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Doctor insights on: Is It True That All Or Most People With Ulcerative Colitis Are Hard To Treat

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Is it true that all or most people with ulcerative colitis are hard to treat?

Is it true that all or most people with ulcerative colitis are hard to treat?

Not True: Not necessarily true as ulcerative colitis can have a wide range of presentations and responses to medical management. The disease may only involve the rectum(proctitis) and be managed with topical medication to full colonic involvement requiring systemic treatment to control symptoms with medications as per a gastroenterologist. Surgery, if necessary is best managed by a colorectal surgeon. ...Read more

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Dr. Jonah Essers
541 doctors shared insights

Ulcerative Colitis (Definition)

An inflammatory bowel disease (IBD) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum.There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce ...Read more


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Some dentists tend to think that periodontal disease can be maintained but not cured. Is there a cure for some people and not others?

Some dentists tend to think that periodontal disease can be maintained but not cured. Is there a cure for some people and not others?

Excellent Question: Definition of cure: restoring to health. Yes, periodontal treatment can restore the periodontium to optimal health. That does not guarantee that periodontal disease will not reoccur. Some people will be restored to optimum health, some will not. Too many factors to guarantee the same result for everyone. ...Read more

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This is an educational question.I don't have HIV/AIDS, nor do I know anyone who does.However, it seems to be unusual in that people can have it for a very long time. Are there any other viruses or bacteria that can be chronic other than some Heps?

This is an educational question.I don't have HIV/AIDS, nor do I know anyone who does.However, it seems to be unusual in that people can have it for a very long time. Are there any other viruses or bacteria that can be chronic other than some Heps?

Yes, many: There are many chronic viral infections. HIV isn't unusual at all in this regard. A few that come to mine are Ebstein Barr virus (EBV), the cause of infectious mononucleosis; cytomegalovirus (CMV); varicella zoster virus (VZV), the cause of chickepox and shingles; human T lymphotropic virus (HTLV); and probably a hundred others that haven't yet been identifed or named. ...Read more

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Why is it that Anorexia is so hard to accept, people react very differently to other mental illnesses, and doctors don't like to treat . ?

Why is it that Anorexia is so hard to accept, people react very differently to other mental illnesses, and doctors don't like to treat . ?

Denial Factor: It is hard to accept as the person who suffers from Anorexia is often in denial.Many Doctors find it hard to treat Anorexia as they do not have enough experience to treat it. It is better treated by a Psychiatrist as it involves behaviour therapy . Goal is to have healthy eating habits and healthy weight. Severe cases need to be hospitalisedto correct biochemical abnormalities& may require specia ...Read more

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What exactly is pica disease? Are any types of people more likely to get it than others?

What exactly is pica disease? Are any types of people more likely to get it than others?

If you eat nonfood: Pica by definition is the eating of non-nutratitive subsances. If this is something you have issues with, then you have pica. ...Read more

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What are the most common terminal illnesses that do not respond well to pain relief?

What are the most common terminal illnesses that do not respond well to pain relief?

Some cancers: Most commonly terminal cancer patients might have pain. However with intensive pain control (such as that can be provided by a palliative medicine team), most can be well controlled. ...Read more

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Why's it the fact that you get bleeding with ulcerative colitis but not with crohn's?

Why's it the fact that you get bleeding with ulcerative colitis but not with crohn's?

Crohn's colitis: Can cause bleeding too, but less frequently. Ulcerative colitis is a disease that affects mainly the mucosa or the inner lining, so rectal bleeding is more common. Crohn's colitis, in contrast, affects the entire wall of the colon, so perforations and fistulas are more common. ...Read more

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What foods are known to be related to acne (even if only in some people)?

What foods are known to be related to acne (even if only in some people)?

Milk: The only study worth a look was published recently from italy, showing a very small influence of milk. As a practical approach, diet is not a useful treatment for acne. There are several different remedies which are quite effective. If you have significant acne, don't bother with trivial things: a dermatologist can help you. ...Read more

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Mom hbc1a is 11 we are trying to control it but the problem that it is ranging in high qualities from2years but what to do with the risk she is in now?

Mom hbc1a is 11 we are trying to control it but the problem that it is ranging in high qualities from2years but what to do with the risk she is in now?

