Clinical Case

NSAIDs and Ulcerative Colitis:
A Case of Symptom Improvement After Drug Discontinuation

Ulcerative Colitis treatment and clinical experience at HanStep Korean Medicine Clinic

Patient Medical History

HanStep Korean Medicine Clinic has been researching ulcerative colitis since 2007. This patient was diagnosed with ulcerative colitis after experiencing a rapid worsening of bloody stools and diarrhea while taking NSAIDs following a traffic accident in February 2024. Initially, the patient showed some improvement with 5-ASA medication, but symptoms recurred and worsened 10 months later.

Initial Status

Status at Time of Visit (February 2025)

  • Western Medicine Intake: Taking 1 Azabio, 1 Solondo, and currently in the 3rd round of Remsima administration
  • Key Indicators: Calprotectin 259, Fecal Occult Blood test over 1200
  • Symptoms: Extreme fatigue (sleeping 18 hours a day) and indigestion

Treatment Progress and Results

HanStep Korean Medicine Clinic implemented a prescription that simultaneously addresses upper gastrointestinal issues and inflammation, and the patient showed remarkable recovery through the prescription optimization process.

Step-by-Step Treatment

It was confirmed that the use of NSAIDs was the trigger worsening the patient's symptoms. Through Korean medicine treatment, the patient successfully completed treatment by regaining appetite, normalizing sleep duration (7-8 hours), and lowering fecal inflammation levels (calprotectin) from 2084 to less than 3.8.

Clinical Message

One must face the reality that inflammation can worsen even while taking steroids, immunosuppressants, and Remsima. Ulcerative colitis patients must exercise extreme caution when using NSAIDs, and fundamental treatment through the normalization of medical figures, rather than simple symptom relief, is important.

HanStep Korean Medicine Clinic Consultation Information

Representative: Lee Byung-hee | Inquiry: Suite 307, JB Miso Building, 841 Nonhyeon-ro, Gangnam-gu, Seoul
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