4 doctors weighed in:

What can cause ibd flare ups?

4 doctors weighed in
Dr. Moe Amadpour
Internal Medicine - Gastroenterology
1 doctor agrees

In brief: Multiple causes

One causes that need to be rule out in case of flare ups are infections of colon especially c.
Diff colitis and bacterial infections which can be checked by doing stool test.Other factors are including no compliant with medications, stress, dietary and taking Aspirin or nsaids such as motrin, aleve (naproxen) or other similar meds.

In brief: Multiple causes

One causes that need to be rule out in case of flare ups are infections of colon especially c.
Diff colitis and bacterial infections which can be checked by doing stool test.Other factors are including no compliant with medications, stress, dietary and taking Aspirin or nsaids such as motrin, aleve (naproxen) or other similar meds.
Dr. Moe Amadpour
Dr. Moe Amadpour
Thank
1 comment
Dr. Elena Klimenko
multiple factors. Being an integrative medicine practitioner, I always look at the root of the problem: what is the bacterial flora looks like, are the pathogenic bacteria dominate the beneficial bacteria (dysbiosis), are the any parasites? Are you cheeting on your diet and eat foods that cause intestinal inflammation (we can do test on that to identify which food you should stay away from); how is your stress level and how do you sleep (this also will effect your immune system and cause flare ups)?
Dr. Arthur Heller
Internal Medicine - Gastroenterology

In brief: Good question

Stress involved but not causative.
Not sticking to meds is a big cause. Crohn's patients must not smoke-definite cause of flates. Nsaid type drugs, e.g. Advil/nuprin (ibuprofen), naproxyn (aleve), even Aspirin can cause flares. Other (unknown) factors. Associated with high fat, especially land fat (omega 6) intake, less so with lower fat and marine fat (omega 3).

In brief: Good question

Stress involved but not causative.
Not sticking to meds is a big cause. Crohn's patients must not smoke-definite cause of flates. Nsaid type drugs, e.g. Advil/nuprin (ibuprofen), naproxyn (aleve), even Aspirin can cause flares. Other (unknown) factors. Associated with high fat, especially land fat (omega 6) intake, less so with lower fat and marine fat (omega 3).
Dr. Arthur Heller
Dr. Arthur Heller
Thank
2 comments
Dr. Elena Klimenko
What I see in my practice among patients with IBD is that it is often a combination of factors: food and stress are most often causative combination, and I target that as a first line therapy to control the flares. Another big one is disbalance of GI flora - parasites, yeast overgrowth, not enough beneficial flora.
Dr. Arthur Heller
Increase in symptoms does not equal increase in inflammation
Get help from a real doctor now
Dr. Mark Pack
Board Certified, Surgery
28 years in practice
3M people helped
Continue
111,000 doctors available
Read more answers from doctors