Most people are first treated with drugs containing mesalamine, a substance that helps control inflammation. Sulfasalazine is the most commonly used of these drugs. Patients who do not benefit from it or who cannot tolerate it may be put on other mesalamine-containing drugs, generally known as 5-ASA agents, such as Asacol, Dipentum, or Pentasa. Possible side effects of mesalamine-containing drugs include nausea, vomiting, heartburn, diarrhea, and headache.
Cortisone or Steroids. Cortisone drugs and steroids—called corticosteriods—provide very effective results. Prednisone is a common generic name of one of the drugs in this group of medications. In the beginning, when the disease it at its worst, prednisone is usually prescribed in a large dose. The dosage is then lowered once symptoms have been controlled. These drugs can cause serious side effects, including greater susceptibility to infection.
Immune System Suppressors. Drugs that suppress the immune system are also used to treat Crohn’s disease. Most commonly prescribed are 6-mercaptopurine or a related drug, azathioprine. Immunosuppressive agents work by blocking the immune reaction that contributes to inflammation. These drugs may cause side effects like nausea, vomiting, and diarrhea and may lower a person’s resistance to infection. When patients are treated with a combination of corticosteroids and immunosuppressive drugs, the dose of corticosteroids may eventually be lowered. Some studies suggest that immunosuppressive drugs may enhance the effectiveness of corticosteroids.
Infliximab (Remicade). This drug is the first of a group of medications that blocks the body’s inflammation response. The U.S. Food and Drug Administration approved the drug for the treatment of moderate to severe Crohn’s disease that does not respond to standard therapies (mesalamine substances, corticosteroids, immunosuppressive agents) and for the treatment of open, draining fistulas. Infliximab, the first treatment approved specifically for Crohn’s disease is an anti-TNF substance. Additional research will need to be done in order to fully understand the range of treatments Remicade may offer to help people with Crohn’s disease.
Antibiotics. Antibiotics are used to treat bacterial overgrowth in the small intestine caused by stricture, fistulas, or prior surgery. For this common problem, the doctor may prescribe one or more of the following antibiotics: ampicillin, sulfonamide, cephalosporin, tetracycline, or metronidazole.
Anti-Diarrheal and Fluid Replacements. Diarrhea and crampy abdominal pain are often relieved when the inflammation subsides, but additional medication may also be necessary. Several antidiarrheal agents could be used, including diphenoxylate, loperamide, and codeine. Patients who are dehydrated because of diarrhea will be treated with fluids and electrolytes.
The doctor may recommend nutritional supplements, especially for children whose growth has been slowed. Special high-calorie liquid formulas are sometimes used for this purpose. A small number of patients may need to be fed intravenously for a brief time through a small tube inserted into the vein of the arm. This procedure can help patients who need extra nutrition temporarily, those whose intestines need to rest, or those whose intestines cannot absorb enough nutrition from food. There are no known foods that cause Crohn’s disease. However, when people are suffering a flare in disease, foods such as bulky grains, hot spices, alcohol, and milk products may increase diarrhea and cramping.
Showing posts with label crohns disease and ulcerative colitis. Show all posts
Showing posts with label crohns disease and ulcerative colitis. Show all posts
Wednesday, March 24, 2010
Treatment for Crohn’s disease.
Treatment may include drugs, nutrition supplements, surgery, or a combination of these options. The goals of treatment are to control inflammation, correct nutritional deficiencies, and relieve symptoms like abdominal pain, diarrhea, and rectal bleeding. At this time, treatment can help control the disease by lowering the number of times a person experiences a recurrence, but there is no cure. Treatment for Crohn’s disease depends on the location and severity of disease, complications, and the person’s response to previous medical treatments when treated for recurring symptoms.
Some people have long periods of remission, sometimes years, when they are free of symptoms. However, the disease usually recurs at various times over a person’s lifetime. This changing pattern of the disease means one cannot always tell when a treatment has helped. Predicting when a remission may occur or when symptoms will return is not possible.
Someone with Crohn’s disease may need medical care for a long time, with regular doctor visits to monitor the condition.
