Doctor insights on:
Over The Counter Treatment For Inflammatory Bowel Disease
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Many: There are many different immuno modulating medications currently being evaluated for the management of ibd. They target different aspects of the immune system with hopes of dowregulating the inappropriate immune response present on most patients. ...Read more
I have had a cal protection level 58 my gi doesn't think this is inflammatory bowel disease is this a low level?
The upper limit at your age but I'm sure that your GI has his/her opinion for a number of reasons. The level is generally MUCH HIGHER in active inflammatory disease! FOLLOW YOUR Gastroenterologist's advice!!!!
Hope this helps!
Dr Z ...Read more
Inflammatory Bowel: Yes.Get a more detailed answer ›
Gastroenterologist: The most important thing is to know that ibd is a treatable condition. It is best managed by a gastroenterologist who can discuss medications, dietary management and lifestyle to deal with this diagnosis as you go forward. ...Read more
Avoid toxic foods: Avoid sugars, fried foods, vegatable oils like canola & soy, meats that are cured wth nitrates & nitrites, aspartame, splenda, partially hydrogenated vegetable oils, maragarine, soy based products, sweetened beverages like juice & soda, microwaved foods, artificial colors & flavors. All of these products cause damage to the cells, tissues & organs in your body contributing to various diseases. ...Read more
Indirectly.: If the mother is feeling/feeding well the the pregnancy should be fine. When the mother is sick and/or cannot tolerate a balanced diet, then vitamin deficiencies and preterm labor or fetal growth restriction can occur. Women in remission periconceptionally have the best chance for optimal perinatal outcomes. ...Read more
Inflammation: Inflammatory conditions tend to run together so inflammatory bowel disease is associated with inflammatory conditions in other parts of the body including the eyes. In the eyes, uveitis is most common inflammatory manifestation but scleritis is also known to occur as well. Google these terms to read about them. ...Read more
Yes.: All the seronegative spondyloarthropathies can cause eye problems. This includes ankylosing spondylitis, psoriatic arthritis, reiter's syndrome, enteropathic arthritis. All can cause uveitis or iritis. This can lead to anterior chamber glaucoma. All can cause conjuctivitis, which can be mistaken with allergy or infection. These illness are associated with cryptic or overt crohn's or enteritis. ...Read more
Significantly: In ibs the bowel is anatomically normal, but responds more intensely to stimuli. Anemia, weight loss, and bloody diarrhea are unusual. Surgery is not a part of therapy. In ibd (inflammatory bowel disease) at least some layers of the intestine are diseased. Ulcerative colitis can be cured by removal of colon and rectum. Crohn's disease may involve any part of the GI tract and cannot be cured. ...Read more
Can be: Depends on the type & severity of the colitis, and how long it has been present. Colonoscopy can look for disease resolution or recurrence on medical therapy, or how well the medication is working. Colonoscopy can look for changes to biopsy and watch for dysplasia or pre-cancerous changes too. ...Read more
Medications: Variety of medications that will try to down regulate the inappropriate immune response found in ibd. Mesalamine (ie 5asa) products are a mainstay for uc and crohn's colitis. Other medications include immunosuppresant agents such as 6mp, immuran as well as biologic agents such as remicdae or humira (adalimumab). Steroids such as Prednisone are used in severe flares, but a not a long term option. ...Read more
Many: Gi anti-inflammatory (5-asa, mesalamine), steroids (prednisone, budesonide), immunosuppressants (azathioprine, cyclosporine) and biologics (infliximab) are the most common meds used for ibd. Depends on your symptoms and clinical response, combination treatment is common. You need to work closely with your doctor. ...Read more
Inflammatory bowel disease is a risk factor for:: Amyloidosis, Blood clot in lung, Bronchiectasis, Celiac Disease, Colorectal cancer, Erythema nodosum, Hidradenitis suppurativa, Large bowel obstruction, Primary sclerosing cholangitis, Rectal cancer, Anal cancer, Clostridium difficile associated disease, Embolus, Colon cancer, Deep venous thrombosis, Vitamin D deficiency. ...Read more
The tests for Inflammatory bowel disease include:: ANCA screen, Clostridium difficile toxin, Stool studies, C reactive protein, Complete blood count, Comprehensive metabolic panel, Erythrocyte sedimentation rate, Folate, (folic acid) Iron and iron binding capacity, Vitamin B12, Barium enema, CT of abdomen, MRI of abdomen and pelvis, Ultrasound of abdomen and pelvis, Xray of abdomen, Capsule endoscopy, Colonoscopy, Flexible sigmoidoscopy, Upper endoscopy. ...Read more
With flares, but...: Ulcerative colitis involves inflammation of the colonic mucosal surface, so colectomy (removal of the colon) is curative for it. Crohn's disease however is a transmural (full-thickness) inflammation of any part of the GI tract (from mouth to anus). Crohn's is not curable, but it is controllable with medications (see my previous healthtap answer regarding "step up" versus "top down" treatments. ...Read more
Cramps diarrhea: Symptoms vary from patient to patient, but most have some sort of abdominal pain - usiually cramping and loose, frequent bowel movements. Sometimes fever, sometimes blood in the stool, frequently weight loss if the symptoms are bad enough. See your doctor because many of these symptoms are nonspecific. ...Read more
Variable: The symptoms can be highly variable from one person to another. There can be mild symptoms of abdominal gas and diarrhea. There can be more abdominal cramping and bloody diarrhea in others. There can be signs of intestinal blockage in advanced cases. There can be little or feelings in some cases. ...Read more
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