Antibiotics

The use of antibiotics in pediatric CD has been guided primarily by evidence from adult studies, but this evidence is not strong and there are no pediatric studies. We have used antibiotics (generally metronidazole or ciprofloxacin) primarily for mild to moderate acute Crohn's colitis or ileocolitis, as well as for perianal disease. The use of antibiotics for maintenance of remission in CD in children has not been studied, but we often use these agents for 6 to 12 months.

^Editor's Note: The steps to avoid the development of antibodies to infliximab include (1) induction doses at 0, 2, and 6 weeks, (2) concomitant use of immunomodulators, and (3) continuous rather than episodic dosing (TMB).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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