Treatment ideas and protocol options for ulcerative colitis

  Patient: Blood in the stool started in the first month of 2006, the condition stabilized a bit on hot days, every winter, there is an outbreak, more than 10 times a day with bloody stools, in December 2009 (the days when the weather became cold) another outbreak, now more than 10 times a day with bloody stools, diarrhea, blood dark red, bright red mixed, blood does not disperse, stools and water do not dissolve; abdominal pain, stomach pain. There is a small finding: pressure pain at the Shaoze point on the left little finger, the more painful the disease will become. Before the blood stool, the stool had been unformed, and there were times when I had the intention to defecate but could not, and the pain and distention were unbearable. On the 16th day of the first month of 2006, I drank wine for dinner, took a bath with cold water, and after washing, I had an urgent bowel movement and couldn’t pull out the stool but pulled blood. I was given an enema ofloxacin + demi for 20 days and ceftazidime + clindamycin injection for 20 days. Before the medication, there was no pain in the abdomen, but after the medication, the abdomen started to hurt a little. Later to the municipal hospital to see the outpatient clinic (anorectal department), the doctor said that the hemorrhoids did not do a good job, I asked whether to do fiberscopy, he said: “No, with the naked eye can still see the disease, still need to do fiberscopy?” At that time, I thought it was just hemorrhoids, so I didn’t do the treatment there.  In July 2006, the colonoscopy in a tertiary hospital in this province was ulcerative proctitis and post-sigmoid inflammation. The medication: salazosulfapyridine suppositories, pefixam, omeprazole and other drugs, no significant effect, take salazosulfapyridine tablets for a month, no significant effect, and side effects (head swelling, blindness).  In 2007, I used the solid intestinal tablet for six months, but it was useless after the cold weather outbreak.  Colonoscopy in March 2008: no abnormality in ileocecal region, no abnormality in ascending colon, transverse colon, descending colon, sigmoid colon, extensive mucosal congestion, edema and erosion, more purulent secretions. Examination conclusion: ulcerative colitis. Medication: a test drug recommended by the doctor for 2 months, and the examination was better than before. In March 2009, he was hospitalized in a provincial Chinese hospital for one month (no colonoscopy was done, the doctor said there was no need to do it), and the next day after he returned home, he had another outbreak, and then he used three things to prepare emergency pills for two days, and after half a month, his stool was bloodless for one day. In December 2009, I started to have an outbreak, and I used the Three Things Emergency Pill for 2 days, and after 3 days, a farmer’s wife said that she had an ancestral secret recipe (Yu Zhan Hua root, which I found out later) to stop the bleeding, and I took it for 8 days, and the bleeding stopped, but I still had diarrhea. Later on, he often defecated in his pants. Now I am using peach blossom soup (japonica rice, red stone resin, dried ginger), and today I started using hormones: Demi 20mg cimetidine. 1.I want to go to your place to see a doctor, but I am from Hunan, the road is far, and I may have a bowel movement at any time, what should I do? 2.It is close to the Chinese New Year, I don’t know when you will work after the Chinese New Year next year? 3, the above narrative is to let Dr. Chen has my love disease, I do not know whether it is useful, you can before I go to the first online first ask my condition? (Want to buy valuable time for future visits, huh?) Laboratory and examination results: ulcerative colitis.  The patient’s condition should be consistent with the diagnosis of ulcerative colitis, and due to irregular treatment, resulting in recurrence and aggravation of the disease, because the patient lives far away, can not often visit the doctor, and the course of the disease is very long, Chinese medicine needs to be adjusted in a timely manner, therefore, it is recommended that the main western medicine with Chinese medicine treatment is better, the current key issue is the standard treatment, the patient has started Therefore, patients must consider the following drugs to be taken after the hormone has taken effect, and generally take 5-aminosalicylic acid as the main drug. The main drugs are 5-aminosalicylic acid drugs, such as salazosulfapyridine tablets, which are cheaper and suitable for long-term use, the bad thing is that they have more side effects and liver and kidney damage; less side effects are mesalachin extended-release pellets, which many of our patients are eating and have good efficacy, but they are more expensive, about 1000 yuan a month. If you think it is too expensive, you should consider using immunosuppressants, such as azathioprine tablets, etc., but these drugs have more side effects, so patients must make a decision as soon as possible during this period and adhere to the medication treatment, which is the key to treatment, as for the problems that need to be noted and some other knowledge, you can search online, you can also look at some of the relevant other patients in this site to raise the issue, I hope it can If you need systematic treatment, you can come to our hospital for inpatient treatment, which may take 2 weeks to 3 weeks, mainly to help patients develop a treatment plan, the specific treatment needs to be done at home later on their own root into.