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Ulcerative colitis with secondary infection - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions

I am 27 years old and I was diagnosed with Ulcerative Colitis when I was 21. I have tried everything and anything with no improvement. I have tried 5-XXXXXXXX medications, Sulfasaline, Cortisteroids such as Prednisone and dexamethasone, and NO improvement. Just this past month I went to the hospital because of a rectal abcess. The doctor prescribed me 500mg of Flagyl and 500mg of Cipro to stop any infection from occuring. After the 2nd day of taking these I noticed a 80% improvement in my Ulcerative Colitis. I had NO more GI bleeding. The bowel urgency slowed down 75%. The pain improved 75%. My bowels were somewhat formed. My total amounts of bowel movements were reduced by 60%. After I took the 10 day course and finished Flagyl and Cipro, the 2nd day my symptoms came back. I have a appointment with my primary doctor in 2 weeks. I am so confused.
Doctor :   Hi
User :   Hey Doctor.
Doctor :  
Let me read through.
User :   ok.
Doctor :   Since when are you known to have ulcerative colitis?
User :   They have done colonoscopy 3 times and all 3 times I was diagnosed with Ulcerative Colitis.
Doctor :   Was it proved by an biopsy?
User :   Yes.
Doctor :  
Are you still on XXXXXXXX and steriods?
User :   I take none. Not for a while. No improvement. Not even 5%
User :   Never seen a improvement while taking XXXXXXXX and steroids.
Doctor :   may i know for how long were you on these medications and when did you stop the medications?
User :   Prednisone I was given for 1 week via IV in 2008. 80mg 3 times a day. I developed steroid psychosis.
Doctor :  
User :   Asacol, Lialda, Colazol, Bentyl 5-XXXXXXXX, I have taken since 2001, on and off, NO improvement in symptoms at all.
User :   Only major improvement I saw was just this month ago, on Flagyl and Cipro.
Doctor :  
Doctor :  
Do you have any other medical illness?
User :   None.
Doctor :  
I shall explain to you.
User :   Please...
Doctor :  
SInce you have been proved by a biopsy the diagnosis is done.
Doctor :   You must have known that this disease the treatment is only to prevent the progression of the condition.
User :   Yes. that is correct.
Doctor :  
The main stay of treatments is steroids and XXXXXXXX.
Doctor :   But there are some times when the steroids become ineffective
Doctor :   Then the next line of treatment are immunomodulators.
Doctor :  
Where in drugs like azathioprime and interferons are tried.
Doctor :  
You need to discuss with treating doctors if you need these drugs.
User :   Do you suspect any infection?
Doctor :  
Because they have adverse effects too.
Doctor :  
You must have had a recent infection.
Doctor :   Or the lesion in the ulcerative colitis must have got infected.
Doctor :  
That is why with antibiotics when the infection got improved you are finding it better.
Doctor :   Have you followed.
User :   Yes. Absolutely. So it is a infection? Or It's Ulcerative Colitis?
Doctor :  
It is ulcerative colitis which has had secondarily infected.
Doctor :  
The infection part is controlled now.
User :   Ahh... I see.
User :   Thank you doctor very much.
Doctor :   Do you have any other query?
User :   That is all. Thank you doctor.
Doctor :  
Please fill the feed back form too.
User :   Yes. Thank you once agian.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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