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Clinical Case

Ulcerative Colitis Treatment Case:
A Step-by-Step Approach to Finding the Root Cause

The process of maintaining normal levels even after discontinuing Western medication

Patient History

This is a case of a patient who was diagnosed with ulcerative colitis through internal medicine examinations after blood was detected in their stool during a 2025 health checkup. Treatment began in August with Mezavant and the steroid Solondo, but the patient sought out HanStep Korean Medicine Clinic when symptoms worsened during the tapering process.

At the time of their first visit, they were struggling significantly with weight loss, frequent diarrhea (6–7 times a day), urgency, blood in the stool, and mucus in the stool, with a calprotectin level—a marker for intestinal inflammation—as high as 1429.

Initial Status

Status at Initial Visit (Nov '25)

  • Main Symptoms: Blood in stool, mucus in stool, diarrhea (6–7 times/day)
  • Test Results: Calprotectin 1429 (Positive)
  • Comorbidities: Abdominal pain, indigestion, weight loss (5kg)

Treatment Progress and Changes in Metrics

Treatment was administered in stages, first by resolving digestive issues and then switching to an anti-inflammatory prescription.

November 2025
Focus on Upper Digestive System Treatment

An upper digestive prescription was administered to first address symptoms of stomach pain after cold food and indigestion. We achieved a result where digestive function improved by over 90%.

January ~ February 2026
Inflammation Treatment and Achieving Remission
  • Achieved calprotectin level below 3.8

Three months after switching to an anti-inflammatory prescription, the calprotectin level dropped below 3.8. The patient maintains normal bowel movements even after discontinuing both steroids and immunosuppressants.

Advice from the Representative Doctor

The key to treating ulcerative colitis is to change prescriptions sequentially according to the root cause. Steroids temporarily suppress symptoms but do not treat the cause. You must treat the underlying cause to reduce or discontinue Western medication.

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