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Ulcerative colitis treatment in south delhi
Endoscopic procedures with tissue biopsy are the only way to definitively diagnose ulcerative colitis. Other types of tests can help rule out complications or other forms of inflammatory bowel disease, such as Crohn's disease.
Ulcerative colitis treatment in south delhi
To help confirm a diagnosis of ulcerative colitis, you may have one or more of the following tests and procedures:
Ulcerative colitis treatment in south delhi
Lab tests
- Blood tests. Your doctor may suggest blood tests to check for anemia — a condition in which there aren't enough red blood cells to carry adequate oxygen to your tissues — or to check for signs of infection.
- Ulcerative colitis treatment in south delhi
- Stool studies. White blood cells or certain proteins in your stool can indicate ulcerative colitis. A stool sample can also help rule out other disorders, such as infections caused by bacteria, viruses and parasites.
- Ulcerative colitis treatment in south delhi
Endoscopic procedures
Ulcerative colitis treatment in south delhi
- Colonoscopy. This exam allows your doctor to view your entire colon using a thin, flexible, lighted tube with a camera on the end. During the procedure, your doctor can also take small samples of tissue (biopsy) for laboratory analysis. A tissue sample is necessary to make the diagnosis.
- Ulcerative colitis treatment in south delhi
- Flexible sigmoidoscopy. Your doctor uses a slender, flexible, lighted tube to examine the rectum and sigmoid colon — the lower end of your colon. If your colon is severely inflamed, your doctor may perform this test instead of a full colonoscopy.
- Ulcerative colitis treatment in south delhi
Imaging procedures
Ulcerative colitis treatment in south delhi
- X-ray. If you have severe symptoms, your doctor may use a standard X-ray of your abdominal area to rule out serious complications, such as a perforated colon.
- Ulcerative colitis treatment in south delhi
- CT scan. A CT scan of your abdomen or pelvis may be performed if your doctor suspects a complication from ulcerative colitis. A CT scan may also reveal how much of the colon is inflamed.
- Ulcerative colitis treatment in south delhi
- Computerized tomography (CT) enterography and magnetic resonance (MR) enterography. Your doctor may recommend one of these noninvasive tests if he or she wants to exclude any inflammation in the small intestine. These tests are more sensitive for finding inflammation in the bowel than are conventional imaging tests. MR enterography is a radiation-free alternative.
- Ulcerative colitis treatment in south delhi
Ulcerative colitis treatment usually involves either drug therapy or surgery.
Ulcerative colitis treatment in south delhi
Several categories of drugs may be effective in treating ulcerative colitis. The type you take will depend on the severity of your condition. The drugs that work well for some people may not work for others, so it may take time to find a medication that helps you.
Ulcerative colitis treatment in south delhi
In addition, because some drugs have serious side effects, you'll need to weigh the benefits and risks of any treatment.
Ulcerative colitis treatment in south delhi
Anti-inflammatory drugs
Ulcerative colitis treatment in south delhi
Anti-inflammatory drugs are often the first step in the treatment of ulcerative colitis and are appropriate for the majority of people with this condition. These drugs include:
Ulcerative colitis treatment in south delhi
- 5-aminosalicylates. Examples of this type of medication include sulfasalazine (Azulfidine), mesalamine (Asacol HD, Delzicol, others), balsalazide (Colazal) and olsalazine (Dipentum). Which one you take, and whether it is taken by mouth or as an enema or suppository, depends on the area of your colon that's affected.
- Ulcerative colitis treatment in south delhi
- Corticosteroids. These drugs, which include prednisone and budesonide, are generally reserved for moderate to severe ulcerative colitis that doesn't respond to other treatments. Due to the side effects, they are not usually given long term.
- Ulcerative colitis treatment in south delhi
Immune system suppressors
Ulcerative colitis treatment in south delhi
These drugs also reduce inflammation, but they do so by suppressing the immune system response that starts the process of inflammation. For some people, a combination of these drugs works better than one drug alone.
Ulcerative colitis treatment in south delhi
Immunosuppressant include:
Ulcerative colitis treatment in south delhi
- These are the most widely used immunosuppressants for the treatment of inflammatory bowel disease. Taking them requires that you follow up closely with your doctor and have your blood checked regularly to look for side effects, including effects on the liver and pancreas.
- Ulcerative colitis treatment in south delhi
- This drug is normally reserved for people who haven't responded well to other medications. Cyclosporine has the potential for serious side effects and is not for long-term use.
- Ulcerative colitis treatment in south delhi
- Ulcerative colitis treatment in south delhi
Biologics
This class of therapies targets proteins made by the immune system. Types of biologics used to treat ulcerative colitis include:
- Infliximab (Remicade), adalimumab (Humira) and golimumab (Simponi). These drugs, called tumor necrosis factor (TNF) inhibitors, or biologics, work by neutralizing a protein produced by your immune system. They are for people with severe ulcerative colitis who don't respond to or can't tolerate other treatments.
- Ulcerative colitis treatment in south delhi
- Vedolizumab (Entyvio). This medication is approved for treatment of ulcerative colitis for people who don't respond to or can't tolerate other treatments. It works by blocking inflammatory cells from getting to the site of inflammation.
- Ulcerative colitis treatment in south delhi
- Ustekinumab (Stelara). This medication is approved for treatment of ulcerative colitis for people who don't respond to or can't tolerate other treatments. It works by blocking a different protein that causes inflammation.
- Ulcerative colitis treatment in south delhi
- Ulcerative colitis treatment in south delhi