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| Your Email Address |
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Your
Diagnosis |
| Repeat Email
Address |
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| Your
Name or Initials |
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Age
at present
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Duration of illness
Years Months
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Duration
of SCD
Years Months
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Diagnosis
before starting
SCD by |
Follow
up procedure carried out after improvement on SCD
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Please
give a few words summary
on the follow up proceedure findings
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i.e. No colitis found or improved/ colitis still present, or
worse, etc |
Colonoscopy |
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Colonoscopy
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X-
Rays |
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X-
Rays |
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Biopsies |
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Biopsies |
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Is
remission maintained greater than
75% improvement |
Duration
of remission
Years Months
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Are
you maintaining
remission without - |
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Maintenance Steroids |
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TNF
blockers (Remicade) |
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Immunosuppressive
(Methotrexate, immuran etc)
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In remission are
you continuing other
drugs such as sulfa's - Asacol, Azulfidine,
mesalamine, pentasa or their topical enemas or suppositories
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Other
Comments:
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