Inflammatory bowel disease (IBD) is a group of intestinal disorders that cause prolonged inflammation of the digestive tract. The two major types of inflammatory bowel disease are ulcerative colitis and Crohn's disease. They cause sores (ulcers) in the digestive tract and also inflammation which causes extreme pain in the patient. Ulcerative colitis disease can cause inflammation and sores (ulcers) which are long lasting in the innermost lining of the large intestine (colon) and rectum. Crohn's disease can cause inflammation of the lining of the digestive tract, which often spreads deep into affected tissues.
Depending on the severity of inflammation and location of occurrence, the symptoms of inflammatory bowel disease can vary a lot. Main symptoms caused by intestinal ulcers are predominantly abdominal pain, cramps, and bleeding. Sometimes, however, ulcers may be present in IBD but are not associated with any symptoms (asymptomatic). In Crohn's disease, the symptoms can be diarrhoea, fever and fatigue, abdominal pain and cramping, blood in the stool, reduced appetite, unintended weight loss.
Treatment for Crohn’s Disease and Ulcerative Colitis in the patients will depend on how severe the symptoms are, and how much of the gut is affected. Inflammatory bowel disease can be treated with medicines and drugs that aim to reduce inflammation in the gut and bring relief from the symptoms. These anti-inflammatory drugs include steroids, 5ASAs, immunosuppressants such as azathioprine, methotrexate and ciclosporin, and biological drugs like infliximab and adalimumab. If the condition does not improve with medicines, then patients may be required to undergo surgeries. Some IBD surgeries include strictureplasty to widen a narrowed bowel, closure or removal of fistulas, removal of affected portions of the intestines for people with Crohn’s disease and removal of the entire colon and rectum for severe cases of ulcerative colitis.
A number of tests are performed in order to diagnose the signs and symptoms of inflammatory bowel disease. The tests include blood tests, endoscopic procedures and imaging tests. Blood tests are done as tests for anemia or infection to detect the amount of red blood cells to carry adequate oxygen to the tissues or to check for signs of infection from bacteria or viruses. Fecal occult blood test is done with a stool sample. Doctors test for hidden blood in the stool. Colonoscopy is an endoscopic exam that allows the doctor to view the entire colon using a thin, flexible, lighted tube with an attached camera. During this procedure, the doctor can also take small samples of tissue (biopsy) for laboratory analysis. Sometimes a tissue sample can help confirm a diagnosis. In other endoscopic exam, called Flexible sigmoidoscopy, the doctor uses a slender, flexible, lighted tube to examine the rectum and sigmoid, the last portion of the colon. Upper endoscopy is done if the patient is having nausea and vomiting, difficulty eating or upper abdominal pain. Capsule endoscopy is used to help diagnose Crohn's disease that involves the small intestine. Balloon-assisted enteroscopy enables the doctor to look further into the small bowel where standard endoscopes don't reach. This procedure is very useful when a capsule endoscopy shows abnormalities. Imaging tests like X ray, Computerized tomography (CT scan) and magnetic resonance imaging (MRI) tests are also done to assist the diagnosis of inflammatory bowel disease.
The treatment of inflammatory bowel disease depends on the degree of severity and location of the syndrome. Treatment aims to reduce the inflammation that triggers the signs and symptoms. IBD treatment usually involves either drug therapy or surgery. Anti-inflammatory drugs are used primarily in the treatment of inflammatory bowel disease. Anti-inflammatory drugs include corticosteroids and aminosalicylates, such as mesalamine (Asacol HD, Delzicol, others), balsalazide (Colazal) and olsalazine (Dipentum). Prescribed medicine depends on the location of the disease. Immunosuppressant drugs like azathioprine (Azasan, Imuran), mercaptopurine (Purinethol, Purixan), cyclosporine (Gengraf, Neoral, Sandimmune) and methotrexate (Trexall) suppress the immune response that releases inflammation-inducing chemicals in the intestinal lining. Drugs called tumor necrosis factor (TNF)-alpha inhibitors, or biologics also help to relieve the symptoms of IBD. It works by neutralizing a protein produced by the immune system. Examples of these drugs include infliximab (Remicade), adalimumab (Humira) and golimumab (Simponi). Other biologic therapies that may be used are natalizumab (Tysabri), vedolizumab (Entyvio) and ustekinumab (Stelara).Apart from these medicines, antibiotics may also be used. Frequently prescribed antibiotics include ciprofloxacin (Cipro) and metronidazole (Flagyl). In addition to this, some over-the-counter medications may also be used which help to relieve the symptoms. Depending on the severity of the IBD symptoms, doctor may recommend anti-diarrheal medications, pain relievers, iron supplements and Calcium and vitamin D supplements. The doctor may also recommend a special diet given via a feeding tube (enteral nutrition) or nutrients injected into a vein (parenteral nutrition) to treat the symptoms of IBD. Some IBD signs and symptoms are so severe that the doctor may recommend surgery. Surgery can often eliminate ulcerative colitis by removing entire colon and rectum (proctocolectomy). This procedure involves an ileal pouch anal anastomosis. People with Crohn's disease will require at least one surgery. However, surgery is not able to cure Crohn's disease. During surgery, the surgeon removes the damaged portion of the digestive tract and then reconnects the healthy sections. Surgery may also be used to close fistulas and drain abscesses.
