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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Take Prednisone For Crohn's Disease?

I have crohns disease and am having a resection under GA. I am taking 25mg prednisolone daily. I have been told that the risks increase for GA on steroids. I also have a broken tooth which my dentist won't treat while I'm on steroids. can you explain the risks
posted on Fri, 14 Mar 2014
Twitter Wed, 25 May 2016 Answered on
Twitter Wed, 25 May 2016 Last reviewed on
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General Surgeon,  's  Response

Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from a risk of -Adrenal Crisis due to the stress of surgical resection for Crohn's and due to stress of dental extraction.
This adrenal crises-is due to the long steroid reducing the body response by adrenal gland,in case of stress during both these procedures.
Hence added covering dose of long acting steroids-like Dexamethasone(Dexona ) is needed to tide over the surgical stress during these 2 procedures which you will be undergoing soon.
So nothing to worry, but disclosure to anaesthetist about the steroid exposure and dose of it would reduce the risks during surgery,especially under GA, where the body responses are to be kept under meticulous monitoring during these procedure.
Hope this would help you to plan further care of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-

Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Can I Take Prednisone For Crohn's Disease?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. You seems to suffer from a risk of -Adrenal Crisis due to the stress of surgical resection for Crohn s and due to stress of dental extraction. This adrenal crises-is due to the long steroid reducing the body response by adrenal gland,in case of stress during both these procedures. Hence added covering dose of long acting steroids-like Dexamethasone(Dexona ) is needed to tide over the surgical stress during these 2 procedures which you will be undergoing soon. So nothing to worry, but disclosure to anaesthetist about the steroid exposure and dose of it would reduce the risks during surgery,especially under GA, where the body responses are to be kept under meticulous monitoring during these procedure. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS