When a UC patient is hospitalized, one or more rescue medications are tried to get his/her symptoms under control or manageable. They're usually high-dose IV given medications that work quickly (examples include IV steroids, Cyclosporine, or remicade). Once a rescue med works, he/she is stable and has healed enough, they're taken off of the IV, discharged and given pills to take home (pill-form prednisone and other medications). This is the majority of cases.
The goal is to heal, stabilize, and discharge with prescript
ion drugs that will continue healing under the care of a gasteroenterologist. For the majority of us, rescue meds work and we're discharged. Ocassionally the surgery is necessary.
If the UC patient cannot be stabilized with the available rescue medications then an emergence surgery, a colectomy-surgery that removes the large intestine, is performed. He/she leaves with an end-ileo and an appliance (colostomy bag). In several more surgeries one can have an internal j-pouch reservoir formed, the external appliance removed, and poop sitting down. Why is a surgery necessary when uc cannot be controlled? To avoid intestinal-perforations that lead to body-wide infections like a sepsis.
Moderator Ulcerative Colitis
John, 39, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaDoes the 5-second-rule apply to soup?
Post Edited (iPoop) : 1/9/2018 4:11:54 AM (GMT-7)