Talk to Gynecologist on Ulcerative Colitis
Asking for Wife, Female, 28 years old, Khuzdar
Mere wife 2016 se Ulcerative colitis ka patient hai 2020 tak normal tha ab 4 month se tabiyat kharab hai bleeding zyada ho rahi hai or medicine kam b nahi kar rahe hai.
Dr. Sania Khan - Gynecologist
MBBS, FCPS Gynaecology & Obstetrics | Lahore
You need to Consult gastroenterologist,
Asst. Prof. Dr. Hina Akhtar - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology), MRCOG (UK) | Lahore
33 Positive Reviews
Get her ultrasound why she has bleeding
consult gastroenterologist
peroids ma bleeding zyada ha tou gynaecologist sa millan aur mushwara lan
agur stool ma bleeding ha tou gastroenterologist sa check kurwayan
peroids ma bleeding zyada ha tou gynaecologist sa millan aur mushwara lan
agur stool ma bleeding ha tou gastroenterologist sa check kurwayan
I'm sorry to hear about your wife's condition. Managing ulcerative colitis (UC) can be challenging, especially during flare-ups. Here are some considerations and recommendations that might help in managing her condition:
### Clinical Assessment
1. Symptom Evaluation: Given the increased bleeding and worsening symptoms, it's crucial to assess the severity of the current flare-up. This includes evaluating the frequency of bowel movements, the presence of blood, and any associated symptoms like abdominal pain or weight loss.
2. Potential Triggers: Consider any recent changes in diet, stress levels, or medication adherence that might have contributed to the flare-up.
### Medical Management
1. Medication Review: Ensure that she is on an appropriate treatment regimen. Common medications include:
- 5-ASA Compounds: Such as mesalamine, which can be administered orally or rectally.
- Corticosteroids: For acute flare-ups, oral or rectal steroids may be necessary.
- Immunomodulators/Biologics: If she is not responding to standard treatment, medications like infliximab or adalimumab might be considered.
2. Consultation with a Gastroenterologist: It's essential to consult with a specialist who can adjust her treatment plan based on the current severity of her symptoms and possibly conduct further investigations.
### Investigations
1. Colonoscopy: May be necessary to assess the extent of inflammation and rule out complications such as strictures or dysplasia.
2. Blood Tests: To check for anemia, inflammation markers (CRP, ESR), and nutritional deficiencies.
3. Stool Tests: To rule out infections that can mimic or exacerbate UC symptoms.
### Lifestyle and Dietary Considerations
1. Dietary Adjustments: While no specific diet is proven to cure UC, some patients find relief by avoiding certain foods. A low-residue diet might help reduce symptoms during flare-ups.
2. Nutritional Support: Ensure adequate nutrition, possibly with the help of supplements, especially if there is significant weight loss or malnutrition.
3. Stress Management: Stress can exacerbate symptoms, so incorporating stress-reduction techniques like meditation or yoga might be beneficial.
### Monitoring and Follow-Up
1. Regular Monitoring: Frequent follow-ups to monitor her response to treatment and adjust medications as needed.
2. Emergency Signs: Be aware of signs that require immediate medical attention, such as severe abdominal pain, persistent vomiting, or signs of dehydration.
### Long-term Considerations
1. Surveillance for Complications: Long-standing UC increases the risk of colorectal cancer, so regular surveillance colonoscopies are recommended.
2. Family Planning: If considering pregnancy, discuss with her healthcare provider to ensure her UC is well-controlled and to adjust medications that are safe during pregnancy.
Encourage her to maintain open communication with her healthcare provider to manage her condition effectively. Each patient's experience with UC is unique, and treatment plans should be tailored to her specific needs and circumstances.
ok
kon si medicine par hain
kab say leti hain
kya regular letin ya nahin
ye batain
ya dose change krni hogi ya phir medicine
tab mesacol 800mg tds
ulcerative colitis ka permanent treatment homeopathic medicine hy jis se dobara problem nai ho gi pareshan na hon detail bat kr lain kindly book appointment with me
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