Which medicine is better for chronic colitis? Thank you

My journey from malignant enteritis** (from half-dead to healthy).

Chronic colitis is a common colon disease with symptoms including diarrhea, constipation, abdominal pain, bloating, etc. Drugs are one of the main methods of chronic colitis, and the following is a detailed introduction to the drug regimen for chronic colitis.

Immunosuppressants can suppress the abnormal response of the immune system, thereby reducing colitis symptoms. Commonly used immunosuppressants include azathioprine, banduri, cyclosporine, etc.

5-aminosalicylic acids can suppress inflammation and reduce colitis symptoms. Commonly used 5-aminosalicylic acid drugs include azathioprine, meloxicam, etc.

Biologics is a new type of chronic colitis drug, the main role of which is to regulate the function of the immune system and reduce the symptoms of colitis. Commonly used biologics include anti-tumor necrosis factor drugs, anti-interleukin drugs, etc.

Chronic ulcerative colitis.

1) Internal Medicine**.

The outcome of acute recurrence of ulcerative colitis depends primarily on the severity of the disease, manifesting as systemic symptoms, independent of the stage and extent of the disease, except for ulcerative proctitis.

Internal medicine** should include 4 areas: Bed rest and general support**: including fluid and electrolyte balance, especially potassium supplementation, which should be corrected in patients with hypokalemia.

At the same time, it is necessary to pay attention to protein supplementation, improve the nutritional status of the whole body, if necessary, give total parenteral nutritional support, patients with anemia can be given blood transfusion, and try to avoid milk and dairy products when ingesting the gastrointestinal tract.

sulfasalazine (SASP): Started with 4 oral doses, increase to 1 g later

4 times a day orally, after the effect is changed to 1 g

3 times d or.

4 times d. Metronidazole can be given at the same time.

3 times a day, 3 weeks later changed to metronidazole anal suppository.

2 times d anus, later changed.

1 day to the anus and continue to apply for 3 to 6 months.

Corticosteroids: Usual dose is prednisone 5 10 mg 3 times a day, 1 2 weeks later, the dose is reduced, 5 mg per week until the last 5 mg

1 time d or.

2 times d as the maintenance amount. or dexamethasone.

3 d, also decreasing to.

QD or BID, but long-term hormonal maintenance is not thought to prevent it**. Hydrocortisone 100 300mg or dexamethasone 10 30mg intravenous infusion can also be used in the acute rework period, and hydrocortisone 100mg is added to 60ml of normal saline every night for retention enema, the value of the use of hormones in the acute attack phase is certain, but there are still differences on whether hormones should be continued in the chronic phase, because it has a certain ***, so most do not advocate long-term use. ACTH may be used in addition to corticosteroids

20 40u intravenous drip.

Immunosuppressants: of questionable value in ulcerative colitis. According to Rosenberg et al., azathioprine does not control disease when the disease worsens, but it helps reduce corticosteroid use in chronic cases.

In addition to the above ** measures, anticholinergic esters or compound phenethidridine (antidiarrheal) can be given to cases with severe diarrhea and nocturnal diarrhea, but opioids such as codeine and compound camphor tincture are contraindicated because of the possibility of inducing acute colon dilation.