Suggest Treatment For Infection In The Colon
Question: I WAS DIAGNOSED WITH ULCERATIVE COLITIS AFTER I QUIT SMOKING 3 YEARS AGO. I HAVE TRIED LIALDA, SUPPOSITORIES, STEROID ENEMAS, PREDNISONE, IMURAN, AND NOW MY DOC WANTS ME TO DO METHOTREXATE INJECTIONS. I HAVEN'T SEEN HIM FOR A YEAR BECAUSE I'M NOT READY FOR THAT. WHEN I DO HAVE A REMISSION IT LASTS ONLY A COUPLE MONTHS, BUT IT'S GREAT! STRESS IS MY TRIGGER AND I'M AN RN IN THE ER. HAVE BEEN FOR 30 YEARS SO DON'T WANT TO GIVE IT UP NOW. WHEN I GO TO THE ER, I USUALLY GO BECAUSE OF A FEVER LIKE 102, AND BLOODY DIARRHEA FOR 1-2 WEEKS. SEEMS LIKE ALL I GET IS A MILLION TESTS AND A BAG OF FLUIDS, AND A COUPLE THOUSAND DOLLAR XXXXXXX AND OF COURSE PREDNISONE. I WANT TO START ALL OVER. I HAVE HAD 3 COLONOSCOPIES AND ONLY THE DISTAL 20-30CM OF MY COLON IS AFFECTED. I WILL WORK WITH A DOCTOR AGAIN (I'M TAKING INFANTIS B. PROBIOTICS THAT HELPS QUITE A BIT) BUT I LIVE OVER AN HOUR FROM ST XXXXXXX OR ANY SPECIALIST. WHAT DRUG WOULD YOU START ME ON? (I KNOW YOU WOULD WANT TO DO ANOTHER (UNNECESSARY) COLONOSCOPY FIRST LOL.
I WILL AD THAT I AM 50 POUNDS OVERWEIGHT SO MALNUTRITION IS NOT AN ISSUE. MY HGB IS ALWAYS GOOD >10.
I WILL AD THAT I AM 50 POUNDS OVERWEIGHT SO MALNUTRITION IS NOT AN ISSUE. MY HGB IS ALWAYS GOOD >10.
Brief Answer:
meaocol enema, steroids, diet, yoga
Detailed Answer:
Hi, I can empathise with you. Your plus point is that the disease is limited to only last 20-30cm.
Ask your doctor for mesacol enema.
.
As you have identified stress as your trigger, I recommend you practise yoga and meditation to calm your mind.
.
Probiotics course every month with dietary control will help you.
You may need to take mesacol and steroids for a longer time to keep the disease in remission.
.
The last resort of course is a surgery only when medicines fail or your colonoscopy shows any changes towards malignancy.
Take care
Wish you good health.
Dr. Pravin Gore. XXXXXXX XXXXXXX
meaocol enema, steroids, diet, yoga
Detailed Answer:
Hi, I can empathise with you. Your plus point is that the disease is limited to only last 20-30cm.
Ask your doctor for mesacol enema.
.
As you have identified stress as your trigger, I recommend you practise yoga and meditation to calm your mind.
.
Probiotics course every month with dietary control will help you.
You may need to take mesacol and steroids for a longer time to keep the disease in remission.
.
The last resort of course is a surgery only when medicines fail or your colonoscopy shows any changes towards malignancy.
Take care
Wish you good health.
Dr. Pravin Gore. XXXXXXX XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Prasad