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  5. I was diagnosed with ulcerative colitis in June 2013 and am currently taking Vegaz OD Tablet three times daily along with calcium and folic acid. I had a flare-up last year that was treated with Budesonide CR and hydrocortisone enemas. The bleeding has now recurred. What should I do, and are there any additional risks?

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I was diagnosed with ulcerative colitis in June 2013 and am currently taking Vegaz OD Tablet three times daily along with calcium and folic acid. I had a flare-up last year that was treated with Budesonide CR and hydrocortisone enemas. The bleeding has now recurred. What should I do, and are there any additional risks?

Asked by Male, 40 ยท 3 months ago

Recurrent bleeding suggests a new flare-up of your ulcerative colitis, indicating that your current therapy with Vegaz OD Tablet (Mesalazine) may not be sufficient. You should contact your doctor or gastroenterologist promptly for an urgent evaluation and potential adjustment of your treatment, which may include a short course of corticosteroids similar to your previous flare. If left untreated, persistent inflammation can lead to anaemia, heavy blood loss, and an increased long-term risk of colorectal cancer.
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  1. Immediate Actions:a. Contact your gastroenterologist promptly to discuss the recurrence of bleeding.b. Continue your current medication regimen unless advised otherwise by your doctor.

  2. Potential Adjustments:a. Your doctor may consider adjusting your medication or adding a short course of corticosteroids.b. Discuss the possibility of additional treatments like immunosuppressants or biologics if flares are frequent.

  3. Monitoring and Risks:a. Monitor for signs of severe bleeding or anemia.b. Be aware of increased risks of complications such as colorectal cancer; regular screenings are essential.

  4. Lifestyle and Diet:a. Maintain a balanced diet and avoid known triggers.b. Ensure adequate hydration and consider stress management techniques.

Answered 3 months ago

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