Doctor insights on:
No: These are two completely separate conditions although one patient can have both diagnoses at some point in time. It is very important to have a colonoscopy and GI/surgical evaluation to make the correct diagnosis as the treatments (medical and surgical) are very different. ...Read moreSee 1 more doctor answer
Very different!: IBS is a diagnosis of exclusion. Rome 3 criteria helps. For example, mucus (a colon lubricant) when present in large volume may signal not only problems with colon spasm (ie. Irritable bowel syndrome), but also partial obstruction, infection,even sloughed colon lining. Testing distinguishes IBS from inflammatory diseases (crohn's, appendicitis, etc.), infection, ischemic gut, non-GI. See doctor. ...Read more
Amphotericin B: Different antifungals are used for different fungal infections. The more potent may cause the worse side-effects. So for antifungals more potent is not necessarily better. Simple antifungals for simple infections, stronger and potentially more dangerous antifungals for life threatening infections. ...Read moreSee 1 more doctor answer
IBD (Crohn's vs UC): Ibd (inflammatory bowel disease) includes a spectrum of disorders that result in gut inflammation with systemic manifestations. Gut involvement in ulcerative colitis is limited to the lining of the colon whereas in crohn's disease there is transmural (full-thickness) inflammation that can involve any portion of the gut (from mouth to anus). See my other healthtap answers on the subject too. ...Read moreSee 1 more doctor answer
Allergic v. immune: Eosinophils in preponderance suggest "allergy, " so a colitis associated w/ increased eosinophils may be due to a medicine. Ulcerative colitis (uc), however, is an autoimmune inflammatory bowel disease affecting only the colon, with occasional "backwash" ileitis in the distal small intestine. Steroids, methotrexate, imuran, (azathioprine) ; others are for uc... ...Read more
Genetic: Current belief that these are both genetic diseases related to immune modulation. ...Read more
Ct showed colitis in left & transv. Colon. history of gastritis & duodenitis. Dr. Thinks poss. Crohn's or u. Colitis. Biopsy sched. Which 1 more likely?
IBD: Crohn's usually involves very short segments of bowel while ulcerative colitis usually starts near the rectum and travels up the left colon, transverse and sometimes reaches the cecum in a more confluent pattern. Biopsies can help clear up this picture. Other causes of colitis include infection, ischemia and nsaids. ...Read more
NSAID's & Tylenol (acetaminophen): Nsaid's stand for non-steroidal anti-inflammatory drugs which help reduce pain via decreasing concentration of inflammatory markers. Tyelnol has been used as a pain killer for a very long time but seems to do a better job at reducing fever. Otc these oral medications are your best options. Topical drugs that are applied to skin such as biofreeze have been helpful as well. ...Read moreSee 1 more doctor answer
Depends: The answer to this question depends on why you are asking. Obviously the number of pills you take will define the dose, or strength. Be cautioned however that almost all medications have side effects, many of which, given a high enough dose or a long enough exposure period, can be health harmful. Also do not mask pain but rather find the source and treat appropiately. ...Read more
Which one is better - colectomy or remicade (infliximab) for left sided colitis? Advice from 2 different gis.
Hard to say: It all depends. Surgery is usually reserved for medically refractory toxic disease or dysplasia/surgery. Most patients with severe disease will have an opportunity to respond to medications such as Remicade (infliximab) or cyclosporin before surgery is performed. Colectomy is curative but having an ipaa also presents problems. ...Read moreSee 1 more doctor answer
Depends: Depends on source/cause of pain.Strongest narcotic regularly used is probably Fentanyl which does not come as a pill, but as a patch.Oxycodone & combinations of it like Percodan/Percocet come as a pill-but even these aren't as good as simple ibuprofen for some types of pain that are inflammatory.Also, some people just respond better to one med than another.Talk w/your dr. if you need pain relief. ...Read more
No supplement: Ulcerative colitis is part of the inflammatory bowel disease. No cure presently. This is an autoimmune disorder. A flare up manifests with inflammation of the colon. It is important to minimize the flare ups by being compliant with medications. The nih has active research in autoimmune disorders. Supplements are not evaluated so any claim for a cure is not based on a proven research method. ...Read more