How many years can you live with colitis?

Nowadays, there are more and more patients with colitis. Most people have a slow onset of the disease, while a few have acute onset. The main symptoms are diarrhea, abdominal distension, abdominal pain, fatigue, and insomnia. People do not pay much attention to this situation, but as long as they pay attention to cooperation, appropriate treatment, and reasonable medication, the patient's life expectancy can be the same as that of a normal person.

Best treatment for colitis

1. Appropriately replenish fluids and electrolytes, and supplement vitamin B and calcium. Take iron supplements and folic acid to treat anemia. Patients with severe illness, frequent diarrhea, and severe malnutrition can be given a period of gastrointestinal elemental diet or parenteral nutrition.

2. Anti-infective drugs: Salicyloylsulfapyridine is effective in treating various types of colitis and preventing complications. Some cause nausea, vomiting, headache, rash, granulocytopenia, anemia and poor liver function. If it is ineffective or has adverse reactions, metronidazole can be used instead. Neomycin and phthalidazole are also effective.

3. Hormone therapy: Adrenal cortical hormones, hydrocortisone and prednisone can improve the general condition, alleviate the course of the disease, reduce the number of bowel movements, alleviate recurrent symptoms and increase appetite. However, the effect is not good for some patients, and it may cause ulcer perforation, bleeding and slow healing. It is now believed that the scope of application is small. It can significantly alleviate symptoms and improve the condition of patients with acute outbreaks or severe early attacks. However, the effect is not satisfactory for long-term recurrent attacks. The corticotropin unit is dissolved in glucose solution and dripped intravenously. After the symptoms improve, it is switched to intramuscular injection. Hydrocortisone can be given intravenously, and the dosage can be gradually reduced after symptoms are relieved. Corticosteroids are better than cortisone in relieving symptoms, but are not as effective as cortisone in maintaining relief. This treatment should not be continued for more than 2 weeks if there is no improvement in symptoms.

4. Immunosuppressants: Azathioprine, once a day, can change the course of the disease and suppress clinical manifestations, but cannot change the underlying disease. It is often used in the dormant phase to reduce recurrences, but it may also cause poisoning, so caution should be exercised. 6-Mercaptopurine (6-MP) combined with hormones can alleviate symptoms.

5. Antidiarrheal drugs: They can reduce the frequency of defecation and relieve abdominal pain. Commonly used drugs include compound phenethylpiperidone, codeine and compound camphor tincture. Antidiarrheal drugs may cause toxic megacolon in acute ulcerative colitis and should be used with caution. Sedatives and antispasmodics may also be given.

6. Retention enema: commonly used for rectal and sigmoiditis, it can relieve symptoms and promote ulcer healing.