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KOMPAS.com – Japanese Prime Minister (PM) Shinzo Abe resigned on Friday (8/28/2020) due to illness.
The resignation was announced in a press conference broadcast Reuters from the Prime Minister’s office in the Chiyoda area, Tokyo, Japan.
“Thirteen years ago, my chronic illness appeared within a year. I suddenly had to resign as prime minister, but then it could cause big problems for the community,” Abe said at his press conference, after discussing the management of the outbreak of the disease. virus. crown in Japan.
Abe suffered from chronic ulcerative colitis as a teenager.
What is ulcerative colitis like?
Reported Reuters, (8/24/2020), ulcerative colitis is an inflammatory bowel disease that can cause ulcers in the lining of the large intestine and rectum. Symptoms include diarrhea, stomach cramps, weight loss, and fatigue.
Also read: Profile of Shinzo Abe, Japanese Prime Minister who resigned
In addition, it was reported Mayoclinic, other symptoms may include:
- rectal pain
- rectal bleeding (passing a small amount of blood and stool)
- suddenly I want to defecate
- inability to defecate despite the urge
- fever
- growth retardation (in children)
- diarrhea that is often accompanied by blood or pus
A person can go to the doctor if they experience:
- stomach ache
- blood on the stool / seat
- diarrhea that continues and cannot be treated with over-the-counter medicines
- diarrhea that wakes a person from sleep
- unexplained fever that lasts longer than 2 days
Meanwhile, it was reported WebMD, the main symptom of ulcerative colitis is bloody diarrhea. There is often pus or blood in the stool.
Other problems or other symptoms include:
- not feel hungry
- dehydration
- joint pain or pain
- trough
- pain in the eyes when seeing bright light
- too few red blood cells (anemia)
- skin wounds
- feeling like you haven’t completely emptied your colon after having a bowel movement.
Symptoms can come back, go away, and come back. It can happen for weeks, even years.
To find out if someone has the disease or not can perform the following tests by a doctor:
- blood test
- stool samples
- flexible sigmoidoscopy
- colonoscopy
- bone scan
Meanwhile, it was reported ReutersResearchers do not yet know the cause of this disease, but it could be inherited or a poorly functioning immune system.
What happens is that the immune system attacks the cells of the digestive tract. Also, diet and stress can make things worse.
Also read: Japanese Prime Minister Shinzo Abe resigns again due to illness since adolescence
Complications that can occur include an increased risk of colon cancer, clots in the blood vessels, and perforation of the colon.
Treatment
Ulcerative colitis cannot be cured. But moderate to severe cases can be treated with corticosteroids.
It is not a long-term treatment as it can cause side effects such as bone loss, hypertension, and weight gain.
A type of medicine called 5-aminosalicylic acid (5-ASA) is the standard treatment, including Asacol. Abe has been taking the drug since 2009.
Previously, the drug was only available abroad and had not been approved for circulation in Japan.
“If this Asacol drug needs more time to appear on the market in Japan, it may very well not be where I am today,” Abe said in a speech in 2013.
Side effects of the drug include nausea, headaches, or vomiting. However, they rarely make ulcerative colitis symptoms worse.
Other treatments include immunosuppressive medications that require careful monitoring and are usually only used if the patient is not receiving other treatments.
Meanwhile, the most drastic treatment is surgical removal of the colon.
Also read: After the resignation of Japanese Prime Minister Shinzo Abe, this is a replacement candidate
Effect of quality of life
If kept under control, ulcerative colitis has minimal impact on daily activities. Meanwhile, relapses can be caused by stress.
Some patients have frequent colonoscopies, for example every six months, to screen for cancer. Abe underwent a complete physical exam twice a year.
In 2017, Abe said his treatment had increased his appetite. But he faces new concerns.
“Now I have to worry about issues that I once thought had nothing to do with me, including increased visceral fat, concerns about my body fat, and cholesterol levels. I hit the upper limit of the test for each of these. problems, “he said.
