Sulfasalazine is an anti-inflammatory drug sold under the brand name Azulfidine. Rheumatoid arthritis, ulcerative colitis, and Crohn's disease are all treated with Sulfasalazine. It works by reducing inflammation in the body. Some of the common side effects of this drug include; diarrhea, nausea, heartburn, abdominal pain, dizziness, cough, pain in the joints, etc.
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Kindly suggest treatment for ulcerative colitis?
Query: Hi doctor, I am suffering from ulcerative colitis for the past five years. I had a colonoscopy twice and sigmoidoscopy once in the past five years. I am 28 years old. I had Balacol 750 mg six times a day and Mesacol enema for a month. Because of short supply of Balacol, I cannot take it for one week... Read Full »
Answer: Hi, Welcome to icliniq.com We are here to help you. This is a chronic condition and requires chronic treatment based on the severity of the disease and the ongoing symptoms. Treatment is mostly with anti-inflammatory medications like Sulfasalazine and Mesalamine (Mesalazine). Reducing infl... Read Full »
I am suffering from ankylosing spondylitis. Kindly suggest new medications.
Query: Hello doctor, I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) since 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of neck, forward bending and morning stiffness with sciatica. Kindly suggest the new medications and NSAIDs. I have attached ... Read Full »
Answer: Hello, Welcome to icliniq.com. The NSAIDs you can take are Etoricoxib 90 mg once daily or Diclofenac 75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain. Folic ac... Read Full »
Is Infliximab a safe pregnancy drug?
Query: Hi doctor, I am 26 years old. I am currently working in a hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advis... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac joint) radiofrequency at this stage. I would ... Read Full »
What can be done for dull pain in cartilage, ribs and shoulder blades that appears after Covid attack?
Query: Hello doctor, I have ankylosing spondylitis (HLA B27 positive) for the past 14 years. After I had COVID six months back while recovering, I had a dull pain in the sternum and cartilage of the chest. I took antibiotics, and the pain subsided. But now, for the past few weeks, while sleeping, it is pai... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms suggest active disease at present. You are currently on a low dose of tablet Sulfasalazine (anti-inflammatory) which can be increased if needed. To control the inflammation, I suggest taking tablet Etoricoxib (non-steroidal anti-inflammatory drug) 120 mg... Read Full »
MRI of which body parts will best reveal spondyloarthropathy?
Query: Hello doctor, I am a 31-year-old male, and I was diagnosed with spondyloarthropathy seven years back. I am taking only Sulfasalazine tablets daily. Currently, I do not have any pain or stiffness. My HLA-B27 report is negative. Now, if I do the following MRIs, what chances are there that any abnormal... Read Full »
Answer: Hello, Welcome to icliniq.com. I am unable to find the attachment. It is good to know that you are doing well on Sulfasalazine only. But if you are doing well and have no symptoms with normal blood tests, I will not recommend MRI (magnetic resonance imaging) to be repeated. The MRI is only needed ... Read Full »
How dangerous is staphylococcus infection?
Query: Hi doctor, I had unprotected sex two months back and developed Streptococcal infection within a day. I took Amoxicillin to get rid of it. Within five days developed yeast infection and got treatment for that. Now, I have reactive arthritis. I got two painless red bumps on the back of my hand and I d... Read Full »
Answer: Hi, Welcome to icliniq.com Could you give me the exact duration of the disease? Which are the joints involved in your case? For reactive arthritis (painful form of inflammatory arthritis), you do not need much of treatment. It normally subsides by itself. NSAIDs (nonsteroidal anti-inflammator... Read Full »
My wife has Sjogren's syndrome and has been taking tablets Sulfasalazine. I am worried if it will impair her Type 1 interferon production. Please help.
Query: Hi doctor, My wife has had Sjogren's syndrome and related rheumatoid arthritis for about ten years. She has been experiencing a flare for five months now, which has migrated from her knees to her heel and hands. She is nearing 70. She is currently on tablet Sulfasalazine 500 mg, two in the morning a... Read Full »
Answer: Hi,Welcome to icliniq.com.I can understand your concern.It differs from person to person. Some people have a higher risk, while some do not. But since she has Sjogren's, I would suggest you continue with the same medicine and take precautions for COVID. Even if she stops the medication, there are ch... Read Full »
How to differentiate between ulcerative colitis and Crohn's disease?
Query: Hello doctor, My 6 year old daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools. She was admitted and h... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). We see many tyrosinemias and IBD (irritable bowel disease) patients. In smaller children, it is sometimes difficult to differentiate between ulcerative colitis and Crohn's disease.... Read Full »
Please suggest a solution to my increasing hip pain and swollen ankle.
Query: Hello doctor, I am a 44-year-old male. I have left hip pain for two and half months. Left hip pain started gradually two and a half months back, while doing repetitive hip hyper flexing exercises, jogging, and stretching exercises. Initially, the pain is present on the back of the hip, while doing ... Read Full »
Answer: Hi, Welcome to icliniq.com. There seems to be arthritis going on. The MRI report shows (attachment removed to protect patient identity) an effusion of the hip joint, and as you explain, the ankle also swelled up once. The blood reports seem normal, except for mildly elevated WBC (white blood c... Read Full »
Is Adfar injection a better treatment option for ankylosing spondylitis?
Query: Hello doctor, My husband is suffering from ankylosing spondylitis, and he is under treatment since last year. His doctor has now suggested Adfrar 40 injections along with physiotherapy and belt. The doctor has also suggested halting swimming until further instructions. I am looking for a second opi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity), and his disease does look quite severe. Developing a compression fracture is an indication that the disease activity is high. The reason for stopping exercises would be the fracture itse... Read Full »