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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Ulcerative Colitis When Medication Is Not Working?

First I took the Fistulogram and after the result, my doctor told me it was a High Anal Fistula shows but he also ask me to take a colonoscopy check up after that they told me the result was an Ulcerative Colitis and they had prescribed some medication such us Mesalamine, Metrendazol, ciprofloxacin, amoxacilin. Specialy I take Mesalamine 1.6g per a day for 6 month daily, but it doesn't help me all and I stopped to go to hospital. What shall I do?
posted on Sat, 15 Mar 2014
Twitter Fri, 28 Apr 2017 Answered on
Twitter Tue, 2 May 2017 Last reviewed on
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General Surgeon,  's  Response
Hi, I had gone through your question and understand your concerns.
Yes, ulcerative colitis may be difficult to treat although there is a wide range of treatment methods. AS I see, you have antibiotic and antiifnlammatory therapy with mesalazin which is used in combination with steroid or azatrioprin if necessary. So this is next step to include steroids. As a last medical therapy, there is a option of including biological therapy with Humira which is more expensive but more efficient. If this is not helpful then I am afraid that surgical resection is only option in intractable cases,but on the other side, this is permanent solution.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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How To Treat Ulcerative Colitis When Medication Is Not Working?

Hi, I had gone through your question and understand your concerns. Yes, ulcerative colitis may be difficult to treat although there is a wide range of treatment methods. AS I see, you have antibiotic and antiifnlammatory therapy with mesalazin which is used in combination with steroid or azatrioprin if necessary. So this is next step to include steroids. As a last medical therapy, there is a option of including biological therapy with Humira which is more expensive but more efficient. If this is not helpful then I am afraid that surgical resection is only option in intractable cases,but on the other side, this is permanent solution. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.