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Doctor insights on: Chronic Ibd

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What treatment is available for chronic IBD?

What treatment is available for chronic IBD?

Rx for IBD: Your overall well being is important to the treatment of IBD. A combination of a well-balanced diet, stress management, adequate sleep, adequate exercise, and a positive attitude are vital for the effective therapy of IBD. Your physician may also want to consider drug therapy for this condition. ...Read more

Dr. Arthur Heller
448 doctors shared insights

Inflammatory Bowel Disease (Definition)

Inflammatory bowel disease, also known as IBD, is the chronic inflammation of the digestive tract. There are two main types of IBD: ulcerative colitis and Crohn's disease. Ulcerative colitis causes continuous inflammation and ulcers in the innermost lining of the colon and rectum. Crohn's, on the other hand, is a non-continuous inflammation that affects all layers of the digestive system in the large and small intestine. Both ulcerative colitis and Crohn's cause diarrhea, pain, ...Read more


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What to do if I have Crohn's disease (a chronic ibd) there's no cure. I need pentasa (mesalamine) made by shire.?

What to do if I have Crohn's disease (a chronic ibd) there's no cure. I need pentasa (mesalamine) made by shire.?

Crohn's Disease: There is no cure, but there is treatment to keep it under control. Usually the best people to take care of Crohn's are gastroenterologists, and they usually take care of Crohn's patient in conjunction with a surgeon. Your treatment will depend on your symptoms and findings. Be sure to see your doctor if your current treatment is not working for you. ...Read more

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My xray said all 4 sinuses hazy-pansinusitis. Is it some different form of sinusitis? Can ibd cause chronic sinus problems?

My xray said all 4 sinuses hazy-pansinusitis. Is it some different form of sinusitis? Can ibd cause chronic sinus problems?

Effects all sinuses: This is not likely related to your ibd but may be associated or aggravated by immunosuppressive therapy. This may require treatment with decongesting or irrigation or drainage. ...Read more

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Does having proctitis with chronic inflammatory cells in lamina propria, with scattered neutophils in the lamina propria of the rectum mean I have IBD

Does having proctitis with chronic inflammatory cells in lamina propria, with scattered neutophils in the lamina propria of the rectum mean I have IBD

IBD: Inflammatory bowel disease usually requires both clinical or endoscopic findings and a solid abnormality in the form of microscopic architectural abnormalities as well as significant inflammation. It doesn't sound from your description like you have more than just non-specific inflammation. If the rest of the colon was negative, this doesn't sound diagnostic. ...Read more

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Chronic (years & worsening) diarrhea and lightheaded / dizzy. I fall from this feeling often. Not an IBD -tested. What are possibilities?

Chronic (years & worsening) diarrhea and lightheaded / dizzy. I fall from this feeling often. Not an IBD -tested. What are possibilities?

Dietary intolerance : People can become intolerant of certain foods, which will cause IBD-like symptoms if the food is not avoided. Try eliminating things from your diet and keep a log of your symptoms. Consider taking a probiotic for 6 weeks to normalize the "good" bacteria in your gut. The diarrhea associated with antibiotics is often caused this way. Dizziness could be dehydration from diarrhea. ...Read more

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Chronic bowel pain cramps and recurrent D. Comes in phases, max a month symptom free. No food triggers done elimination diet to rule out. Ibs or ibd?

Chronic bowel pain cramps and recurrent D. Comes in phases, max a month symptom free. No food triggers done elimination diet to rule out. Ibs or ibd?

IBS/IBS: 20 yo female has abdominal cramps & diarrhea. These symptoms can be seen in both IBS & IBD. The standard answer is that IBS is a functional disorder absent tissue pathology changes & IBD has inflammatory characteristics seen upon endoscopy & biopsy. The causes of both IBS & IBD are unknown. In my opinion they are all on a continuous spectrum, & autonomic nervous system dysfunction is etiologic. ...Read more

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What are diseases or causes that produce a chronic bowel ulcers (4 years) associated with non bloody diarrhea other than TB or ibd?

What are diseases or causes that produce a chronic bowel ulcers (4 years) associated with non bloody diarrhea other than TB or ibd?

UC and Crohn's : Ulcerative colitis, crohn's disease are the 2 low hanging fruit. Tb of the gut is very rare. A biopsy of one of the ulcer bed is usually what is called for, and the pathology helps diagnosis. ...Read more

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Calprotectin 95, ALT & AST chronically fluctuating elevated,sigmoidoscopy normal,MRCP normal, could it be IBD causing elevated liver enzyme ?

Calprotectin 95, ALT & AST chronically fluctuating elevated,sigmoidoscopy normal,MRCP normal, could it be IBD causing elevated liver enzyme ?

IBD complication AIH: The calprotectin level (I'm assuming it's a stool test) is rather high 4 ur age (normal is less than 51 ug/g stool), which seems confirm IBD but unfortunately didn't spare u a sigmoidoscopy. Caveat: proton pump inhibitors like Prilosec falsely elevate calprotectin. Nonetheless, a common complication of IBD is autoimmune hepatitis (AIH) which can cause fluctuating liver enzymes & damage. TTY GI do ...Read more

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Pain and diarrhea are tipical of IBS and IBD. I have chronic diarrhea but NOT pain. Yellow , smooth,floating stool.2-4 times/day. What could it be?

Pain and diarrhea are tipical of IBS and IBD. I have chronic diarrhea but NOT pain. Yellow , smooth,floating stool.2-4 times/day. What could it be?

Chronic diarrhea: Both IBS and IBD can cause diarrhea, but with IBD you may see some blood and pain. If you have not had any other systemic effects like weight loss or fever, it is most probably IBS. Diarrhea may occur with other conditions like malabsorption, medications, small bowel disorders etc. You may need some testings to get to the diagnosis ...Read more

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