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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Humira Help Cure Crohn S Disease?

do you feel humira is safe and should it be recommended for a first choice drug to treat crohn s in a 19 year old girl or are there other drugs that might be safer with fewer or / a better choice of side affects, i know that most of the drugs used to treat crohn s have a lot of side affects, some deadly but what drug would you say would be a good first choice to treat moderate to severe crohn s in a teen. does a change in diet help to heal crohn s or to keep it in remission and if so could you not take drugs as long as you were in remission. i guess i am saying if you reach remission could you stay in remission with diet and not drugs or are you going to have to take drugs for the rest of your life. thanks for your time any help to answer these questions would be appreciated.
Mon, 23 May 2016
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General & Family Physician 's  Response
dear healthcare magic user. humira is quite safer in side effects compared to the first line drugs like corticosteroids and mesalamine.But doctors dont prefer it for two reasons
1.there is a very high incidence of developing severe infections because it reduces immunity to a very low level.
2.reports indicate that there is increased incidence of developing blood cancers with use of humira
thats why doctors prefer the first line medication,because in most they will help in remmission and doesnt affect the immunity that much.
and the side effects need not be deadly in every patient.
It is not proven to be beneficial off the meds in remission and only on diet though diet modification certainly helps.maintain upto 1000 kcal of carbohydrates per day and protein intake upto 60-100 gms per day. you can try solid food in the morning and then softer foods plus liquids at evening.avoid any beverages,coffee,tea.sodas and any sour products and no spices.keep the food plain and simple with least amount of oil. this helps in relaxing the gut and gives time to rest.
there are latest treatment options like use of antitubecular drugs. in latest research they have given promising results in inducing remmission for longer periods.
hope i have answered the question .good luck and good health.
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Can Humira Help Cure Crohn S Disease?

dear healthcare magic user. humira is quite safer in side effects compared to the first line drugs like corticosteroids and mesalamine.But doctors dont prefer it for two reasons 1.there is a very high incidence of developing severe infections because it reduces immunity to a very low level. 2.reports indicate that there is increased incidence of developing blood cancers with use of humira thats why doctors prefer the first line medication,because in most they will help in remmission and doesnt affect the immunity that much. and the side effects need not be deadly in every patient. It is not proven to be beneficial off the meds in remission and only on diet though diet modification certainly helps.maintain upto 1000 kcal of carbohydrates per day and protein intake upto 60-100 gms per day. you can try solid food in the morning and then softer foods plus liquids at evening.avoid any beverages,coffee,tea.sodas and any sour products and no spices.keep the food plain and simple with least amount of oil. this helps in relaxing the gut and gives time to rest. there are latest treatment options like use of antitubecular drugs. in latest research they have given promising results in inducing remmission for longer periods. hope i have answered the question .good luck and good health.