Ulcerative Colitis (cont.)
Ulcerative Colitis Medical Treatment
The patient's health care professional will consider the possible causes of
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
- Drugs to control mild diarrhea, for example,
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
- The patient will likely be given a restricted diet.
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