near the ileo-cecal junction. What should be the management?
a. Sulfasalazine
b. Paracetamol
c. Ibuprofen
d. Metronidazole
The
best choice from the options given would be A, but it is not the best
choice for Crohns in general, here is a summary of the management based
on NICE recommendations:
1) Induce remission > steriod, if steroid contraindicated/unwanted> ASA(much less effective) +/- azathioprine or mercaptopurine or methotrexate. If refractory> biologics. 2) Maintaining remission: (1st-line) azathiprone or mercaptopurine, (2nd-line) methotrexate Antibiotics: add metronidazole or ciprofloxacin for peri-anal disease (limited efficacy) Anti-diarrheals: must be avoided during exacerbations as increase risk of toxic megacolon |
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