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Gastroenterology (Expert Forum)
ulcerative colitis
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
ulcerative colitis
by firstaid, Oct 20, 2006 12:00AM
My daughter 20yrs old has been suffering with ulerative colitis since Jan 2006. We have tried probiotic treatments, steriod, IV steroid and nothing is stoping the pain, blood and clots. Is surgery the only answer to help her? They have suggested chemo-therapy as off label use - we have a high lymphoma cancer rate in this family - we don't feel comfortable with this treatment. Would surgery be so bad? Is there any other form of treatment we should be trying? She is not excitted about losing her large intestine at the age of 20 - but this is no quality of life for her this way. She can't eat withoug pain and they must now bring her off the steriod therapy - she has been on it since July. Any suggestions? What should we ask our Dr before allowing the colonectomy. Thank you -
Doctor's Answer
by Kevin Pho, MD, Oct 21, 2006 12:00AM
, Oct 21, 2006 12:00AM
Normally, surgery is considered once medical management has failed. Once steroids and antibiotics have been tried, you are indeed moving into more chemotherapy-type medications like methotrexate and anti-tnf factor therapy.
Once the medical therapies have been exhausted, surgery can be considered. I would consider a second GI opinion to ensure that every medical option has been considered. If so, surgery can then be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Once the medical therapies have been exhausted, surgery can be considered. I would consider a second GI opinion to ensure that every medical option has been considered. If so, surgery can then be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments (1)
by kimbacat, Oct 20, 2006 12:00AM
check out www.ccfa.org for information on the disease and treatments.
