Q: I have ulcerative colitis and am using Canasa but have been having flareups lately (urgency, mucus, some blood). Could running be a cause? What should I do if I feel a flare coming on? Is there anything to prevent a long-standing remission without steroids? Susan M., Southgate
A: Running should not cause a flare; it usually helps with inflammatory bowel disease (ulcerative colitis). If you are having a flare, see your doctor to make sure it is not an acute bacterial infection in the stool (such as C. difficile or more commonly called, C. diff.). Other oral medications may be taken before steroids are used. Unhealthy eating habits can cause a flare, so eat a balanced, nutritious diet.
Q: I think I may have gallstones. Are there any medications or supplements I can try to avoid surgery? Gene D., Taylor
A: Typically if there are gallstones and you have symptoms, the gallbladder should come out. In very few instances, where stones are small, some medications can help make them smaller, but it is not guaranteed. If you are having sudden and rapidly intensifying pain in your upper right or center abdomen just below the breastbone, back pain between your shoulders or in your right shoulder, you may have a gallstone lodged in a duct causing a blockage.
Q: I’ve had polyps removed during colonoscopies I’ve had in the past. Until what age do I continue screenings? I’m 75 now. Edward T., Westland
A: Our gastroenterology professional societies typically recommend ceasing colorectal cancer screenings around 75 to 80 years of age. Your individual need for screening depends on the state of your health. Even if you are in good health at age 75, you should still confirm it with your doctor.
Rana Sabbagh, M.D., is board-certified in internal medicine, gastroenterology and nutrition. She is the founder of GastroCenter of Michigan and Experior Weight Loss Clinic, 23500 Park St., Suite 2B in Dearborn. Do you have a health question for Dr. Sabbagh? Submit it by email to: [email protected].
All information provided in Ask The Doctor is intended for your general knowledge. Consult with your personal doctor or pharmacist for any specific health or nutrition issues. Never disregard professional medical advice or delay seeking medical treatment because of information you have read in any publication.