Patient: Description of the condition (time of onset, main symptoms, hospital visits, etc.): The patient is male, 26 years old, and previously healthy. This condition: Stool 2 to 3 times a day, the stool is formed but soft, with a small amount of mucus, but there is more bleeding (dripping down), and the blood is bright red, which has lasted for a month. Currently, treatment is carried out in Yantai City with Chinese Medicine. 1. In September 2010, the patient found a small amount of blood in his stool, and did not care. By November, the number of stools increased, and he had pus and blood in the stool, so he was hospitalized in Yantai Chinese Hospital (colonoscope before hospitalization showed ulcerative proctitis). During the hospitalization, he mainly used Kangfuxin liquid enema and external administration of Mesalazine granules. After 8 days, the stool frequency was stable, and he was discharged with only a small amount of blood. 2. In November, her condition recurred, and she was admitted to Yantai Yuhuangding Hospital at the end of December for hospitalization. He hung an anti-inflammatory bottle and used western medicine enema (Yunnan Baiyao, hormone, etc.). Because he couldn't tolerate it, he was transferred to Yantai Chinese Medicine Hospital 8 days later; In traditional Chinese medicine, we continued to use Kangfuxin Liquid to enema, plus Mesalazine Cream, and was discharged after 14 days of treatment; 3. After being discharged from the hospital, it was repeated several times. By taking Chinese medicine or using Mesalazine Cream, the control was fairly stable; However, until mid-July 11, the condition felt worse. Although the stool was formed, it was thin and soft, and bleeding increased, with bright red dripping. After anoscopy, there was still erosion and congestion at the end of the rectum, accompanied by hemorrhoid bleeding. Through the use of Mesalazine cream, external administration of special nevus tablets and traditional Chinese medicine for invigorating the spleen and dehumidification, the condition has improved. 1. Can you explain to me the reason for the recurrence of the disease (I have received two systematic hospitalizations )? 2. Can you give me some suggestions for my follow-up treatment? Looking forward to your reply, thank you very much
Chen Yan, Department of Gastroenterology, Guangdong Provincial Hospital of Traditional Chinese Medicine:
Ulcerative colitis itself is a chronic disease, and the reasons for recurrence may be as follows: 1. Failure to take the medication according to the course of treatment, and many patients reduce or stop the drug after their clinical symptoms improve. If the symptoms improve, it cannot be used to reduce or stop the disease. The standard of medicine generally requires improvement under colonoscopy, and even if it improves under colonoscopy, the problem of drug reduction should be considered after treatment according to the standard for more than 1 year; 2. Inadequate diet: You cannot eat seafood or eat for this disease. Milk and products, do not drink alcohol, otherwise it will be repeated; 3. Emotional effects: anxiety or tension will cause recurrence of the disease, 4. Poor rest: sleeping more than 12 o'clock or overwork will cause recurrence of symptoms.
As for the treatment plan, Chinese medicine should be carried out according to the patient's physique. In Western medicine, the current use of mesalazine is effective and can be continued. If it is a suppository, it will take at least three months, and then oral administration for one year.