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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ulcerative Colitis

my wife aged 53 is suffering from u/c since 2005. medicines used5 amino salicylic800mg 6 tabs a day and frequent use of budesonide0mg 5tabs a day for 5 days . but still suffering with bleeding .At present she is having both au/c but problem is stilopathic as well as homeopathic treatment for
Wed, 2 Dec 2015
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Gastroenterologist,  's  Response
Hello. Thanks for asking question at HCM.

As I see the details your wife is suffering from chronic ulcerative colitis with frequent relapses and still not under remission. There are a quite a good number of treatment options available, which can be used in systematic step up approach. First you gave to go to a gastroenterologist and get routine blood tests like CBC, ESR and CRP. Please get full length colonoscopy as your wife is already 10 years into illness to assess extent, severity of disease and to rule out malignancy. Various treatment options are
- increase the dose of 5 ASA upto 4.8 gm/day
- add Predinisolone tablet which is weight based (budesonide may not be much effective if there is predominant left sided colitis)
- adding azathioprine
- considering biologicals like Infliximab

UC can be controlled. please get evaluated and get correct treatment.

Take care.
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Suggest Treatment For Ulcerative Colitis

Hello. Thanks for asking question at HCM. As I see the details your wife is suffering from chronic ulcerative colitis with frequent relapses and still not under remission. There are a quite a good number of treatment options available, which can be used in systematic step up approach. First you gave to go to a gastroenterologist and get routine blood tests like CBC, ESR and CRP. Please get full length colonoscopy as your wife is already 10 years into illness to assess extent, severity of disease and to rule out malignancy. Various treatment options are - increase the dose of 5 ASA upto 4.8 gm/day - add Predinisolone tablet which is weight based (budesonide may not be much effective if there is predominant left sided colitis) - adding azathioprine - considering biologicals like Infliximab UC can be controlled. please get evaluated and get correct treatment. Take care.