What was the treatment for your lymphocytic colitis?
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What is the treatment for microscopic colitis?
The treatment of microscopic colitis has not been standardized because there
have not been adequate large scale,
prospective, placebo controlled treatment
trials. The following strategies are safe and may relieve diarrhea in some
Avoid nonsteroidal anti-inflammatory drugs (NSAIDs)
and the other drugs mentioned under causes of microscopic colitis.
Trial of lactose elimination (just to eliminate the
possibility that intolerance to lactose
in milk is aggravating the
Antidiarrhea agents such as
loperamide (Imodium) or
diphenoxylate and atropine (Lomotil)
5-ASA (mesalamine) compounds such as Asacol, Pentasa, or Colazal
Controlled trials showed that budesonide
(Entocort, a poorly absorbed steroid) is effective in controlling diarrhea in
more than 75% of the patients with collagenous colitis, but the diarrhea tends
to recur soon after
Though data supporting their use is lacking, some doctors may use
medications that potently suppress the immune system such as azathioprine
(Imuran, Azasan) and 6-mercaptopurine
in patients with severe microscopic colitis that is unresponsive to other