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Suggest Treatment For Infection In The Colon

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Posted on Thu, 8 Sep 2016
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.
doctor
Answered by Dr. Pravin Gore (18 hours later)
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
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
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Answered by
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Dr. Pravin Gore

Proctologist

Practicing since :1995

Answered : 82 Questions

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Suggest Treatment For Infection In The Colon

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