The intestine can sometimes become uncomfortable for a long time, but there are so many diseases and symptoms that are very similar. How would you  know what kind of disease you are suffering from, and how to treat it? In this article, we would like to introduce a wide range of diagnosis and treatments available for inflammatory bowel diseases.

Diagnosis of inflammatory bowel disease

The doctor will perform a physical examination of the patient and ask about the family history as a reference for diagnosis. Here are some possible checks:

Excreta inspection

Bacterial and parasite analysis of feces and bacterial pathogens culture are carried out to assess the presence of clostridium difficile infection (CDI).
Detects the concentration of calcitonin in feces.
Blood test

Current article: Diagnosis and Treatment of Inflammatory Bowel Disease 

eChest upright and abdominal radiography

Double contrast colorectal photographic examination
Abdominal ultrasound scan
Computed tomography of abdomen and pelvis and MRI
Computed tomography of intestines
Endoscopy

Colonoscopy, and biopsy of damaged and lesion tissue
Soft sigmoidoscopy
Upper GI Endoscopy
Capsule endoscopy, or double airbag Esophagogastroduodenoscopy

Treatment and care of inflammatory bowel disease

There are several ways to treat inflammatory bowel disease, usually starting with medications, followed by surgery. The following are the methods of treatment for medications and surgery:

medication

Patients are advised to take medication to treat inflammation and prevent symptoms. It is important to note that some drugs that are effective for Crohn’s disease may not be effective for ulcerative colitis (UC) useful and vice versa. The steps of medication are as follows:

Aminosalicylates

Product name: Azathioprine
It is mainly used to treat the symptoms of relapse and relieve the condition. This drug treats ulcerative colitis and is more effective than the treatment of Clon’s disease.
Formulated with oral, enema, suppositories. Also, 5-Aminosalicylic acid related medication such as, Sulfasalazine, Mesalamine (Product name: Pentasa), Balsalazide (Product name: Balsalazide Disodium Dihydrate), and Olsalazine

Current article: Diagnosis and Treatment of Inflammatory Bowel Disease 

Antibiotic

In the treatment of ulcerative colitis, small amounts of antibiotics are used, but some side effects may occur. Antibiotic drugs that may be used including Metronidazole, Ciprofloxacin (Product name: Ciprogen F.C. Tablets), Rifampin, and Natalizumab (Product name: Tysabri)

Corticosteroids

In case of emergency relapse, the doctor uses Corticosteroids for intravenous, oral, topical, or rectal administration. Such drugs include Hydrocortisone, Prednisone, Methylprednisolone (Product name: Meticort), Prednisolone, Budesonide (Product name: Besonin), and Dexamethasone.

Immunomodulators

For stubborn diseases, the doctor will ask the patient to take immunomodulators and reduce the dose of steroids. This medicine is symptomatic relief in patients who cannot take or do not respond to the efficacy of aminucorate. Immunomodulators include Azathioprine, 6-mercaptopurine, Methotrexate, Cyclosporine (Product name: Neoral)

Other drugs used to treat symptoms of diarrhea or stomach spasm are

H2-receptor antagonists

Ranitidine, Famotidine, Cimetidine, Nizatidine (Product name: Tazac)

Proton pump inhibitor

Omeprazole (Product name: Omprotect), Rabeprazole sodium (Product name: Pariet), Pantoprazole (Product name: Pane), Lansoprazole (Product name: Takerpron), Esomeprazole magnesium (Product name: Apo-Esomeprazole)

Current article: Diagnosis and Treatment of Inflammatory Bowel Disease 

Anti-diarrhoea

Diphenoxylate, Atropine, Loperamide (Product name: Loperam), Cholestyramine

Antiparasthetic

Hyoscyamine, Dicyclomine (Product name: Tontyl)

Surgery

Surgery can cure ulcerative colitis by removing the entire colon and rectum. After the surgery, the doctor will put a storage bag between the end of the intestine and the anus to allow the patient to bowel normally. If the storage bag is not possible, the doctor opens a hole in the abdomen and fastens the intestinal tube to the skin of the abdomen so that the patient can use a special device to collect feces.

Most people with Clone’s disease need to undergo at least 1 surgery during treatment to remove damaged intestines and connect healthy tissues. However, even with surgery, Clon’s disease cannot be completely eliminated and relapse cannot be avoided. It can only alleviate existing symptoms.

Read: Knowledge on Medicines – Peptic Ulcers Medicines