Chronic colon inflammation calls for long-term oral steroid | To Your Good Health

Dear Dr. Roach • I was diagnosed with collagenous colitis nearly three years ago. I was prescribed budesonide, which brought it under control. I have tried getting off the medication several times, but my condition returns within a week or so. One 3-mg capsule keeps it under control. I am concerned about long-term use. A recent test showed that I have elevated liver enzymes. My doctor does not feel there is a connection, but I am concerned. I am 84 years old, in excellent health, taking no meds other than a very low dose of a blood pressure medicine (labetalol). — M.T.

Answer • Collagenous colitis, a form of microscopic colitis, is a chronic inflammatory disease of the colon. The usual symptom is watery diarrhea, and it occurs most commonly in middle-aged women. The diagnosis is made by biopsy of the…

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