Treatment Options for Ulcerative Colitis

Because I specialize in treating digestive disorders, ulcerative colitis (UC) is one of the most common conditions that I see in my practice.  UC is a form of inflammatory bowel disease, or IBD, leading to inflammation in the lining of the colon or rectum. Patients with UC may experience diarrhea, abdominal pain, and blood in the stool.

Every patient with UC is different, with unique treatment goals and needs.  Additionally, UC symptoms can range from mild to severely debilitating, depending on the patient.  Therefore, I prefer to use a patient-centered approach when treating UC. This means that I work with my patients to develop a comprehensive treatment plan that is tailored to each patient’s particular needs.

Medications are the mainstay of UC treatment, and are prescribed with the aim of controlling inflammation.  Once inflammation in the colon or rectum is under control, UC symptoms should decrease as well. There are six main categories of medications that may be used for this condition:

• Aminosalicylates, which are typically used to limit inflammation in mild to moderate UC.

• Corticosteroids, which can be used to get inflammation under control quickly.  However, corticosteroids work by suppressing the immune system and thus have the potential to cause serious side effects, so they should not be used long term.    

• Immunomodulators.  These are a long-term treatment option for UC, as they work to calm the immune system but may take 3–6 months to fully take effect.

• Biologics, which are targeted medications typically reserved for controlling inflammation in moderate to severe UC.

• Janus kinase inhibitors, which block a specific pathway in the body responsible for inflammation, and are typically reserved for moderate to severe UC.

• Antibiotics, which may be used to treat certain infections that are common in patients with UC.

In addition to medications, diet and stress management may be recommended to help get symptoms under control.  For example, some patients find that avoiding common trigger foods (such as gluten or dairy) or practicing yoga for stress can be helpful.  Sometimes, patients with severe disease may also require a surgery called a colectomy, in which all or part of the colon is removed.

Regardless of the specific approach that we choose, treatment for UC typically has three main goals: achieving remission (eliminating symptoms), maintaining remission (preventing symptoms from returning), and improving the patient’s quality of life.  

It’s important to keep in mind that treatment for UC may be a “trial and error” process, meaning that we may need to try a few different treatments before we find the right one.  Along with my staff, I’ll be here to guide you through this process. We’ll work together to find the very best treatment option for your unique needs.

Click below if you would like to schedule an appointment online to discuss your treatment options.

Hemorrhoid Self-Care Tips

Hemorrhoids are swollen and inflamed veins in the lower rectum and anus, which can cause pain, itching, and bleeding.  Fortunately, although hemorrhoids can be uncomfortable, there are some simple self-care strategies that you can use at home to manage these symptoms.  If this is your first time dealing with hemorrhoids, make sure that you schedule an appointment to get a proper diagnosis before using these strategies.

Increase Your Fiber Intake

Dietary modifications, including drinking more water and increasing fiber, are one of the easiest ways to manage hemorrhoids. Water and fiber both make stools softer and easier to pass, which reduces pressure and irritation on hemorrhoids.  Make sure that you drink at least 8 glasses of water per day. Foods that are good sources of dietary fiber include oats, whole grains, beans, and fruit. You can also try taking a fiber supplement with psyllium husk, such as Metamucil.

Practice Healthy Bathroom Habits

Modifying your bathroom habits can also make a big difference in preventing and managing hemorrhoid flare-ups.  Try to go to the restroom as soon as you have the urge, as waiting can worsen constipation and lead to hemorrhoids. You should also avoid straining when using the restroom, as well as sitting on the toilet for extended periods of time, for the same reason.

Try a Sitz Bath

A warm water soak is a good way to cleanse the area and relieve pain and inflammation related to hemorrhoids. A sitz bath is a small basin that fits over the toilet, which can make warm water soaks easier and more convenient. Sitz baths can be purchased at most pharmacies, and are typically used two to three times per day for 10 to 15 minutes.

Try an Over-the-Counter Remedy

There are a number of over-the-counter remedies that can be used for mild to moderate hemorrhoid symptoms.  These include witch hazel and medications like Preparation H, which contain an ingredient that can temporarily shrink hemorrhoids.  Keep in mind that these medications are not a cure for hemorrhoids, but can be used to manage symptoms for a period of time.

Know When to See Your Doctor

If you’ve tried these treatment strategies and are still dealing with hemorrhoid pain, bleeding, or other symptoms, it may be time to schedule an appointment.  There are many safe and effective procedures that can be done in-office to remove hemorrhoids, such as rubber band ligation (also known as “banding”). You can contact the office at 310-360-6807 to schedule an appointment, or if you have any questions about hemorrhoid treatment.  You can also book an appointment online by clicking below.

Questions to Ask at Your Next Check-Up

Your annual check-up is an important part of maintaining overall health and well-being.  Many patients, particularly those who are generally healthy, may see their primary care provider only once per year.  The annual check-up is your chance to have a face-to-face and get answers to those nagging health questions you’ve been wondering about all year.  To make sure that you’re getting the most out of your appointment, it makes sense to do a little preparation before the check-up. Here, a list of questions that I recommend asking at your next appointment.

Ask About Your Family History

If your family members have been diagnosed with certain conditions, such as breast cancer or diabetes, you may be more likely to be diagnosed with these as well.  Share your family history at your appointment, and ask how it might impact your personal health.

Ask About Any Unusual Symptoms You’ve Been Experiencing

Not every medical condition is apparent on a physical exam, so make sure to ask about anything unusual that you’ve been experiencing, such as fatigue, weight changes, or other symptoms.

Ask About Any Screening Tests or Treatments that are Recommended

As an equal partner in your own health, it’s important to understand why certain screening tests, medications, or other tests are being recommended for you.  Be sure to ask if there’s anything you’re wondering about or don’t understand.

Ask About Your Lifestyle

Many chronic diseases can be prevented with healthy lifestyle choices, such as eating well, not smoking, and getting enough exercise.  Be honest when sharing your lifestyle choices, so that your healthcare provider can properly evaluate your health risks and make appropriate recommendations for healthier options, if needed.

Ask About Your Medications

Some medications can have interactions when taken together, so it’s important to let your healthcare provider know about any and all medications you’re taking—including those prescribed by other doctors, as well as any supplements or other over-the-counter medications.  If there’s anything you’re not sure regarding your medications (dosing, side effects, whether you still need to be taking it), now is the time to ask.

Ask About Your Next Appointment

You may need to have a follow-up appointment before your next annual check-up, or you may need to schedule an appointment for additional testing or to see a specialist.  Make sure that you have a clear timeline before you leave the office.

Remember, communication is key when it comes to your health.  My office is a judgment-free zone, so don’t be afraid to speak up and ask if you have any questions.  That’s what I’m here for. You can call my office at 310-360-6807 to schedule your check-up. You can also book an appointment online by clicking below.