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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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For How Many Days Can I Take Vegaz OD And Azoran Without Leading To Any Side Effects And What Is The Diet For Crohn S Disease?

I am 33 Year old and diagnosed Crohn s disease (IBD-Inflammatory Bowel Disease) before 8 month back and taking below Medicine 1)     Vegaz OD 1.2 g (Mesalamine extended release tablets 12.g)  Two Tablet daily. 2)     Azoran 50 gm  1 Tablet Daily. Could you please let me know how many days I need to take these medicines. If it is long term then what are side effects of these medicine. One important query about my Diet , Please recommend do and don’ts foods for Crohn s disease.
Mon, 2 Mar 2015
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Gastroenterologist 's  Response
Good morning
Sorry to know about your ill health
First of all lets be very clear that if the diagnosis is crohn's disease then the medications should be life long for all practical purposes
The choice of medications depend of the extent of the disease (means involving large intestine or small intestine or both, if so how much long), severity of the disease (only ulcers or with narrowing or with holes-called as fistula in medical language).
I would be wise if i could get these information.
Medications like azathioprine carries slight long term risk of infection and cancer (blood or skin etc). Before starting therapy its very important to rule out active or latent or silent infections especially tuberculosis, hepatitis B, C HIV etc. After ruling out everything its prudent to receive certain vaccines typically for flu, hepatitisB, hepatitis A, meningococcal and pneumococcal vaccines (if not received in the recent past).
The dose of azathioprine is usually escalated depending on the total white cell count in the blood test till the point it reaches a dose of 2.5 mg/kg/day or a white cell count close to 4000/microlit which ever is earlier.
Vegaz is a pretty safe medication otherwise. Your doctor must have started you on combination medications probably to achieve better control of your disease.
Diet is pretty much normal, regular and balanced in most of the cases unless u have significant narrowing in your intestines manifested by stomach distension, constipation, vomitings
Hope this information is valuable and helps in answering your questions
Please feel free to communicate for any future queries
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For How Many Days Can I Take Vegaz OD And Azoran Without Leading To Any Side Effects And What Is The Diet For Crohn S Disease?

Good morning Sorry to know about your ill health First of all lets be very clear that if the diagnosis is crohn s disease then the medications should be life long for all practical purposes The choice of medications depend of the extent of the disease (means involving large intestine or small intestine or both, if so how much long), severity of the disease (only ulcers or with narrowing or with holes-called as fistula in medical language). I would be wise if i could get these information. Medications like azathioprine carries slight long term risk of infection and cancer (blood or skin etc). Before starting therapy its very important to rule out active or latent or silent infections especially tuberculosis, hepatitis B, C HIV etc. After ruling out everything its prudent to receive certain vaccines typically for flu, hepatitisB, hepatitis A, meningococcal and pneumococcal vaccines (if not received in the recent past). The dose of azathioprine is usually escalated depending on the total white cell count in the blood test till the point it reaches a dose of 2.5 mg/kg/day or a white cell count close to 4000/microlit which ever is earlier. Vegaz is a pretty safe medication otherwise. Your doctor must have started you on combination medications probably to achieve better control of your disease. Diet is pretty much normal, regular and balanced in most of the cases unless u have significant narrowing in your intestines manifested by stomach distension, constipation, vomitings Hope this information is valuable and helps in answering your questions Please feel free to communicate for any future queries