Doctor insights on:
Why Do Some People With Inflammatory Bowel Disease Relapse A Lot
Lots of reasons: Sometimes it is the disease itself. Sometimes, it is the treatment. Including wrong dose, med, inad duration. Some put people into remission, but not maintain it. Sometimes, it is poor compliance with prescribed treatments due to any number of reasons. Sometimes it is cigarette smoking. Sometimes, it is symptoms, but not the inflammation that has acted up. Other reasons as well. ...Read more
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
Anxiety & depression: Inflammatory bowel disease (ibd) is a group of diseases including crohn's disease, ulcerative colitis and other types of colitis. The problem is the treatment and the side effects cause depression and anxiety. There is an association of flare ups of ibd with anxiety and depression. Depressed ibd patients run the risk of decreased treatment adherence. ...Read more
IBD defined: Earlier healthtap answers may help. Briefly ibd is a spectum of inflammatory diseases of GI tract. At one end of the spectrum is ulcerative colitis---a disease confined to the mucosal surface of colon. At the opposite end of the spectrum is crohn's disease--a transmural (full thickness) inflammation of any part of GI tract (from mouth to anus). Both are systemic & increase colon cancer risk. ...Read moreSee 1 more doctor answer
Almost anyone: About 15% of close relatives of crohn's patients carry genes that predispose to this inflammatory bowel disease. Also, ethnic origin and environment (including infectious and antigenic exposure as well as tobacco) play roles in disease emergence and "flaring." keep in mind that ibd can present in young, middle aged, or elderly, and almost anywhere and in any population around the world. ...Read more
Cure for IBD?: 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 moreSee 1 more doctor answer
Many options: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may work for mild ulcerative colitis (uc), but not crohn's disease. 2. Steroids work, but are only useful for short course because of side effects. 3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids. 4. Remicade, Humira are often effective for crohn's, sometimes for uc. 5. Surgery if needed. ...Read moreSee 1 more doctor answer
IBD is systemic: Inflammatory bowel disease runs a spectrum from ulcerative colitis (inflammation of inside lining of colon) to crohn's (full-thickness inflammation that can involve any part of gut from mouth to anus). Almost any organ system can be affected, pregnancies are at risk, & there is a high prevalence of cancer development and need for chronic treatment &/or surgical management. Also, genetic proclivity. ...Read more
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
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