O treatment gives ulcerative colitis aims to take the patient out of the crisis and keep him in remission. Pharmacological treatment is generally effective in controlling the disease.
For the classical form, sulphates and their derivatives. If these medicines do not show good results, they can be used corticoids, which act quickly and effectively, however, should be withdrawn after clinical improvement in the maintenance period. The prescription of antibiotics is fundamental in cases of toxic megacolon.
After the withdrawal of the crisis, maintenance treatment should be continuous for the rest of aminosalicylates oral and / or topical mesalamine in progressively smaller doses, until clinical signs of recurrence appear. At that time, the minimum dose was discovered for that patient.
One must also follow a rigid diet; rich in fibers in cases where there is constipation; poor in fresh fruits and vegetables, caffeine and non-absorbable carbohydrates in cases involving abdominal cramps and diarrhea, iron replacement for patients with relevant blood loss, and folic acid replacement when the patient is using sulfasalazine.
The surgical treatment is definitive but aggressive and indicated only for cases that do not respond to pharmacological treatment, toxic megacolon, intestinal perforation, uncontrollable hemorrhage, uncontrollable complications of drug treatment and confirmed high-grade dysplasia, dysplasia associated with mass lesion (DALM ) or cancer.
It is worth mentioning that always a doctor, preferably a gastroenterologist, in this case, should be consulted before starting any type of treatment on their own.
