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Treatments for Microscopic collagenous colitis

Treatment List for Microscopic collagenous colitis

The list of treatments mentioned in various sources for Microscopic collagenous colitis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Anti-diarrhea agents such as Imodium or Lomotil
  • Bismuth subsalicylate such as Pepto-Bismol
  • 5-ASA
  • Avoid NSAIDs
  • Observation - symptoms may resolve spontaneously
  • Dietary manipulation - avoidance of trigger foods such as caffeine. Dietary supplementation if nutritional deficiencies occur
  • Probiotics
  • Cessation and avoidance of drugs that may aggravate the condition such as NSAID's
  • Medication
    • Antidiarrhoeals - loperamide, Lomotil
    • Bismuth subsalicylate
    • Corticosteroids - Long term treatment with these agents should be avoided
    • Azothioprine, mercaptopurine, and methotrexate - used in refractory cases
  • Surgical management - seldom indicated

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