Treatment of ulcerative colitis

The method of treatment depends on how sharply or not the illness. Most patients enough medication. In severe bleeding, infection, serious complications may require surgery. For patients with ulcerative colitis is also a very important psychological support.

Medicines that are used for ulcerative colitis are divided into two groups: anti-inflammatory drugs and immunomodulators.

In milder forms of colitis are commonly used anti-inflammatory drugs such as sulfasalazine. Sometimes it is recommended to take in combination with other medicines.

If the symptoms of the patient are expressed more strongly doctor may prescribe corticosteroids. They effectively reduce inflammation, but they are not used for maintenance of remission. Corticosteroids may be side effects such as acne, weight gain, hair growth on the face, high blood pressure, mood swings and increased risk of infection. Your doctor should carefully monitor the condition of patients taking these drugs. Their intake should be stopped as soon as possible.

If and corticosteroids do not help, you may need more aggressive treatment, such as receiving immunomodulators Immunomodulators: a contract with the protective forces of the body   or surgery. Do immunomodulators also have strong side effects, so they should not be discharged without a justifiable need.

Furthermore, in the treatment of ulcerative colitis may be helpful:

• Nicotine. It is administered intravenously or via enema (while in the form of the experiment) to alleviate symptoms. However, it is not necessary for it to start smoking or using nicotine patches to quit smoking.
• Heparin - an anticoagulant, which can also help in this disease, but its effect is only being investigated.

Many patients with ulcerative colitis in remission after the aggravation occurs; it may take several years. During this period, only requires taking drugs to maintain remission.

Complications

One of the most dangerous complications of ulcerative colitis is the rupture of the colon. This requires immediate surgical intervention. Fortunately, this happens very rarely.

Inflammation can be transmitted to other human organs, including the liver and the eye.

Patients with ulcerative colitis risk of developing colon cancer Colon cancer: creeps imperceptibly   higher than the average and it is increased the more, the longer the disease. It should be noted that a completely cure ulcerative colitis impossible.

Self-care at home

For mild diarrhea it is useful to give up eating for 24 hours and all the time to drink plenty of fluids, especially water. The next day you can start eating bananas Bananas: the benefits and harms health , Rice, apples and whole wheat bread; gradually move to regular food. Within a few days is better to avoid fatty foods and dairy.

Try to eat as little as possible of alcohol, caffeine and carbonated drinks. Spicy seasonings and foods rich in fiber can also make diarrhea worse. Eat a balanced way; it is desirable to have 4-5 times a day in small portions.

What else you need to know

If a person was treated for a long time steroids, it is better to avoid intense exercise. You no longer fit swimming or cycling.

Diarrhea is difficult to find in public places, especially traveling. If you go on a trip, find out in advance where the public toilets. As a rule, they also have in cafes and restaurants.

If you are in an aircraft, and the toilet, as it is often busy, tell us about your problem stewards. They allow you to use, for example, the toilet is first class. You can also wear adult diapers or female, large pads Feminine pads - talk about wings . Also, always carry spare underwear.

Do not eat unfamiliar food, if you are not at home. Even if your friends are trying to turn around you may be prolonged diarrhea that in a public place is particularly unpleasant.

The main symptoms of toxic hepatitis

Toxic hepatitis can occur acutely and chronically. Acute toxic hepatitis begins a few days after the penetration of hepatotoxic poison the body with a sharp rise in temperature, lethargy, weakness, headache, pains in muscles and joints. Sometimes impaired consciousness, hallucinations arise, as some poisons have toxic effects on the central nervous system.

After some time, these symptoms are joined sharp pain in the right upper quadrant, nausea, vomiting, bloating, a complete lack of appetite, unstable stool, dry mouth. Icteric staining of the skin and the sclera is usually rising character, urine becomes dark and discolored feces. On the skin appear petechial hemorrhages develop nosebleeds, bleeding gums How to prevent bleeding gums: important rules   and so on.

The disease ends with a period of recovery with a gradual withdrawal of all symptoms. Severe toxic liver damage may be the outcome in the form of cirrhosis. Mild acute toxic hepatitis can occur unnoticed and are found by chance at the time of analyzes.

Chronic toxic hepatitis Hepatitis - the scourge of our time   It begins gradually and imperceptibly for the patient. Can bother fatigue, decreased performance, moderate pain or heaviness in the right upper quadrant Heaviness in the right upper quadrant - require examination , Amplifying postprandial small body temperature. After a considerable period of time joined nausea, vomiting, decreased appetite, unpleasant sensations in the mouth, bloating, diarrhea and constipation. The appearance of jaundice staining of the skin accompanied by pruritus. Chronic toxic hepatitis can occur unnoticed for a long time.

Diagnosis of toxic hepatitis

To make a diagnosis of toxic hepatitis, you must first eliminate the viral origin of the disease, so patients donating blood for the presence of hepatitis viruses and antibodies to them.

But the main criterion is the presence of toxic hepatitis of toxic factors in conjunction with changes in the biochemical analysis of blood. The first sign of quietly flowing toxic hepatitis is an increase in the content of liver enzymes in the blood (ALT, AST, alkaline phosphatase - & m and glutamyl - GGT). These enzymes are released into the blood from the damaged hepatocytes.

For all types of toxic hepatitis is characterized Dysproteinemia - a violation of the ratio of the blood protein fractions: albumin decreases and increases gammaglobulins. And the increase in the blood levels of triglycerides - the major blood lipids is more typical for alcoholic toxic hepatitis.

To identify the foci of inflammation, necrosis, establishing the degree of proliferation of connective tissue in the liver examined histologically liver tissue taken by biopsy (puncture a special needle under ultrasound). Today, tests are available, substitute histological examination of liver tissue to assess the degree of liver damage and the activity of the inflammatory process with the help of specific biomarkers of venous blood.

How to treat chronic hepatitis

After establishing a definitive diagnosis of the patient with acute toxic hepatitis prescribed bed rest, and in chronic recommended to exclude physical activities, stress. Any contact with the substance cause toxic changes in the liver, should be completely eliminated.

Diet toxic hepatitis depends on the course of the disease. In acute exacerbation of hepatitis B and chronic hepatitis in the first 1-2 days the patient can fast, but drink plenty of fluids. Then the table is assigned to 5 A - gentle, but with limited nutrition refractory animal fats and salt, and excluding from the diet of vegetables with a high content of essential oils (onions, garlic, radishes Benefits and harms of radish: what you need to know about this vegetable   and so on), as well as hot spices, sausages, fried foods. All food is cooked or steamed and then rubbed. Eating - 5-6 times a day in small portions.

In chronic hepatitis is worsening the food is not wiped, but preparing as well as in the diet of 5 A.

Drug treatment of toxic hepatitis include detoxication therapy (intravenous drip of medicinal solutions, contributing to the removal of toxins from the body), the appointment of adsorbents (removal of toxins from the intestines), drugs with hepatoprotective (maintain and restore the work of hepatocytes) action - Essentiale forte, Essliver Fort , Kars, ademetionine (geptrala, Geptor) and so on. In severe disease is sometimes performed a liver transplant.

It is important to timely detect toxic hepatitis, eliminate toxins act on the liver and proper treatment. If you do not, the complications can not be avoided.

Galina Romanenko