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?
An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).
Anal fissures are very common in young infants but can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths.
Common causes of anal fissure include:
· Passing large or hard stools
· Constipation and straining during bowel movements
· Chronic diarrhea
Less common causes of anal fissures include:
· Anal cancer
Signs and symptoms of an anal fissure include:
· Pain, sometimes severe, during bowel movements
· Pain after bowel movements that can last up to several hours
· Bright red blood on the stool or toilet paper after a bowel movement
· Itching or irritation around the anus
· A visible crack in the skin around the anus
· A small lump or skin tag on the skin near the anal fissure
Factors that may increase your risk of developing an anal fissure include:
· Infancy. Many infants experience an anal fissure during their first year of life; experts aren't sure why.
· Aging. Older adults may develop an anal fissure partly due to slowed circulation, resulting in decreased blood flow to the rectal area.
· Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.
· Childbirth. Anal fissures are more common in women after they give birth.
· Crohn's disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing.
· Anal intercourse.
Complications of anal fissure can include:
· Failure to heal. An anal fissure that fails to heal within six weeks is considered chronic and may need further treatment.
· Recurrence. Once you've experienced an anal fissure, you are prone to having another one.
· A tear that extends to surrounding muscles. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter), making it more difficult for your anal fissure to heal. An unhealed fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or remove the fissure.
Homeopathic remedies are very effective for curing anal fissure. Some of the important remedies are given below
NITRIC ACID 30-Nitric Acid is one of the top remedies for anal fissure. Nitric acid is prescribed when stitching and tearing pains in the anus, or cutting or stinging pain is experienced by the patient. The stool is hard and is accompanied by bright red blood bleeding from the anus. There are much tenesmus and constriction, and a constant oozing of fetid matter from the parts, with burning rawness and smarting.
RATANHIA 30-Ratanhia is a very effective medicine for the treatment of Anal Fissures. It is prescribed when for long-lasting pains in the rectum with excessive burning that follows stool passage is experienced. Patients often describe the pain as being similar to broken glass or a knife piercing in the rectum. The stool requires much effort to be passed out due to the constricted anus.
GRAPHITES 30-Graphites is prescribed when the persons who are susceptible to eczema. The anus is extremely sore and the stools are covered with mucus, with no tenesmus or constriction. The patient usually obese and overweight. The patient is usually chilly and cannot tolerate cold air or cold weather. It is also indicated when anal fissures occur in women around or just after menopause.
PAEONIA 30-Paeonia is an effective medicine for anal fissure with offensive discharge from the anus due to cracks in it. Paeonia is also the best medicine for violent pains in the anus during and after passing stool. The anus is ulcerated and fissured. Itching and burning usually accompany the fissures. There is much rawness and smarting.
SULPHUR 200-Sulphur is prescribed when the stool is hard and dry, causing tears and immense pain in the anus while passage. The patient is fearful of even going to the toilet as he thinks of the pain that will accompany the passage of stool. The pain is accompanied by burning. Sulphur is also effective for itching in anus due to fissure.
PHOSPHORUS 30-Phosphorus is effective for painless anal fissures. The patient is usually tall, thin and narrow chested. There is increased thirst and that too for cold water. The patient is unable to tolerate warm water and as soon as the water turns warm in the stomach, it is vomited. This medicine is known to irritate, inflame and cause degeneration of the mucous membranes all over the body. The stool is long, narrow and hard, like that of a dog. The stool may be white and hard too. The patient is very sensitive to light, sound and all sorts of external impressions.
AESCULUS HIPPO. 30- Aesculus is prescribed when severe pain is experienced in the anus following stool passage. The stool is mainly hard and large followed by severe pains.
SILICEA 30- Silicea is effective when the discharge contains the pus of offensive odor. The stool is passed with difficulty and straining. The stool comes out partially and then recedes again.
ALUMINA 30- Alumina is another effective remedy for fissures with severe constipation and much straining. The mucus membrane of anus is thickened and swollen.
PLATINA 30-Platina is effective for fissures of the anus with crawling and itching every evening.
LACHESIS 30-Lachesis is effective when the person is constipated, anus feels tight as if nothing could pass through it. There is hammering pain in fissure.
