See a gi doctor. There are many different treatments for crohn's disease. The decision of which medication regimen is best involves reviewing your previous medications, current symptoms, findings on physical exam and endoscopic biopsy results. After reviewing all this info the doctor will discuss the treatment options with you.
See. Http://www. Mayoclinic. Org/diseases-conditions/crohns-disease/basics/definition/con-20032061.
Does Crohn's disease influence the onset of gingivitis? And if it does, is it treatable? (The gingivitis) Thank you!
Possible. Crohn's Disease may manifest some elements of gingivitis and periodontist...gum and bone issues around the teeth and, gum tissue and underlying bone. Gum disease is normally treatable with extra cleanings at the dentist and also more diligence in home care. I would consider possibly an electric toothbrush in addition to tarter control toothpaste, rinses and immaculate flossing.
Gingivitis treatable. Gingivitis is a treatable disease by daily flossing and brushing three times a day. You should also see your dentist to have a professional cleaning to eliminate toxins in the gums. I have not seen anything about Crohn's disease influencing gingivitis.
Of course. Increase in the size of gingiva is a common feature of gingival diseases that is present in 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.
First see a doctor. Crohn's disease can be diagnosed with a combination of lab testing including xrays (enterography, ct scan) endoscopic biopsies and new serological markers (ibd panel). Newer modalities such as capsule endoscopy where you swallow a small pill-size camera that examines your intestines can help diagnose more subtle cases. The treatment is based on medications that suppress intestinal inflammation.
Colonoscopy. The gold standard for diagnosing crohn's if the colon or ileum is colonoscopy. Special ct and mre can help to see if the rest of the small bowel is involved.
Crohns. Can be treated with mesalamine or Asacol or sulfasalazine, acute or severe cases can be treated with steroids or steroid sparing drugs like azathoprine or cyclosporine or biologic agents.
Many approaches. Treatment depends upon the stage, extent and symptoms that the patient is experiencing. Steroids are often used for acute flares. Drugs like sulfasalazine are often used to try and induce remission. Antibiotics are sometimes needed. Antidiarrheal medications are often used. If disease is severe or if there are fistulas or fissures, surgery is frequently needed to remove a part of the colon.
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.
What is the safest and most effective systemic medication that can be used for long periods to treat Crohn's disease?
Safe OR Effective? No drug is entirely safe, but you are correct in wanting to balance efficacy against safety. Biologics are unquestionably the most effective crohn's medication class, followed by immunomodulators & corticosteroids. Each of these has however significant associated safety concerns which can be minimized when used appropriately in a physician-monitored setting. Get a good GI doctor, & go from there!
My doctor told me it isn't necessary to treat Crohn's disease, nothing will happen if I leave it, but my dad sd my dr is wrong. Who's right? My dr or dad
Dad is right. Seek out a good GI doctor.
Taking entacort to treat Crohn's disease. Does this steroid enter bloodstream or only 'topical' within the intestine?
Both. It acts locally but then it is completely absorbed by the intestine. Following this 80-90% is metabolized by the liver before it reaches the rest of the body (1st pass). However some systemic effect still occurs.
Minimal absorption. Very little is absorbed, so that systemic side effects are unlikely.
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.
Lower inflammation. All drugs for Crohn's disease work by decreasing inflammation in the intestinal tract. Some drugs are stronger than others and they tend to suppress the immune system. They are used for more severe disease. Some drugs target certain areas of the bowel when disease is localized. Some are taken by mouth, others delivered by enema, and others injected or given IV.