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Ulcerative colitis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 673 Questions
Doctor :   Hi
User :   Hi doctor, I have a question about UC and the drug Remicaid
Doctor :  
How can I help you?
Doctor :  
User :   I have taken several drugs for the UC
User :   and none have helped
Doctor :   Ok

User :   I went to the emergency room for an abcess
User :   and I was prescribed antibiotics
Doctor :   Ok

Doctor :  
User :   and all my symptoms were gone
Doctor :   Fine

User :   can u explain to me how after 7 years a simple set of antibiotics can cure me?
Doctor :   Ok

Doctor :  
I will tell you
Doctor :  
the abscess can be cured with antibiotics
User :   yes but my colitis symptoms were gone
Doctor :  
and the ulcerative colitis is also treatable with the antibody
Doctor :  
Remicaide is an antibody
Doctor :  
and it decreases the tumor necrosis factor
User :   is there a possibility that i don't have to resort to remicaid
User :   that i can take a second or even third course of Flagyl and Cipro?
Doctor :   Not required now

Doctor :  
It is required only if infection is there
User :   well there was no infection in the first place
User :   i went to the ER and the rectal abcess burst on its own
Doctor :   Yes you are right

User :   to PREVENT the infection
Doctor :   Ok

User :   they gave me those 2 antibiotics for a 10 day course
Doctor :   Ok fine

Doctor :  
Now it is quite enough
User :   now my question is...can I take another or several other courses of Flagyl and Cipro with a lower dosage of course
Doctor :  
Doctor :  
I would advise you to report back to the same doctor who has treated you
Doctor :  
and be on follow up
Doctor :   You should be careful in future

Doctor :  
in anal sanitation
Doctor :  
and keep the overall good health
Doctor :  
with stress and tension under check
User :   the doctors who treated me put me on 80mg of prednisone putting me into steroid psychosis
Doctor :   OK

User :   i've been in and out of emergency rooms for the past 7 years
Doctor :   Are you taking it right now?
User :   and the only thing that helped me were the antibiotics
Doctor :   and Remicade as well

Doctor :  
You need to mention that as well
User :   i haven't taken Remicade yet
User :   i want to
Doctor :   Ok

User :   but it's expensive, and takes time to get it
Doctor :  
Why was that?
Doctor :   Ok

User :   so what you are telling me is, no more antibiotics...just get Remicade as soon as possible?
Doctor :   but you were prescribed I suppose
Doctor :   No I do not tell that as such

User :   no one has prescribed me anything that has worked Doctor.
Doctor :  
You have healed now with the antibiotics
Doctor :  
User :   that is what I am trying to tell you
Doctor :   But who suggested the antibiotic course?
Doctor :  
the ER right?
User :   my ten day course of the antibiotics finished 4 days ago
User :   ALL my symptoms are back
User :   the ER suggested it, to PREVENT infection because the abcess burst in my anus Doctor.
User :   they had no idea that it was going to have such an effect on me
User :   it was an incidental finding
Doctor :   Ok

Doctor :  
I got it
Doctor :  
Antibiotics have helped that as well
Doctor :   as it has covered both types of bacteria
User :   so my question is...can I go get another set?
User :   do you think that maybe it didn't get the ENTIRE infection gone
Doctor :   Are you having symptoms now?

User :   maybe I needed a 14 day course
User :   yes I've been in the bathroom this entire time
User :   I'm bleeding about 5-9 times a day
User :   bloody stool
Doctor :   Doctors use several categories of drugs that control inflammation in different ways

Doctor :   But drugs that work well for some people may not work for others, so it may take time to find a medication that helps you.
User :   yes but can i take another course of the anti-biotics?
Doctor :   No
Doctor :   I cannot advise it randomly as such now
Doctor :  
Has to be evaluated
Doctor :  
You can go with the history of this antibiotic
Doctor :  
to a gastroenterologist
Doctor :  
and with physical examination
Doctor :  
You can surely get help
Doctor :   So do that

Doctor :  
and you will be helpful
Doctor :  
antibiotics are given only if there is infection
Doctor :  
otherwise not required

Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

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