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Suggest treatment for ulcerative colitis

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Posted on Tue, 28 Jun 2016
Question: I have a history with ulcerative colities.
I had a strong attach when i was 20yrs, and it was treated by salazopyrin for two years
then nothing happen for long, then i had an attach last year after 19yrs of dormant. it was treated by pentaza and cortisone
No a days i have another mild attach i don't know what it's, attached my last lab analysis


i've been having gases all the time, and my stomach always stretched. this for the last two week.
The attached is my stole analysis
doctor
Answered by Dr. Klerida Shehu (4 hours later)
Brief Answer:
Please follow..

Detailed Answer:
Hi and thank you fro asking!
I read carefully all your queries and stool report and I can say as follows:
1. calprotectin levele 71 ( more than 50 ) is indicative for IBD like ulcerative colitis.
2. You are not having diarrhea as I read your stools has been formed. This is a good sign . In cases like acute attack of ulcerative colitis usually diarrhea with blood is present.
I would like to know which is your current treatment for ulcerative colitis?
3. you are reporting to have gases all the days and your stomach stretches.
At the end, your findings till now are more suggestive of an acute gastritis /gastroenteritis.
Otherwise to my opinion if these symptoms continue more than 3 weeks than you should perform colonoscopy to evaluate large bowel mucosa and ulcerative colitis grade form.
If you have other concerns I would be glad to assist you further.
Dr.Klerida



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Klerida Shehu (11 minutes later)
I don't take any medication since my last attack a year ago. I stopped totally all the drugs.

another more thing....
after any type of food i'm eating, i'm getting a sudden stomach gas swelling within 30 min, which last for long like 4 hours
doctor
Answered by Dr. Klerida Shehu (18 hours later)
Brief Answer:
Please follow...

Detailed Answer:
Hi back,
If you have stomach swelling after any food than your symptoms are more related to :
- gastritis
- gallbladder issues( specifically after fatty foods).
I would suggest to start PPI's use like Prilosec and perform upper endoscopy plus abdominal ultrasound.
These symptoms are not typical for ulcerative colitis attack.
Hope it was helpful to you.
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest treatment for ulcerative colitis

Brief Answer: Please follow.. Detailed Answer: Hi and thank you fro asking! I read carefully all your queries and stool report and I can say as follows: 1. calprotectin levele 71 ( more than 50 ) is indicative for IBD like ulcerative colitis. 2. You are not having diarrhea as I read your stools has been formed. This is a good sign . In cases like acute attack of ulcerative colitis usually diarrhea with blood is present. I would like to know which is your current treatment for ulcerative colitis? 3. you are reporting to have gases all the days and your stomach stretches. At the end, your findings till now are more suggestive of an acute gastritis /gastroenteritis. Otherwise to my opinion if these symptoms continue more than 3 weeks than you should perform colonoscopy to evaluate large bowel mucosa and ulcerative colitis grade form. If you have other concerns I would be glad to assist you further. Dr.Klerida