Some people have long periods of remission, sometimes years, when they are free of symptoms. However, the disease usually recurs at various times over a person’s lifetime. This changing pattern of the disease means one cannot always tell when a treatment has helped. Predicting when a remission may occur or when symptoms will return is not possible.
Someone with Crohn’s disease may need medical care for a long time, with regular doctor visits to monitor the condition.
Stomach bloating and gas.
When we take food into our bodies everything must be broken down into nutrients and vitamins that can be used by our system. The process of digestion starts in our mouth as we chew and the saliva begins to break down the food. Next, it goes into the stomach where an acid is released that further breaks down the food.
This acid is essential to our digestive process and normally the levels of it are carefully controlled by mechanisms in the stomach and proximal intestine. Sometimes, these mechanisms do not work correctly and excess stomach acid is a result. This condition is known as either acidity or APD. There are many things that can result from excess stomach acid. These include, but are not limited to: Heartburn, acid reflux, dyspepsia (a feeling of indigestion or bloating), non-ulcer dyspepsia, duodenal ulcer, peptic ulcer or a gastric ulcer. Some of these medical conditions are much worse than others but all of them can really be inconvenient. Ulcers can be life threatening if they are let go for a long time.
There are several herbal and homeopathic solutions to excessive stomach acid. It is essential that you try to keep your stomach acid in check because the problem will only become worse with time. Mentha Piperita is part of the mint family and has been used for centuries to help calm peoples stomachs, cure heartburn and put a stop to indigestion. It is a calmative herb that helps the digestive tract muscles relax and it encourages a steady flow of bile and digestive juices.
Nat. Sulph is a homeopathic tissue salt that helps to keep the body fluids regulated. It is really helpful if you are having a problem with a bitter taste in your mouth after eating and putting a stop to nausea.
There are many habits that you can change to assist you in keeping your stomach acid levels in check. Certain foods are known to cause problems with acid production in the stomach including spicy, salty and foods that are high in acid (such as tomatoes). Make sure that you eat regular and healthy meals. Alcohol and cigarettes should be avoided in order to keep the stomach acid levels regulated and the esophagus healthy.
Stress is also a big cause of excess stomach acid. Try to develop coping mechanisms for the daily stress in your life. Relaxation techniques like Yoga or Meditation can be especially helpful. If you are a weight lifter then make sure that you are really careful because too much pressure on the abdominal area can lead to problems. Try to stick with lighter weights and more reps. Don't overdo it!
This acid is essential to our digestive process and normally the levels of it are carefully controlled by mechanisms in the stomach and proximal intestine. Sometimes, these mechanisms do not work correctly and excess stomach acid is a result. This condition is known as either acidity or APD. There are many things that can result from excess stomach acid. These include, but are not limited to: Heartburn, acid reflux, dyspepsia (a feeling of indigestion or bloating), non-ulcer dyspepsia, duodenal ulcer, peptic ulcer or a gastric ulcer. Some of these medical conditions are much worse than others but all of them can really be inconvenient. Ulcers can be life threatening if they are let go for a long time.
There are several herbal and homeopathic solutions to excessive stomach acid. It is essential that you try to keep your stomach acid in check because the problem will only become worse with time. Mentha Piperita is part of the mint family and has been used for centuries to help calm peoples stomachs, cure heartburn and put a stop to indigestion. It is a calmative herb that helps the digestive tract muscles relax and it encourages a steady flow of bile and digestive juices.
Nat. Sulph is a homeopathic tissue salt that helps to keep the body fluids regulated. It is really helpful if you are having a problem with a bitter taste in your mouth after eating and putting a stop to nausea.
There are many habits that you can change to assist you in keeping your stomach acid levels in check. Certain foods are known to cause problems with acid production in the stomach including spicy, salty and foods that are high in acid (such as tomatoes). Make sure that you eat regular and healthy meals. Alcohol and cigarettes should be avoided in order to keep the stomach acid levels regulated and the esophagus healthy.
Stress is also a big cause of excess stomach acid. Try to develop coping mechanisms for the daily stress in your life. Relaxation techniques like Yoga or Meditation can be especially helpful. If you are a weight lifter then make sure that you are really careful because too much pressure on the abdominal area can lead to problems. Try to stick with lighter weights and more reps. Don't overdo it!
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