Understanding Inflammatory Bowel Disease (IBD)

A Comprehensive Guide to Crohn's Disease and Ulcerative Colitis

Gastroenterology

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Last updated: Mar 24, 2025

What is IBD?

Inflammatory Bowel Disease (IBD) is a group of chronic inflammatory conditions affecting the digestive tract. The two main types are:

  • Crohn's Disease: Can affect any part of the digestive tract from mouth to anus
  • Ulcerative Colitis: Affects only the large intestine (colon) and rectum

Common Symptoms

  • Persistent diarrhea
  • Abdominal pain and cramping
  • Blood in stool
  • Fatigue
  • Unintended weight loss
  • Reduced appetite

Causes and Risk Factors

Known Risk Factors:

  • Age: Usually develops before age 30
  • Family history: Higher risk if close relatives have IBD
  • Smoking: Increases risk for Crohn's Disease
  • Environmental factors: More common in developed countries

Diagnosis

Diagnosis typically involves:

  1. Physical examination
  2. Blood tests
  3. Stool samples
  4. Colonoscopy
  5. Imaging studies (CT, MRI)

Treatment Options

Medications

  • Anti-inflammatory drugs
  • Immunosuppressants
  • Biologics
  • Antibiotics when necessary

Lifestyle Changes

  • Dietary modifications
  • Stress management
  • Regular exercise
  • Smoking cessation

Complications

  • Intestinal obstruction
  • Colon cancer risk
  • Malnutrition
  • Joint inflammation
  • Skin problems

Living with IBD

Managing IBD requires:

  • Regular medical check-ups
  • Medication adherence
  • Dietary awareness
  • Stress management strategies
  • Support system engagement

When to Seek Medical Attention

Contact your healthcare provider if you experience:

  • Severe abdominal pain
  • Persistent diarrhea
  • Unexplained fever
  • Significant weight loss
  • Blood in stool

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