Doctor insights on:
Symptoms Ibd Patients
Wide variety: Ibd is a spectrum of diseases that includes crohn's disease, ulcerative colitis and indeterminate colitis. These disease may vary in their distribution and associated symptoms. Because it represents inflammation of the GI tract - and pain, diarrhea, bleeding and wt loss is common. It can also have extra intestinal manifestations - skin, eyes, joints, liver. ...Read moreSee 1 more doctor answer
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
Increased with time: Colon ca risk is increased in ulc colitis (uc) and crohn's colitis (cd). Risk increases by .5-1%/yr above general public, after 8-10 years after diagnosis. Small bowel cd has increased risk of small bowel ca; cd has increased risk lymphatic ca (lymphoma). Generally recommend annual colonoscopy/biopsy after 8-10 years of disease. Risk ca increased more in diffuse uc vs. Left sided disease. ...Read moreSee 1 more doctor answer
IBD : You didn't mention which ibd you have? Crohn's disease or ulcerative colitis! how long you have the disease? I don't see you taking any medication, at least not from this history. Are you on remission or relapse? Why do you want surgery? Please leave up to your doctor, who is treating you, to decide when you need surgery. Some have good result and some don't. Good luck. ...Read moreSee 1 more doctor answer
Ibd patient on prednisone for 4 mos MRI now shows osteonecrosis is this reversible or how is it treated now off prednisone will it continue worsening?
It is not reversible: Osteonecrosis actually denotes death of bone. It is not uncommon that with prolonged cortisone use osteonecrosis of bone may occur it is most often seen in the hip. Once it develops it is not reversible. It often leads to chronic pain and may ultimately cause painful arthritis. In its end stages joint replacement may be needed. ...Read moreSee 1 more doctor answer
What is likely hood of patient with undiagnosed inflammatory bowel disease to have normal blood tests levels ?
Depends on disease: activity. A person with quiescent disease is likely to have normal blood test results for the routine tests. ...Read more
I have suspected ibd & have to wait 4 weeks for a sigmoidoscopy to confirm, is there anything I can do to eas symptoms whilst waiting for diagnosis?
Yes: There are many treatments for ibd, but i would not recommend that they be started until a firm diagnosis is made as the medications can often have side effects. A sigmoidoscopy can be useful for one type of ibd (ulcerative colitis), but a full colonoscopy isoften needed to diagnoise crohn's disease, another type of ibd. If you are having diarrhea, and your doctor has ruled out infection, immodium. ...Read moreSee 1 more doctor answer