestine by reducing inflammation. Probonox probitic, vit D3, eating meats, veggies help. For more info, check this: http://www.cdc.gov/ibd/index.htm ...Read moreSee 1 more doctor answer
Many options: There are many medications that can be used to treat severe ulcerative colitis. See a gastroenterologist who has a sequential plan of which drugs to try first, then progress to others if those are ineffective. There are many steps involved in the evaluation and treatment of this lifelong problem. Surgery is also an option, but is not without risk or side effects. ...Read more
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