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Clinical Case

Ulcerative Colitis Treatment Case:
Definitive Results Through Root Cause Identification

Systematic treatment and maintenance of remission through single-cause diagnosis

Case of a Male Patient in His 50s

HanStep Korean Medicine Clinic has been researching ulcerative colitis since 2007. The patient in this case was diagnosed with proctitis-type ulcerative colitis in December 2024 and had underlying conditions including diabetes and hypertension. At the time of his first visit in January 2026, he was taking Mezavant but was struggling with various digestive symptoms.

Initial Status

Key Symptoms at Initial Visit

  • Bowel movements: Tenesmus (5/10), hard stools
  • Digestive system: Loss of appetite, indigestion, gastritis, and reflux esophagitis
  • Other notable points: Anal burning sensation, frequent flatulence

Treatment Progress and Process

Because the cause was clear, the treatment process proceeded smoothly with a single prescription.

Jan - Feb 2026
Start of Treatment and Initial Improvement

We identified the upper gastrointestinal cause and began intensive treatment. Within two weeks, the tenesmus disappeared, and his digestion and appetite improved significantly.

Mar - May 2026
Reduction of Western Medication and Confirmation of Normal Levels

As the calprotectin levels remained below the detection limit, Mezavant was sequentially tapered and completely discontinued in early May. Blood inflammatory markers (CRP) also returned to the normal range.

July 2026
Conclusion of Treatment and Endoscopic Confirmation

A colonoscopy confirmed a clean state with all inflammation resolved. This was a case where consistent treatment was possible without changing the prescription because there was only one underlying cause.

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