People should consult a doctor when they experience a persistent change in their bowel habits. They may have any of the signs and symptoms of inflammatory bowel disease and pain which they have not experienced before. Inflammatory bowel disease usually is not fatal, but it can be a serious disease and in some cases, may cause life-threatening complications. It is always advisable to consult a doctor and seek medical assistance and care.
People with normal bowel movement and no signs and symptoms of inflammation do not need to undergo medical treatment. Many times, the bowels become inflated and cause pain but this can be cured with home remedies. If the symptoms are not chronic and do not cause hamper in the daily lives of the people, they do not need to undergo medical treatment.
Medications used in the treatment of inflammatory bowel disease (IBD) have certain side effects. Side effects of the corticosteroids used in the treatment include weight gain, facial swelling, sweating, insomnia etc. Side effects such as nausea, vomiting and loss of appetite, are noted in case of Oral 5-aminosalicylates drugs. Antibiotics can cause upset stomach, loss of appetite, diarrhea and vomiting and also the feel of an urgent need to urinate, as well as vaginal itching and/or discharge. There can be some serious side effects caused by the immunosuppressant. Despite the side effects, these medications are effective in the treatment of IBD.
After treatment, people need to follow certain rules to prevent relapse of the disease and also cut down the risk of developing inflammatory bowel disease. They need to maintain a healthy diet, take proper medicines and exercise regularly. They should also quit smoking and avoid taking stress in order to prevent the recurrence of the disease even after treatment.
In general, it takes around 6 weeks to recover from the treatment of inflammatory bowel disease. People should be careful and avoid complications. Medicines and other opinions from the doctor, when followed, can help in speedy recovery.
IBD is an expensive chronic disease without a cure. Patients incur a huge amount for the treatment fo inflammatory bowel disease. Surgical procedures for IBD typically cost about Rs. 600000/- to Rs. 2000000/-. For mild symptoms, doctors may prescribe a number of drugs which can cost about Rs 6000 to Rs 50000/-. Additional costs are needed for the consultation fees, various diagnostic tests etc.
The treatment can be considered permanent only on certain basis. Medications and drugs can help to cure the inflammation and reduce symptoms. However, the benefits of surgery for Crohn's disease are usually temporary. This disease can recur often, and frequently near the reconnected tissue. Patients must take proper medication to minimize the risk of recurrence and cause the treatment be permanent.
Rs. 600000/- to Rs. 5000000/-
Inflammatory bowel disease (IBD) is a group of conditions wherein the intestines become inflamed. IBD is a collective term used for the diseases like Crohn's disease, ulcerative colitis (UC) and indeterminate colitis. So it won’t be wrong to say that IBD is an umbrella term used to denote various diseases.
These are the painful diseases which, involving an abnormal response by the immune system, damages the lining of the digestive system, hence causing fatigue and/or weight loss, inflammation and ulceration, severe abdominal pain, diarrhoea and bloody stools.
The symptoms of IBD mainly depend upon how severe the inflammation is and also its location. Symptoms can be mild or severe. In this condition, there are periods of active illness and remission.
Though the exact cause of inflammatory bowel disease remains unknown, it is said that diet and stress lead to this condition. However, doctors say that there are many factors which aggravate IBD which are:
Risk factors you should know about:
Complications due to IBD
There are some rare cases where a serious bout of IBD can make a person go into shock – which can be life-threatening. In case you have a concern or query you can always consult an expert & get answers to your questions!
Inflammatory Bowel Disease needs to be controlled in the initial stage only so that severe symptoms can be prevented. There are a few easy treatments that need to be followed for getting instant relief and quickest recovery.
What are the commonest signs of Inflammatory Bowel disease?
What are the best ways to treat Inflammatory Bowel disease?
IBS is a common intestinal disorder causing pain in the stomach, gas, diarrhea and constipation. The condition affects millions of people around the world, mostly women. It may not fully be cured, but the condition can be kept under control diet and lifestyle changes and in severe cases with medication and treatment. The most common affected age groups are between 6 to 18 and 41 to 60.
Causes: There are several triggers to IBS although doctors are yet to determine a specific cause. Because IBS happens more in women than men, some people believe that hormones are responsible for it. Other studies suggest that IBS is triggered when
So far, there are no extensive studies to back any of these theories.
Signs and symptoms: People with IBS have symptoms that can include diarrhea and /or constipation, sometimes alternating with each other, stomach cramps, gas and bloating and a belly that sticks out. Stress may, in some cases, aggravate the problem.
Diagnosis: Unfortunately there are no specific tests to identify IBS as the causes itself can vary in a big spectrum. Using your symptoms as a guide, the doctor may run tests to check for food allergies, lactose intolerance, reactions to any medications you may be taking like blood pressure drugs, infection in the stomach, enzyme deficiencies where the pancreas isn't releasing enough enzymes to digest the food properly and inflammatory bowel diseases like ulcerative colitisor Crohn's disease. You may have to undergo a colonoscopy or endoscopy, blood tests, stool tests and allergy tests for your doctor to devise a treatment that can best treat your specific symptoms.
Treatment: Because the symptoms and causes are so varied, there is no one specific treatment of IBS. You will need to identify and understand your specific triggers to isolate it and then make changes accordingly in conjunction with lifestyle change and medication.
Lifestyle changes: Look at IBS as a trigger to make you move into a healthier lifestyle and improved diet. Here are some basic changes that your doctor may prescribe
There is nothing here that you already didn't know can lead to a healthier life. It's just that you'll have to take it seriously now that the doctor has prescribed it for you.
A happy gut starts with a healthy diet. A balanced diet can help to prevent or manage gastroesophageal reflux disease (GERD), fatigue, inflammatory bowel disease (IBD), chronic constipation, cardiac disease, Crohn’s disease, ulcerative colitis, migraines, leaky gut syndrome and more.
Here are some basic ways to take care of your gut:
What is Intestinal obstruction?
Intestinal obstruction is a blockage of your small intestine or colon that prevents food and fluid from passing through. A complete intestinal obstruction is a medical emergency. It often requires surgery.
Symptoms of Intestinal obstruction-
Causes of Intestinal obstruction-
Risk factors of Intestinal obstruction-
Complications of Intestinal obstruction-
Diagnosis of Intestinal obstruction-
Diagnosis of Intestinal obstruction involves the following tests:
Treatment of Intestinal obstruction
Homeopathic Treatment of Intestinal obstruction-
Homeopathic remedies are effective in relieving obstruction and complaints like nausea and vomiting. It helps in relieving cramping and upper abdominal pains that become worse at night and after meals. Some of the homeopathic remedies for intestinal obstruction are:
Acupuncture and Acupressure Treatment of Intestinal obstruction-
Acupuncture relieves pain and obstruction by improving the physiological function of the organs and organ system. In acupuncture therapist will first diagnose the case on the basis of energy system or chi blockage as well as on the basis of status of five elements. On this basis certain disease specific acupoints are selected and stimulated.
Psychotherapy and Hypnotherapy Treatment of Intestinal obstruction-
Psychotherapy and hypnotherapy can help in stress relief. They can help in better coping and early relief.
Conventional / Allopathic Treatment of Intestinal obstruction-
Allopathic Treatment of Intestinal obstruction involves placing an intravenous (IV) line into a vein in your arm so that fluids can be given. Nasogastric (NG) tube is also placed through your nose and into your stomach to suck air and fluid out to relieve abdominal swelling. Drug therapies such as cisapride and vasopressin (Pitressin), are sometimes prescribed
Surgical Treatment of Intestinal obstruction-
Surgery typically involves removing the obstruction, as well as any section of your intestine that has died. The procedure you undergo will depend on what’s causing the obstruction and which part of your intestine is affected. In some cases, especially where there is a mechanical obstruction, surgery may be necessary.
Dietary & Herbal Treatment of Intestinal obstruction-