By Andrew S. Warner
Even if You’Re A Newly clinically determined sufferer, Or a chum Or Relative of somebody soreness With Crohns illness Or Ulcerative Colitis, This booklet bargains aid. thoroughly Revised And up to date, a hundred Questions & solutions approximately Crohns ailment And Ulcerative Colitis: A Lahey sanatorium advisor, moment variation presents Authoritative, functional solutions To universal questions about This to aid sufferers And households in achieving a better knowing Of All points Of facing Crohns illness together with healing procedures, assets Of aid, and masses extra. This ebook is a useful source For someone dealing with The actual And Emotional Turmoil Of This affliction.
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Extra resources for 100 Questions & Answers About Crohns Disease And Ulcerative Colitis: A Lahey Clinic Guide
Steroid and mesalamine suppositories are used for individuals with proctitis (rectal inflammation). Steroid foam preparation is also used for proctitis, as well as proctosigmoiditis (inflammation of the rectum and lower sigmoid colon). Steroid and mesalamine enemas are used for left-sided colitis. All four preparations can be used either alone or in combination with oral medication. Topical therapy A type of therapy that is applied directly to tissue; commonly used in inflammation of the rectum and left colon.
Medications Prednisone is usually started at 40 to 60 mg daily, either as a single dose in the morning or in divided doses (taken after breakfast and after dinner, for example). It usually starts working within 1 to 2 weeks. Prednisone has clearly been demonstrated to be effective for induction of remission, but it has not been shown to be beneficial in maintenance of remission. In other words, prednisone is good at treating the acute symptoms of active Crohn’s disease and ulcerative colitis, but it is not helpful as long-term therapy.
In addition to being sulfa-free, these drugs are also designed to target different sites of the gastrointestinal tract (see Table 4). Like sulfasalazine, olsalazine (Dipentum) and balsalazide (Colazal) are aminosalicylates that require colonic bacteria for activation and, therefore, target the colon. They have limited effectiveness in the small bowel. Mesalamine (Asacol) and mesalamine CR (Pentasa), on the other hand, are aminosalicylates that target the small bowel as well as the colon. QXP 8/31/09 5:39 PM Page 46 100 Q&A ABOUT CROHN’S DISEASE AND ULCERATIVE COLITIS: A LAHEY CLINIC GUIDE (Pentasa) is released throughout the small intestine.