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问:我今年77岁,发现水肿性结肠炎已经37年,最近疼痛剧烈,一天大便三四次,感觉胃肠灼热。我试了中药,效果不太好,请问西医有什么好方法?哈尔滨医科大学附属第四医院消化内科副主任医师刘勇答:该患者可能是诊断为结肠炎合并肠黏膜水肿。但由于不明确他具体是哪种类型的结肠炎,所以初步给患者两点建议:一是口服泌特消化酶和培菲康,调理肠胃,从而缓解大便次数增多和胃肠灼热症状;二是做便常规检查和肠镜检查,观察肠黏膜变化,取活组织检查,确定病变范围,并根据结果进一步治疗。
Q: I am 77 years old and have found that edematous colitis has been 37 years. Recently the pain is severe. I feel stomachache 3-4 times a day. I tried Chinese medicine, the effect is not very good, may I ask what is a good Western medicine? Fourth Affiliated Hospital of Harbin Medical University, Department of Gastroenterology, deputy chief physician Liu Yong A: The patient may be diagnosed with colitis and intestinal mucosal edema. But because it is not clear what type of colitis he is specifically, so the initial recommendations to patients two points: First, oral secretion of Digestive enzymes and Peifu Kang, conditioning gastrointestinal, thereby alleviating the increased number of stool and gastrointestinal burning symptoms; the second is To do routine examination and colonoscopy, observation of intestinal mucosal changes, take biopsy to determine the extent of the lesion, and further treatment based on the results.