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Doctor insights on: Ibs Disease Treatment

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Is crohn disease and inflammatory bowel disease lifelong?

Is crohn disease and inflammatory bowel disease lifelong?

Generally yes: Inflammatory bowel disease (crohns and ulcerative colitis) are generally considered to be chronic diseases and generally require lifelong treatment. The disease can become less active over time and ultimately some patients may be able to stop therapy. Some crohn's disease is very mild and patients will go for years before seeking treatment. ...Read more

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Dr. Charles Cattano
1,356 doctors shared insights

Irritable Bowel Syndrome (Definition)

A common disorder that affects the large intestine, resulting in abdominal discomfort, pain, bloating, stomach ...Read more


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Treatment for hirschsprung disease?

Treatment for hirschsprung disease?

Surgery: First hirschsprung's has to be confirmed by full thickness biopsy of the rectum. The pathology should be read by a pediatric pathologist accustomed to looking for ganglion cells. If positive then a primary pullthrough or leveling colostomy can be performed depending on the presence of colitis and the experience of the pediatric surgeon. ...Read more

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Is crohn disease and inflammatory bowel disease both lifelong diseases?

Is crohn disease and inflammatory bowel disease both lifelong diseases?

Depends: Inflammatory bowel disease includes crohn's and ulcerative colitis. Crohn's has the potential of being a lifelong disease as it can involve any portion of the GI tract from mouth to anus. Ulcerative colitis only involves the colon; thus worse case scenario, removing the entire colon is a cure. See a GI doctor/colorectal surgeon for more details. ...Read more

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Is crohn disease and inflammatory bowel disease a lifelong disease? Please advise!

Unfortunately yes: but you can achieve control of disease with careful medical management is most cases. You need to under the care of a gastroenterologist who specializes in Crohn's disease and ulcerative colitis. Try National Foundation for Ileitis and Colitis home page for referral to one in your local area. ...Read more

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How is inflammatory bowel disease cured?

How is inflammatory bowel disease cured?

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 more

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How is inflammatory bowel disease treated?

How is inflammatory bowel disease treated?

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 more

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Treatment for mezalazine-resistant ulcerative colitis?

Treatment for mezalazine-resistant ulcerative colitis?

Several : There are several new agents such as remicaid that may be used. Surgery is also a good option for ulcerative colitis. Fecal transplant has also been reported to be effective. You should discuss these options with your doctor. ...Read more

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What is the treatment for inflammatory bowel disease (ibd)?

What is the treatment for inflammatory bowel disease (ibd)?

1: Common causes of ibd are crohn's disease and ulcerative colitis. Various treatments include steroids, mesalamine, immunosuppressants and biologic agents. It is best for you to consult your gastroenterologist since ibd treatment requires a very personalized approach. ...Read more

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Ayurvedic treatment for ulcerative colitis? ?

Ayurvedic treatment for ulcerative colitis? ?

Fecal transplant: While not ayurvedic, fecal transplant is a natural and non-invasive way to treat many colon diseases that is widely seen as one of the most effective remedies available. ...Read more

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What is treatment of irritable bowel disease?

What is treatment of irritable bowel disease?

IBS treatment: There are many good treatments-peppermint oil as enteric-coated capsules 0.2-0.4 ml 2-3x/day, fiber (esp. Flaxseed powder), probiotics ; melatonin 2-5 mg may help.Gluten, dairy ; other food intolerances may be a factor-many do well with the fodmap diet-see http://www.Umm.Edu/altmed/articles/irritable-bowel-000098.Htm ; http://abt.Cm/16tmrig treat overgrowth of yeast/unfriendly bacteria ; parasites. ...Read more

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How exactly is inflammatory bowel disease diagnosed?

How exactly is inflammatory bowel disease diagnosed?

Combination : Medical and family history, exam, lab work (looking for inflammatory markers), tests (ugi, ct, MRI etc), endoscopy w biopsy. They all help narrow the diagnosis. Biopsy is most definitive but not always helpful. ...Read more

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How is pelvic inflammatory disease diagnosed?

How is pelvic inflammatory disease diagnosed?

By many things: Sexual activity per se, types of activity, drug use, etc. After a good and honest discussion, a gyn exam and blood tests are then appropriately directed. ...Read more

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What is treatment for chrons disease ?

Long answer to this: Sometimes nothing, sometimes very expensive lifetime meds, and many options in between, depending on the symptoms and their duration. If you have confirmed or likely diagnosis, you deserve a long dicussion. ...Read more

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How is Crohn's disease treated?

How is Crohn's disease treated?

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 more

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Can chrons disease be confused with diverticular disease ?

It's Possible: Crohn's disease may affect any part of the intestinal tract (mouth-to-anus) whereas diverticulitis usually affects the sigmoid colon. However, both cause inflammation that may be difficult to differentiate by ct scan alone. Colonoscopy and pathology evaluation should aid in the differentiation, as well as one's personal history. ...Read more

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What medications treat Crohn's disease?

What medications treat Crohn's disease?

Immunosuppressives: Big word but the goal of therapy in crohn's disease is to decrease the inflammation in the lining of the bowel. The two familes of medications used are anti-inflammatory medications - thick Motrin for the gut and immunosuppressive medications. Asa compounds such as pentasa, (mesalamine) steroids and medications such as 6-mercaptopurine and remicaide are all used based on how severe your symptoms are. ...Read more

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Is infliximab treatment effective for Crohn's disease?

Generally Yes: Infliximab (remicade) is generally effective at treating crohn's, keeping people off steroids, and preventing flares. Once started, it is important to continue regular dosing, not beyond 8-9 week intervals. Missing doses increases the risk of loss of response and of infusion reactions. ...Read more

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How is pelvic inflammatory disease dx?

How is pelvic inflammatory disease dx?

Sometimes difficult: PID is sometimes obvious but sometimes not. Diagnosis usually requires -Oral temperature >101° F (>38.3°C) -Abnormal cervical or vaginal discharge -Many white blood cells in vaginal secretions -Elevated erythrocyte sedimentation rate -Elevated C-reactive protein Pelvic pain and confirmed pathogenic bacteria in the genital tract are often considered PID as well. ...Read more