Diabetes: In States, we typically aim for HbA1c less than 7 in younger adults compared to less than 8 in older adults. Being too aggressive in lowering sugar can lead to hypoglycemic complications in short term. But poor sugar control can increase risk for stroke, heart attack, kidney failure & amputations in long run. Chat w/diabetes educator & nutritionist 1st. Learn what (not) to eat. Maybe then drugs. ...Read more

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With this ebola issue, is it true that the medications do not really help african or black people?

With this ebola issue, is it true that the medications do not really help african or black people?

Misinformation: With widespread media coverage and today's methods of instant global communication, there is a greater likelihood for misinformation about the current Ebola outbreak. Check the CDC website for accurate updates: http://www.cdc.gov/vhf/ebola/ ...Read more

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I would like to know that which is the most efficient drug for hemorrhoid?

It depends: There is no specific drug that works for hemorrhoids in general. However there are drugs we recommend for specific complications.For 1)acute ext hem thrombosis- evacuation of the clot, others:warm baths, stool softeners, nsaid"s, witch hazel , Hydrocortisone 1%. Sometimes anal suppositories are helpful for internal hem bleeding. And prolapse. ...Read more

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How much truth is there in the existence of myofascial syndrome? In what populations/situations does it tend to be most prevalent? Causes? Symptoms?

How much truth is there in the existence of myofascial syndrome? In what populations/situations does it tend to be most prevalent? Causes? Symptoms?

VERY TRUE!!!!!: I've been in medicine for 30 years and that syndrome is the scourge of humanity. 15 years ago i stumbled on it after taking an acupuncture course and it opened my eyes to a new view of the human body and pain. See my files, see my wellness suggestions, find a chiropractor, massage person and an acupuncturist. They all have to be used in combo. Self-care is mandatory, lo-carb, epsom salts soaking! ...Read more

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Is it common to have chronic pain with multiple sclerosis? What are some ways besides narcotics to treat it?

Is it common to have chronic pain with multiple sclerosis?  What are some ways besides narcotics to treat it?

Yes: There maybe others to treat it, but it depends on whether the pain is due multiple sclerosis or things like osteoarthritis. Talk to your doctor and see what other options there may be. ...Read more

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Is it true that 30-somethings with acromegaly WON'T grow any taller @ this age? Is that true even for those with just mild symptoms of the disease?

Is it true that 30-somethings with acromegaly WON'T grow any taller @ this age? Is that true even for those with just mild symptoms of the disease?

It Depends: If you got acromegaly as an adult after growth stopped this is true. However, if not treated there can be serious side effects (hearing loss, chronic headaches, arthritis, type 2 DM & others). If it was acquired as a child & not treated this is correctly termed Pituitary Gigantism & can have same symptoms. In this case the growth plates may remain open & cont growth theoretic poss, but very rare! ...Read more

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Is it true that cigarette smoking actually helps with ulcerative colitis? And it makes it less likely to develop Parkinson's disease?

Is it true that cigarette smoking actually helps with ulcerative colitis? And it makes it less likely to develop Parkinson's disease?

Apparently??: Apparently it does reduce symptoms of ulcerative colitis. I cannot state much about Parkinsons? There is some benefit to coffee/caffeine but not cigarettes? (I'm pretty sure that if I am wrong I will be corrected). Anyways, would not use this as a reason to smoke. ...Read more

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I have heard that fibromyalgia is an umbrella term used to cover symptoms that are unexplained. Often it is just another set of symptoms. Really?

I have heard that fibromyalgia is an umbrella term used to cover symptoms that are unexplained.  Often it is just another set of symptoms.  Really?

Fibromyalgia: That is incorrect. It is a central pain, neurologic disorder with very specific diagnostic criteria well defined and refined by the american college of rheumatology. ...Read more

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Is it common for a person with huntington's disease to become agggressive as the disease progresses? Are there meds to help

Is it common for a person with huntington's disease to become agggressive as the disease progresses?  Are there meds to help

Yes: Patients with huntington's disorder can have increased psychosis and agitation. There are medications that can help this. In general, providing a calm, predictable, and structured environment may be helpful in improving psychiatric and behavioral symptoms. You should see your family practice physician or neurologist for more information. ...Read more

Dr. Scott Bolhack
2,092 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. Eric Kaplan
1,013 doctors shared insights

Colitis (Definition)

Inflammation or infection of ...Read more