Q. How to get treated for ulcerative colitis?
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. As a result, I just started getting rectal bleeding and cramping while passing stools. I feel fatigue and fever. Please help me to solve this problem. Now, I am on Mesacol 400 mg 12 times a day.
Hi,
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We are here to help you.
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- 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 inflammation will help with abdominal cramps and diarrhea that is the most frequent complaint in these patients.
- If the severity is high and the patient is having blood in stools, then we need to give corticosteroids enema and antibiotics like Rifaximin.
- In cases with frequent relapse and if there is suspicion of malignancy, which is not there in your case, surgery is indicated that is proctocolectomy with ileostomy.
- Currently, I suggest Sulfasalazine and steroid enema. This might be given for a short course to suppress the inflammation. Consult your doctor, discuss with him or her and take the medicine with consent.
For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
- In cases with frequent relapse and if there is suspicion of malignancy, which is not there in your case, surgery is indicated that is proctocolectomy with ileostomy.
- If the severity is high and the patient is having blood in stools, then we need to give corticosteroids enema and antibiotics like Rifaximin.
- Reducing inflammation will help with abdominal cramps and diarrhea that is the most frequent complaint in these patients.
- 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).
You seem to be suffering from ulcerative colitis and that requires evidence of the findings in colonoscopy and biopsy.
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