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Ulcerative Collitis
Hello Doctor My daughter is currently living in Canada. A few days back she starting having bloody stools followed by stomach ache and diarrhoea. Later she was diagnosed Ulcerative Collitis after a CT Scan and stool test was done. She was prescribed Pentasa 1gm (Mesalazine) twice a day. But there was no improvement even after a week. So doctor changed the medicine and prescribed Cortiment 9mg once a day for 8 weeks. She is still not having any relief after 3 days on this medicine 1) My question is that as Cortiment is a steroid, so is it safe to take it for long time?? 2) What is the reason for this disease, there is no family history for the same. 3) How much time does it take to cure this disease? 4) Does this medicine has some side effects? Sorry for asking so many questions and thanks in advance.
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1. In a diagnosed case of ulcerative colitis, steroids may be required to in the beginning to get prompt response if there are lot of symptoms and weakness and there is no satisfactory response after starting a Mesalazine. Steroids are considered the safe, considering the risk & benefits of use of steroids. Steroids are used for short duration and then gradually steroid dose is tapered down and stopped. 2. The ulcerative colitis is a disease of body autoimmunity. there may not be the family history. 3. Ulcerative colitis is a chronic disease so it’s a disease of life long duration. This disease remains under control with the use of various medicine under the supervision of expert gastroenterologist. There is no cure for this disease by medicine. Surgery is the only curative treatment for ulcerative colitis but the surgery decided based upon the response of person by various medications. Surgery is usually last option. Surgery is indicated when there is no response to medicines, complications are developing with long term use of medicines, or development of cancer in colon. 4. Side effect of medicines: Every medicine is given to get a benefit and when side-effects become significant then another line of medicine is started.
Next Steps
Cancel to the gastroenterologist and follow his advice and medicine since yearly. Faith in a doctor and have a good diet. Have a faith in the doctor and have a healthy diet to improve immunity.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.