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First line treatment for collagenous colitis is the use of budesonide, a steroid that works locally in the colon and is highly cleared by first pass effect. Other medications that can be used include the following: [1] [6] Bismuth agents, including Pepto-Bismol; 5-aminosalicylic acid; Immunosuppressants, including azathioprine; Infliximab
The following corticosteroids are used as immune system suppressants in treatment of ulcerative colitis: Cortisone; Prednisone; Hydrocortisone; Methylprednisolone; Budesonide, also known as Entocort, available for oral use or as an enema. Budesonide is metabolized faster than traditional steroids and appears to produce fewer systemic side effects.
The extent of colitis is also graded based on severity, from 1 to 5. Grade 1 colitis does not result in any symptoms, while grade 2 colitis leads to abdominal pain, mucous and blood in the stools. Grade 3 colitis is defined by severe pain, peritoneal signs and ileus. Grade 4 colitis is defined by life-threatening consequences, including ...
The goal of treatment is toward achieving remission, after which the patient is usually switched to a lighter drug with fewer potential side effects. Every so often, an acute resurgence of the original symptoms may appear; this is known as a "flare-up". Depending on the circumstances, it may go away on its own or require medication.
Mirikizumab, a drug currently approved by the Food and Drug Administration (FDA) for the treatment of ulcerative colitis, also sends Crohn's disease into clinical remission, new findings suggest.
The previous treatment options had many shortcomings, and the introduction of biological therapy changed the way physicians treat Crohn's disease and ulcerative colitis. [ 5 ] [ 6 ] Even so, biologic therapy still has its faults such as high cost and risk of side effects.
Budesonide assists in the induction of remission in people with active ulcerative colitis. [27] Budesonide is highly effective and recommended as the drug of choice in microscopic colitis, for induction and maintenance of remission, and for both the lymphocytic colitis and collagenous colitis forms. [28] [29]
The prognosis for lymphocytic colitis and collagenous colitis is good, and both conditions are considered to be benign. [10] The majority of people afflicted with the conditions recover from their diarrhea, and their histological abnormalities resolve, [5] although relapses commonly occur if maintenance treatment is not continued. [1] [2]
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