Doctor insights on:
Ulcerative Colitis Taking
Have ulcerative colitis. Taking Lialda for four years. Can I take Celebrex (celecoxib) for arthritis pain? I know I can't use aspirin or ibuprofen.
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
Ulcerative colitis and taking asacol (mesalamine) and prednisone 2x a day still blood is coming out. My doc looks he says there's something is causing that why?
I have black spots mainly on my arms and legs. Was just diagnosed with infectious ulcerative colitis. Am taking prednisone and Lialda. Do u know be?
Hi, how can I manage my ulcerative colitis other than taking corticosteroids? I tried tapering off, but when I let go of pred, I suffer. Thank you
Consider other meds: There are other medications that are more effective with much less longterm risk. Remicade (infliximab) or Humira would be options if they are available in your area. Discuss with a GI specialist. ...Read more
I have Ulcerative colitis and started taking a pribiotic (VSL3) 3 days ago. I have gotten diarrhea from the probiotic. Is this normal?
Yes: But if persists need to see a gasteroentrologist ...Read more
Is there any chance that the E.histolytica that cause ulcerative colitis to return after taking antiamoebic drug? Could the fsat food be a cuse of it?
Let's clarify: Entamoeba histolytica doesn't cause ulcerative colitis but it can mimic it. It can return whenever you're re-exposed or if the Rx didn't kill all the organisms. "Fast food" isn't the cause of ulcerative colitis. You need to find out what you've got -- especially if it's true ulcerative colitis, being a well-educated patient is key to getting a good outcome. ...Read more
Well my sister was diagnosed for ulcerative colitis and she is taking Asacol (mesalamine). can asacol (mesalamine) return the membrane to its normal condition?
Short answer:No: Asacol (mesalamine) (other names in US but are meselamine long acting. Asacol (mesalamine) available from Canada under other names) will turn the inflammn. To "quiescent"but not normal. If only in left colon there is no risk of colon cancer in future. If in entire colon (pancolitis):after 10 years annual colonoscopy & 4 quadrant biopsy every 10cms to check for dysplasia. Important to keep taking meselamine even if no symptoms. ...Read more
Cholestyramine: In general, cholestyramine is a very well-tolerated drug. The most common side effects relate to the digestive tract, including constipation, abdominal pain, nausea, or vomiting. It is rare for any more serious side effects to occur. If you're having problems with the medication, contact your doctor or pharmacist. Good luck. ...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 more
Medications: ? Re how treat Ulcerative Colitis, UC. See a Gastroenterologist who specializes in UC. If symptoms persist despite therapies, ask the doctor if he would approve of the use of Cannabis. Do not use if he disapproves, and see a Cannabis Medicinal Consultant if he does approve. I have treated UC patients who have reported benefit from Cannabis. ...Read more
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 more
Ulcerative colitis: Ulcerative colitis can be relatively easy to diagnose because it normally affects only the colon and rectum and usually causes an obvious change in daily bowel habits, such as frequent stools containing blood or mucus. Your doctor will conduct a medical history and physical exam before doing other tests. ...Read more
Rare: As stated already, it's actually rare to die directly from uc. The main cause of death that can be tied to uc would be cancer. Many decades of inflammation can lead to bowel cancers. Also, medications from uc are associated with a risk of lymphoma. Even if you get cancer, it may not cause death. Some of these cancers are treatable with chemotherapy, radiation, and surgery. ...Read more
Ongoing research: There is a lot of promising data that looks at whip worms but also other living organisms like bacteria in making a difference in ulcerative colitis and crohn's disease. The data are still preliminary in my mind and are not ready for prime time, mostly because we do not fully understand the biology behind why they help people. ...Read more
Bloody diarrhea: Symptoms can vary widely. They can include bloody diarrhea, abdominal cramping, weight loss, rectal urgency and generalized malaise. This can be a difficult diagnosis to make. You need a colonoscopy and biopsies to make the diagnosis. If you are having these symptoms please see your physician. ...Read more
Difficult problem: Crohn's and ulcerative colitis are both difficult problems. The surgical procedures, resection, ostomy, anastomosis are added when medical therapy alone is not able to control. Neither disease is curable, both are managed. Diet with avoidance of irritants like gluten, fat, lactose and bile can help. Be well. ...Read more
Probably not: Many holistic therapies have been tried for uc, some with success. It probably wouldn't hurt so give it a try. Give it a week or two, if no improvement, save your money. Usual rx is 5-asa compounds. See a good gastroenterologist. ...Read more
Inflammation: Uc is an inflammatory bowel disease with many triggers. Any trigger that creates an inflammatory response can/will cause a flare up - especially if you are not on maintenance medications. For some patients - even ones in "remission", triggers such as GI infection, systemic illness, significant change in diet and activity, or severe emotional stress can result in a flare up. ...Read more
Abdominal pain: Multiple lose stools over 8 per day, bloody stools, joint pains, visual problems, skin ulcerations, weakness, loss of appetite, lethargy among many others. However these can also be symptoms of other diseases as well, so see your doctor and be sure to give all your symptoms along with the duration of symptoms. ...Read more
See below: Have a GI doctor who follows you regularly. Chronic disease as well as acute attacks are usually managed with medications. Avoid foods that make your symptoms worse as well as nsaids (e.g. Ibuprofen - they increase your risk of bleeding). You will need surveillance colonoscopies because ulcerative colitis increases risk of developing colon cancer. The disease can be cured by surgery (last resort). ...Read more
Lots: Steroids (oral, iv, rectal); sulfasalazine (azulfidine) Mesalamine in various forms (oral, -lialda, asacol, pentasa, apriso, generic; rowasa, (mesalamine) canasa-rectal suppositories or enemas); immunomodulators: 6 mercaptopurine, azathioprine (oral); biologics: infliximab, cyclosporine-iv); antibiotics; probiotics (e.g. Vsl3); surgery. ...Read more
The best way to improve colitis is by stopping foods like grains, lentils, potatoes based items. Avoid nightshades (peppers, tomatoes, eggs) and milk protein since they also cause inflammation
Healthy foods: fish, meats, vegetables, avocados, some saturated fat (butter, coconut oil), olive oil are very effective. Probonix probiotic, vitD3 10k IU/day. The Paleo Solution by R. Wolfe is a great book ...Read more