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Does medication treat the disease or symptoms?

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Ulcerative Colitis
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mom_2 JnJ
Regular Member
Joined : Nov 2009
Posts : 146
Posted 11/29/2009 10:52 AM (GMT -7)
   I have looked all over for the answer to this.  I have read that most medications are treating the inflamation. This has me wondering if the medication treats the symptoms until everthing calms down on its own.
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jujub
Elite Member
Joined : Mar 2003
Posts : 10421
Posted 11/29/2009 10:57 AM (GMT -7)
Well, since the definition of IBD is inflammation, the 5-ASA's treat the inflammation - which is what causes you to be sick.

The biologics and immunosuppressants affect the immune system which is believed to be the cause of the inflammation.

So, whether you consider this treating the disease or the symptoms depends on how molecular you want to get, I guess.
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Former58D
Regular Member
Joined : May 2009
Posts : 173
Posted 11/29/2009 11:58 AM (GMT -7)
I say that until we know the cause, all we are doing is treating symptoms.
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quincy
Elite Member
Joined : May 2003
Posts : 32483
Posted 11/29/2009 2:09 PM (GMT -7)
hmmm, I would say that my colon has remained relatively "healthy" without further damage or progression because of the 5ASA meds. As well, 5ASA meds are thought to have protective qualities against colon cancer.

I also have UC-related liver disease....my thoughts are that by keeping my colon as quiet as possible, the liver disease will remain quiet as such. The liver disease, known as primary sclerosing cholangitis (PSC) is a fatal disease, once triggered into high gear, life expectancy lessens and the need of liver transplant is necessary. Of course, that's an area I choose not to venture mentally, because I'm not there at this point.

So, if one thinks it's not necessary to treat the inflammation symptoms, think again, because with a body's autoimmune system that responds so destructively, it's best to play nice with it. If the symptoms of the reaction kept quiet keeps the immune response to a minimum, how is that not treating the disease itself.

Treating doesn't mean curing....

quincy
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fruitgirl
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Joined : Feb 2009
Posts : 7150
Posted 11/29/2009 2:38 PM (GMT -7)
My take is that if you're just treating symptoms, you'd just take an antidiarrheal, which many people do rely on to some extent. Whether an antinflammatory treats the disease or the symptoms is a matter of intrepretation, I guess...I can argue it both ways! I suppose inflammation is a symptom, but it's not something that you can easily recognize. Diarrhea is a symptom of inflammation, and inflammation causes diarrhea. (oy, my head is spinning!)
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quincy
Elite Member
Joined : May 2003
Posts : 32483
Posted 11/29/2009 2:39 PM (GMT -7)
although one with IBS has no inflammation....so, one can have UC, no inflammation, and diarrhea or constipation.

Round and round and round in the circle game....lalalalalaaaaaaaaaaaa....

q
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fruitgirl
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Joined : Feb 2009
Posts : 7150
Posted 11/29/2009 2:44 PM (GMT -7)
Which came first, the chicken or the egg?
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quincy
Elite Member
Joined : May 2003
Posts : 32483
Posted 11/29/2009 2:46 PM (GMT -7)
hmm, depends on how the first was created....so, I'd say maybe the egg?

No, maybe the chicken was first with already fertilised eggs?

No, maybe there were two chickens in the garden of grain? each had their vents covered with clover...

OK, going to other threads now....

q
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jujub
Elite Member
Joined : Mar 2003
Posts : 10421
Posted 11/29/2009 2:52 PM (GMT -7)
The symptoms bother me. The disease, minus symptoms, doesn't.

If I wanted to treat the disease (cure it), I'd have surgery.
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calm-on-the-outside
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Joined : Aug 2009
Posts : 832
Posted 11/29/2009 3:23 PM (GMT -7)
And I know we could go round and round about this for hours...but I think that in our case we are treating the symptoms b/c obviously the meds are not going to cure the disease. The only 'cure' is to have the colon removed. I think that it is wise to keep inflammation to a minimum with meds, diet, whatever the heck works b/c inflammation in the body anywhere is generally not thought of as a good thing.
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love4cats
Regular Member
Joined : May 2007
Posts : 458
Posted 11/29/2009 3:31 PM (GMT -7)
You are treating the symptoms, if you were treating the disease, it would go away as anitbiotics does for bacterial infections.
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mom_2 JnJ
Regular Member
Joined : Nov 2009
Posts : 146
Posted 11/29/2009 3:36 PM (GMT -7)
 Are doctors reluctant to do the surgery? If so why? I had my gulbladder taken out when it caused trouble. THere are many people who have things removed due to disease or injury. Getting a life threatening liver disease sounds scary. Does removing the colon stop the other symptoms that occur outside of the colon as well?
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quincy
Elite Member
Joined : May 2003
Posts : 32483
Posted 11/29/2009 5:30 PM (GMT -7)
no, colon removal doesn't stop the progression of UC-related liver disease if it's in one's predisposition. Remember that those with PSC are a very low percentage within those with UC.
Doesn't mean you'll have it.

Doctors aren't reluctant to remove colons, it would depend on one's personal life situation and the inconvenience of the disease. If I asked to have my colon removed at this point in time, the doc would smile and say "you're not at that point yet". If I had precancer or cancer cells, he'd say "you colon is coming out"....


quincy
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subdued
Veteran Member
Joined : Dec 2008
Posts : 3231
Posted 11/29/2009 6:35 PM (GMT -7)
Fecal transplantation and probiotics treat the disease. Turmeric treats the symptoms.
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mom_2 JnJ
Regular Member
Joined : Nov 2009
Posts : 146
Posted 11/29/2009 6:57 PM (GMT -7)
 I take probiodics and fish oil.  I am worried about what I can take since the 5 asa's work well for me in some ways but in others make's me feel worse.
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