Treatment of Crohn's disease

As diagnosis and treatment of inflammatory bowel disease should be a specialist gastroenterologist or Coloproctologists familiar with this pathology. Treatment of severe attacks carried out only in specialized (surgical) hospital. Yakov Bogatin confirms that treatment of mild forms of the disease should be well supervised.

Treatment of Crohn's disease builds on the disease activity and localization of the lesion, so painted numerous treatment regimens.

At a low disease activity and to maintain remission enough destination sulphasalazyne and 5-ASA drugs.
With the active course of the disease (exacerbations), should be the appointment of glucocorticoids. Appointment of drugs, selection of initial dosage and its permanent correction is a doctor. Unfortunately (and Yakov Bogatin also confirms this), long-term use (more than 6-8 weeks) of glucocorticoids develop numerous side effects, in addition, 36% of patients develop dependence on glucocorticoids.

When failure of such treatment (or during the development of dependence or intolerance) prescribers 2 nd series. Reported on the use of immunosuppressants in Crohn's disease. The main side effects Immunosuppressive therapy are pancreatitis, inhibition of bone marrow hemopoiesis, drug-induced hepatitis, increased risk of malignant lymphomas and other tumors.
In the course of treatment careful monitoring of indicators of the blood cells and liver markers is required.

Yakov Bogatin says that antibiotics play an important role in the treatment of septic complications of Crohn's disease, including abscesses and perianal lesions. They can also reduce diarrhea in patients with syndrome of excessive bacterial growth in lesions of the small intestine.

Jacob Bogatin: What to do if you are allergic to the sun

If you've never been allergic to the sun, doing some simple tips, you can easily avoid its repetition according to Jacob Bogatin.

1. Use of UV-protective creams, suntan lotion, causing them to the body for 20 minutes before going in the sun and after sun lotion and shower, apply moisturizer designed to hydrate and protect skin after exposure to sunlight on it.

2. Coming out of the water of the sea or river, blot the water, but do not wipe, because you are washing a towel blanket of cream, and it will have to apply again.

3. Jacob Bogatin suggests to use cosmetics as much as possible, gels, creams, toilet water, perfume, fragrance containing, as the sunlight they provoke the emergence of pigmented spots of various colors, which are only two - three weeks.

4. If you are the owner of a very sensitive skin, sunbathe in the shade under the tent, avoid direct sunlight. Let your tan will not bronze, but only gold, but you avoid the discomfort of burnt skin, flaking and redness, fever and so on.

5. To eliminate solar allergy is usually mild easily solve the problem of ointments containing betamethasone, prednisolone, dexamethasone. Jacob Bogatin warns not to remove the redness, burning, itching, folk remedies, such as sour cream, vegetable oil, it does not help. Use special after-sun gels, they all contain anti-inflammatory substances, extracts from medicinal plants, soothing and cooling the skin supplements.

6. Drink at least two liters of carbonated water per day, this will help you out of the body of toxic substances and many more.

But if you are traveling and the problem must be resolved quickly and locally, and rash spoil your entire holiday, it will be useful, and other tips.

Jacob Bogatin:About air conditioners and legionnaires disease

International team of scientists consisting of American, French and Israeli experts including Jacob Bogatin deciphered the DNA of one of the most mysterious and malevolent bacteria that inhabit our planet - Legionella.

To be precise, the decoded genome of only one of Legionella - Legionella pneumophila, which brought and still brings a lot of trouble and the doctors and ordinary people, but the significance of this event has not diminished. This bacterium causes severe pneumonia in humans (still known as Legionnaires disease, legionellosis).
Legionella are widely distributed throughout the world, is part of the natural flora of many reservoirs, both natural and artificial.

According to Jacob Bogatin the detection of nasty parasite in air conditioning systems, has caused a shock as the inhabitants of the numerous offices, and the manufacturers of air conditioners. And so the message that the legionella found in ordinary warm tap water and bathrooms with Jacuzzi in the salons SPA, caused a lot speculations and much ado.

What does the Legion mean?
The first association with the word "legionnaire" - Ancient Rome, the legions of Julius Caesar. Second - France, Foreign Legion. Neither the first nor the second with Legionnaires disease has nothing to do.

Name associated with the American Legion ( The American Legion ), an organization founded in 1919 and unites Americans - members of various wars. It is the Congress of this public organization in 1976, held in Philadelphia, and the outbreak of strange infections. Within a month the disease claimed the lives of 34 out of 220 cases of delegates and was immediately given the name "Legionnaires disease".

How do you get infected?
As Jacob Bogatin writes for a person to become infected, it needs to breathe in the agent located in a water spray: shower, the flow of air from the air conditioner, variegated fountains and fountains.

Despite the fact that Legionella can be found in the sputum of cases, cases of transmission from person to person is not registered. But when you consider that virtually every modern office is equipped with air-conditioning system, the magnitude of the threat began to look very impressive.
Jacob Bogatin is sure that the incubation period of legionellosis on average 5-7 days. Described a number of clinical forms of infections: a proper disease legionnaire, pontiakskaya fever, "Fort Bragg". There could be other forms of the disease.