Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess ...
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Description

Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody diarrhea correlates w active UC > non-bloody diarrhea)
 • FCP, CRP, Colonoscopy
 • Rule-Out Infection, Cdiff
Mild Colitis
 • Optimize 5-ASA PO/PR
 • Add CAMs (curcumin, probiotic)/Dietary Tx
 • Evaluate for Alternative
 • Observation (FCP/CRP/Scope)
 • Steroid Course
 • ? Escalate Treatment
Mod/Severe Colitis
Escalate Treatment:
 • Steroid Course *
 • Maintenance options:
     - Thiopurines
     - Anti-TNF
     - Anti-lntegrin
     - Anti-IL12/lL23
     - JAK Inhibitor

Algorithm by Dr. Waseem Ahmed @Waseem_AhmedMD

#Ulcerative #Colitis #UC #Persistent #5ASA #Refractory #Treatment #Management #Algorithm
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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