Ulcerative Colitis (cont.)
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Treatment for ulcerative colitis depends mainly on how bad the disease is. It usually includes medicines and changes in diet. A few people have symptoms that are long-lasting and severe, in some cases requiring more medicines or surgery.
You may need to treat other problems, such as anemia or infection. Treatment in children and teens may include taking nutritional supplements to restore normal growth and sexual development.
If you don't have any symptoms or if your disease is not active (in remission), you may not need treatment. But your doctor may suggest that you take medicines to keep the disease in remission.
If you do have symptoms, they usually can be managed with medicines to put the disease in remission. It often is easier to keep the disease in remission than to treat a flare-up.
Mild symptoms may respond to:
Moderate to severe symptoms
These symptoms usually require steroid medicines to control inflammation. The dose you need may be higher than that needed to treat mild symptoms. When inflammation goes away, you will take aminosalicylates to keep the condition in remission.
Severe symptoms also may be treated with:
Treatment in the hospital
You may need treatment in the hospital if you have severe ulcerative colitis with symptoms outside the digestive tract, such as fever or anemia. Treatment includes replacing fluids and electrolytes lost because of severe diarrhea.
Your doctor will want to see you for a follow-up visit about every 6 months while your condition is stable. You'll need to see the doctor more often if you are having problems. Many people are so familiar with their condition that they can handle minor flare-ups on their own. In some cases, you may be able to talk with your doctor on the phone for minor problems.
If you are taking medicines, you may need to have lab tests regularly.
eMedicineHealth Medical Reference from Healthwise
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