Ulcerative Colitis (cont.)
Ulcerative Colitis Medical Treatment
The patient's health care professional will consider the possible causes of colitis, and any complications that need urgent treatment. The treatment goal of active ulcerative colitis is to relieve the inflammation and replace nutritional losses and loss of fluid due to diarrhea. About 80% of people improve with this approach.
- Drugs to control mild diarrhea, for example, diphenoxylate (Lofene, Lomotil), loperamide (Imodium, Kaopectate), codeine, and anticholinergics (Anaspaz, Cystospaz, Bentyl) may help to reduce the number of bowel movements and relieve the feeling of bowel urgency. However, you should avoid these drugs if you have severe diarrhea because of inflammatory bowel disease. They should not be used if a fever is present.
- Cholestyramine (Questran), an agent that binds bile salts, helps to control diarrhea associated with Crohn's disease, particularly in people who have had a portion of their small intestine removed. Dicyclomine (Bentyl) may relieve intestinal spasms.
- Severe attacks of inflammatory bowel disease require hospital admission and supportive care including bowel rest, IV fluids, and correction of any electrolyte imbalance.
- The patient will likely be given a restricted diet.
Medically Reviewed by a Doctor on 12/11/2014
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