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She has lived with ulcerative colitis for 70 years and feels vulnerable and weak for the first time. Today, an elderly IBD patient is not a rarity. One-fifth of IBD patients are older than 60 years. Stella has a mild flare-up of UC pancolitis with five loose stools per day and light bleeding. She has … Continued

The new country also means a new IBD treatment centre for her. Stella is generally in stable clinical remission under maintenance therapy with mesalazine (2 g/day, oral). However, she recently had a mild flare-up, so her oral dose of mesalazine was increased to 4 g per day, and topical therapy was added. Since this also … Continued

She is currently in remission and on immunosuppressive and biological therapies. Patients with inflammatory bowel disease are at increased risk for certain vaccine-preventable diseases (VPD). Therefore, maintaining adequate vaccination status in these patients is critical to optimize disease outcomes. However, the effectiveness and safety of vaccines can be altered by immunosuppressive therapies or IBD itself. … Continued

Although she received “permission” from his gastroenterologist to travel, her condition landed her in an emergency room in Curitiba, Brazil. Severe UC flares are standard in a gastroenterology practice, and surgery is not always the only solution. In these cases, therapy is usually initiated with intravenous corticosteroids for three days. If this fails, infliximab or … Continued

It should be emphasized that female patients with inflammatory bowel disease are as fertile at rest as the general population. In vitro fertilization in women with inflammatory bowel disease is as successful as it is in the general infertility population. If a patient with IBD wishes to become pregnant (naturally or through in vitro fertilization), … Continued

Stella currently works as a lawyer in Milan. She is so busy with her many challenging jobs and his busy schedule that it is difficult for him to pay attention to the follow-up of her therapy. As long as Stella is (or has been) adhering to treatment, her condition appears stable. However, a promotion at … Continued

In the past year, Stella’s treatment has been transferred from the pediatric gastroenterologist to the adult gastroenterologist. In addition to the transition, the stresses of her personal life and the postponement of her move to Europe have also left a mark on his health. When a patient turns 17, it is a crucial time in … Continued

Stella was seven years old when she was diagnosed with ulcerative colitis (UC). The day she was diagnosed with this disease is deeply etched in his memory. Despite all the difficulties, it can be said that UC has become an integral part of life for her and everyone involved with whom she has learned to … Continued