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Ulcerative Colitis Treatment-Mayo Clinic

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Uploaded by on Apr 20, 2009

Dr. Edward Loftus discusses different medications used to treat ulcerative colitis. Also discusses surgery for patients with ulcerative colitis which can be done through a laproscopic or minimally invasive approach. Finally, Dr. Loftus discusses clinical trials at Mayo Clinic for patients with ulcerative colitis and what patients living with ulcerative colitis can expect in the future.

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  • What can you take when prednisone doesn't agree with you? I tried prednisone before, but it made my GERD so bad that I would be in tears. It got so bad on prednisone that even on meds for the GERD I'd hear sizzling in my mouth when I talked. This is with me watching what I eat, and doing all the right things so I just can't do the steroids at all. Anything else other than steroids to supress the immune system during flare ups? I have colitis by the way.

  • Unfortunately some people develop many side effects with prednisone. In genl, if you can't get the symptoms under control with the 5-aminosalicylates (includes Asacol, Lialda, Pentasa, Apriso, or Colazal) and are relying on prednisone courses more than once/year, you should be seriously thinking about using a stronger medication for maintenance therapy. This might include azathioprine (Imuran) or infliximab (Remicade). This is a genl recommendation, of course, without knowing the full details.

  • Dr. Loftus, Thank u for the video. If been recently diagnosed with UC in like March. Im started with asacol and have been recently prescribed to take 6 mp and prednisone in addition. Is this treatment to fast for only having it a few months? What are you thoughts?

  • @Boxerlover2984 Dr. Loftus page 1: It depends on the details of your case. If the mesalamine (Asacol) wasn't controlling your symptoms, then your doctor may have prescribed prednisone as a next step. One advantage of prednisone is that it is rapidly acting; however, many people experience side effects such as moodiness, insomnia, fluid retention, and weight gain, so it is not a good long-term strategy.

  • @Boxerlover2984 It depends on the details of your case. If the mesalamine (Asacol) wasn't controlling your symptoms, then your doctor may have prescribed prednisone as a next step. One advantage of prednisone is that it is rapidly acting; however, many people experience side effects such as moodiness, insomnia, fluid retention, and weight gain, so it is not a good long-term strategy.

  • @Boxerlover2984 It depends on the details of your case. If the mesalamine (Asacol) wasn't controlling your symptoms, then your doctor may have prescribed prednisone as a next step. One advantage of prednisone is that it is rapidly acting; however, many people experience side effects such as moodiness, insomnia, fluid retention, and weight gain, so its not a good long-term strategy.

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  • This is tragic my sister has been at this for over 30 years ....all the drugs she only got worse

    GET THE BOOK >>>Breaking the Vicious Cycle was written by Elaine Gottschall and get well .my sister did in days..........

  • I have 31 years of info that I think Mayo my want to see. You would be able to save patients many years of pain because I have that info that you have been waiting to see. I never smoked I was 13 I am 45.

  • That's interesting & why I don't seek help in the medical field for this. You said the treatments aren't really directed at the root cause of the condition... That's what I've been telling people is the common practice of the Medical field is to never really get to the root cause because there is no money in actually making people well but the life long prescriptions & unnecessary surgeries, sorry but I want to get to the root cause of any health problem, fix it, then I won't have the symptoms.

  • WOW,i never realized that i may have been suffering for yrs with this,i was just diagnosed in the ER after a cat scan,finally after having abdominal pain and diarehae,i couldnt even eat or sleep or even drink water and the pain and diarehea for 10 days and i lost so much weight,they have me on prednisone and so far so good,but is this a lasting med and how long can a person be on it?

  • Wow. I just wanted to thank you for sharing this! I am 29 and was diagnosed last week and have been depressed. This helped so much. Your the first person to spell out the fact that people with UC have a slightly longer life expectancy. I was worried about this due to colon cancer. Having just had our first baby, this is of great mental relief -- and I know it will be for my wife. My gratitude for doctors is immeasurable. My best friend is in his 4th year at med school so I know first hand all t

  • I hear colitis is caused by leaky gut syndrome. I also heard L-Glutamine and Probiotics are good.

  • Some key things that can help with ulcerative colitus (UC) is identifying what foods trigger UC flare ups. Once you identify the foods you should log them. Over time other foods that don't cause flare ups can cause flare ups. Stress is a huge factor which can instantly cause a flare up if stress is way too high. Getting a lot of sleep is very important. Drugs are not the only solution. Consider alternatives to drugs, but ask your doctor before using them. 

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