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Ulcerative Colitis
Alternate Names : Granulomatous Colitis
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What are the treatments for the disease?
Treatment of ulcerative colitis varies, depending on the intensity and location of the inflammation. The healthcare provider will work with the individual to control the inflammation. Treatment may include:
ASA agents, such as sulfasalazine and mesalamine, to control inflammation
corticosteroids, such as prednisone, which are used when ASA agents aren't able to control the disease
dietary restrictions to allow the colon to rest
a diet that eliminates foods, such as milk, that trigger the person's symptoms
intravenous fluids to replace fluid and body salts
medicines to help the person relax
pain medicines as neededIf these measures aren't successful in controlling the disease, surgery may be recommended. The entire colon and rectum may be removed. An ileostomy is done to empty the contents of the small bowel into a pouch. A newer procedure known as an ileoanal anastomosis leaves part of the rectum intact. Bowel waste is then passed out through the rectum.
What are the side effects of the treatments?
Medicines used to treat ulcerative colitis may cause vomiting, lethargy, and allergic reactions. Surgery may cause bleeding, infection, and allergic reaction to anesthesia.
What happens after treatment for the disease?
People with ulcerative colitis will have periods where the symptoms go away. Usually, however, the symptoms do return.
How is the disease monitored?
People with ulcerative colitis will have regular visits with the healthcare provider. The provider will order regular colonoscopy exams to monitor the disease. Any new or worsening symptoms should be reported to the healthcare provider.
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Author: David J. Craner, MD Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 05/22/01
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