It is basic medical information of Crohn's disease and Ulcerative colitis.
With the internal therapy of Ulcerative colitis !
How is Ulcerative colitis checked?
Ulcerative colitis is noted a mucous and bloody stool or feces with much
mucosa.There seem to be many patients who a period of degree to include
a mucous and bloody stool at the past continued. When there are mucous
and bloody stools, it is thought with the activity period.
Disease diagnosis is required endoscopy and biopsy. Enema cystography examination
is useful about making certain of the activity period, however, attention
is necessary because it can deteriorate disease activity.
Examination
a) Endoscopy diagnosis
Presentations peculiar to it of Ulcerative colitis open in all laps including
a rectum bottom end, and continuity is inflammation to be seen. Strong
finding of inflammation is almost evenness. On the other hand, Crohn's
disease has skipping lesions. As for the findings of other Ulcerative colitis,
there is the appearance that gets impossible to see a blood vessel. Surface
findings of a mucous membrane can be seen as having been rough. Doctor
does the biopsy and excludes the possibility from Crohn's disease.
The mucosa image which withered is found in the healing period of Ulcerative
colitis macroscopically. When there was a deep ulcer, hyperplasia and
a hyper extension image of mucosa can be noted. The appearance that vein
is transparent differs from normal, and contrast of vein is emphasized.
b) X-ray diagnosis
The Fluororoentgenography method is suitable for a stenosis example in
particular as a method to examine the whole large intestine.
It doesn't seem to do the enema fluororoentgenography method in the time
when the activity of Ulcerative colitis is high.
It is necessary when it adds steroid 20mg while being careful with the accumulation steroid cumulative dose, and injecting it. *1
c.Differential diagnosis
You must remove following disease,
Infectious disease enterocolitis (dysentery with hemorrhage in particular),
Amoeba dysentery, Radioactive enterocolitis, Schistosomiasis japonica,
Intestinal tract Beh'et syndrom, Radioactivity enterocolitis, Colitis ischaemic,
Campylobacteriosis enterocolitis, Crohn's disease.
2. Pharmacotherapy
3. Pharmacotherapy by degree of symptom
4. Positioning of leukocytapheresis and nutritional therapy