The treatment of ulcerative colitis is dependent on how severe the condition is and how often you encounter the symptoms. The main goal of the treatment are to:
1. Maintain remission
2. Decrease the symptoms.
This will usually include taking different types of medication, in spite of the fact that surgery may sometimes be an alternative.
Your treatment will ordinarily be given by a scope of health care experts, including specialist doctors, (for example, gastroenterologists or surgeons), GPs and specialist nurses.
Your care will regularly be co-ordinated by your nurse and your care team, and they will usually be your primary purpose of contact if you need assistance and guidance.
Aminosalicylates (ASAs), for example, sulphasalazine or mesalazine, are meds that help to lessen irritation. They are generally the main treatment choice for moderate ulcerative colitis.
The ASAs can be utilized as a short term medication to treat flare-ups. They can likewise be utilized in long term basis, generally for the rest of your life, to keep up remission.
ASAs can be taken:
a. Orally by swallowing a tablet or capsule
b. As a suppository a capsule that you insert into your rectum (bottom), where it then disintegrates
c. Through a enema where liquid is pumped into your large intestine.
How you take ASAs will rely upon the seriousness and degree of your condition.
The symptoms of ASAs can include migraines, diarrhoea, feeling sick, abdominal (tummy) pain and a rash.
Corticosteroids, for example, prednisolone, are a more powerful medication used to decrease aggravation. They can be utilized with or instead of ASAs to treat a flare up if ASAs alone are not effective.
Like ASAs, steroids can be administered orally, or through a suppository or enema.
On the other hand, unlike ASAs, corticosteroids are not utilized as a long term treatment to maintain remission on the grounds that they can bring about serious side effects, for example, osteoporosis (debilitating of the bones) and cataracts (cloudy patches in the eye's lens) when utilized for quite a while.
Reactions of short term steroid utilization can incorporate skin inflammation, increased appetite, mood changes, (for example, turning out to be more irritable) and emotional episodes.
Immunosuppressants, for example, tacrolimus and azathioprine, are meds that diminish the immune system. They are typically given as tablets to treat moderate flare-ups, or maintain remission if your symptoms haven't reacted to different medication.
Immunosuppressants can be exceptionally compelling in treating ulcerative colitis, however they frequently take a while to begin working (somewhere around two and three months).
The pharmaceuticals can make you more vulnarable to disease, so it is essential to report any indications of infection, for example, fever or ailment, promptly to your GP.
They can also lower the production of red blood cells, making you prone to iron deficiency. You will require regular blood tests to ensue that your blood cells levels and to check for any other problems.
Treating Severe Flare Ups
While gentle or modest flare-ups can usualyy be dealt with at your home, more extreme flare-ups ought to be handeled in hospital to minimize the danger of mulnutrition, dehydration and possibly deadly complexities, for example, your colon rupturing.
In hospital, you will be given medications and liquids intravenously (straightforwardly into a vein). The drug you have will normally be a kind of corticosteroid or an immunosuppressant prescription called ciclosporin.