Patient's Query
Hi doctor,
I am 23 years old with a weight of 114 lbs and a height of 6 feet. I was diagnosed with ulcerative colitis last year. I had an E.coli infection four years back by food poisoning. I have symptoms of rectal bleeding, nausea, and constipation. When I got acute colitis, I took Pentasa sachet 4 grams and Budesonide capsules. I do not have any symptoms for a few years and now, I have a flare-up. I am taking Pentasa sachet four grams, Entocort enema 2 mg/100 ml every night, and Salofalk rectal form 2 grams daily.
I am using these medications for eight weeks now. My blood amount is low but my bleeding is continuous even when I quit my medicine for a day. My doctor will not advise me to take Entocort capsules due to bone suppression. My gastroenterologist suggests me to take Hyrimox. But its side effects are really long. I have inflammation only on the left side of the colon and rectum. I did a colonoscopy and it was shown in colonoscopy. What to do? I think that Pentasa sachet is not working for ulcerative colitis. But it works more for Crohn's disease. Can you suggest any foods with anti-inflammatory activity?
Hi,
Welcome to icliniq.com.
You are having left-sided colitis. Before taking Humaira or any other biosimilars, I would like to optimize your medications. Regarding foods, there are no specific foods that can help you. I suggest you take an oral trial of Prednisolone (corticosteroid) as enema does not help completely for left-sided colitis.
Probable diagnosis
Treatment plan
Patient's Query
Thank you doctor,
I cannot use Prednisolone due to the side effect of bone suppression. Do you have any other medical advice?
Hi,
Welcome back to icliniq.com.
I gave an opinion to have a trial. If you are not comfortable with a trial of Prednisolone, then I suggest you take Asacol HD 800 mg (mesalamine) thrice daily instead of Pentasa. It is also Mesalamine presenting with different salt preparation and it works well for ulcerative colitis.
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Answered byDr. Mian Shah Yousaf
Medically reviewed byDr. Sneha Kannan
Same symptoms don't mean you have the same problem. Consult a doctor now!
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