दोस्तों आज की भागदौड़ भरी जिंदगी में लोगों की जीवनशैली कुछ ऐसी हो गयी है की लोगो को बवासीर से ज्यादा फिशर हो रहा है,
फिशर अक्सर तब होता है, जब आप मल त्याग के दौरान कठोर और बड़े आकार का मल निकालते हैं। फिशर के कारण आमतौर पर मल त्याग करने के दौरान दर्द होना और मल के साथ में खून भी आता है।
फिशर के दौरान आपको अपनी गुदा के अंत में मांसपेशियों में ऐंठन महसूस हो सकती है। फिशर छोटे बच्चों में काफी सामान्य स्थिति होती है, लेकिन यह किसी भी उम्र में हो सकता है।
फिशर के सामान्य तौर पर दो प्रकार होते हैं:
तीव्र (acute) – त्वचा की ऊपरी सतह पर छेद या दरार को एक्यूट फिशर कहा जाता है।
दीर्घकालिक (chronic) - अगर त्वचा की सतह पर हुआ छेद या दरार ठीक ना हो पाए, तो समय के साथ-साथ क्रॉनिक फिशर विकसित होने लगता है।
गुदा में फिशर के लक्षण व संकेतों में निम्न शामिल हो सकते हैं:
मल त्याग के दौरान दर्द, कभी-कभी गंभीर दर्द होना।
मल त्याग करने के बाद दर्द होना जो कई घंटों तक रह सकता है।
मल त्याग के बाद मल पर गहरा लाल रंग दिखाई देना।
गुदा के आसपास खुजली या जलन होना।
गुदा के चारों ओर की त्वचा में एक दरार दिखाई देना।
गुदा फिशर के पास त्वचा पर गांठ या स्किन टैग दिखाई देना।
फिशर के अन्य संभावित कारणों में निम्न शामिल हो सकते हैं:
लगातार डायरिया (दस्त) रहना।
इंफ्लेमेटरी बाउल डिजीज (ibd), जैसे क्रोहन रोग, अल्सरेटिव कोलाइटिस।
लंबे समय तक कब्ज रहना।
कभी-कभी यौन संचारित संक्रमण (sti), जैसे कि सिफिलिस या हर्पीस, जो गुदा व गुदा नलिका को संक्रमित और नुकसान पहुंचा सकते हैं।
एनल स्फिंक्टर की मांसपेशियां असामान्य रूप से टाइट होना, जो आपकी गुदा नलिका में तनाव बढ़ा सकती हैं। जो आपको एनल फिशर के लिए अतिसंवेदनशील बनाता है।
एनल फिशर से बचाव
आप कब्ज की रोकथाम करके एनल फिशर विकसित होने के जोखिमों को कम कर सकते हैं। अगर पहले कभी आपको फिशर की समस्या हुई है, तो कब्ज की रोकथाम करना बहुत जरूरी है।
आप निम्न की मदद से कब्ज की रोकथाम कर सकते हैं:
एक संतुलित आहार खाएं, जिसमें अच्छी मात्रा में फाइबर, फल और सब्जियां शामिल होती हैं।
पर्याप्त मात्रा में तरल पदार्थ पीएं। नियमित रूप से व्यायाम करते रहें।
यह महत्वपूर्ण है कि आप मल त्याग करने के बाद अपने गुदा को धीरे-धीरे पोंछें।
जब शौचालय जाने की इच्छा महसूस हो तो उसे अनदेखा नहीं करना चाहिए। क्योंकि आंतों को खाली ना करना बाद में कब्ज का कारण बन सकता है। ऐसा इसलिए होता है, क्योंकि आंतों में जमा होने वाला मल कठोर बन जाता है, जो गुदा के अंदर से गुजरने के दौरान दर्द व गुदा में दरार (खरोंच) पैदा कर कर सकता है।
टॉयलेट में अधिक देर तक ना बैठें और अधिक जोर ना लगाएं। ऐसा करने से गुदा नलिका में दबाव बढ़ता है। अगर आपको कोई अन्य स्वास्थ्य संबंधी समस्या है, जो फिशर होने के जोखिम को बढ़ाती है, तो इस बारे में डॉक्टर को बताएं। वे आपसे इस बारे में बात करेंगे कि इस स्थिति को कैसे मैनेज करना है और एनल फिशर होने के जोखिमों को कैसे कम करना है।
फिशर का परीक्षण कैसे किया जाता है?
डॉक्टर आमतौर पर गुदा के आस-पास के क्षेत्र की जांच करके फिशर का परीक्षण कर सकते हैं। लेकिन वे परीक्षण की पुष्टी करने के लिए गुदा का भी परीक्षण कर सकते हैं। परीक्षण के दौरान डॉक्टर मरीज की गुदा में एंडोस्कोप (endoscope) डालते हैं, जिससे वे दरार को आसानी से देख पाते हैं। एंडोस्कोप एक मेडिकल उपकरण होता है, यह एक पतली ट्यूब होती है जिसकी मदद से डॉक्टर गुदा नलिका की जांच करते हैं। एंडोस्कोप के प्रयोग की मदद से डॉक्टर गुदा व गुदा नलिका से जुड़ी अन्य बीमारियों का पता भी लगा सकते हैं, जैसे बवासीर।
अनल फिशर के लिए नवीनतम आधुनिक उपचार
लेटरल इंटरनल स्फिंक्टरोटॉमी anal fissure का नया आधुनिक उपचार है, इसमें पेशेंट मात्र 7 से 15 दिन में बिलकुल ठीक हो जाता है साथ में anal dilatation करना होता है ताकि गुदा की मासपेशिया नरम मुलायम बने और गुदा की चिकनाहट बड़े,
Ulcerative colitis is an inflammatory bowel disease (IBD) that causes long-lasting inflammation and ulcers (sores) in your digestive tract. Ulcerative colitis affects the innermost lining of your large intestine (colon) and rectum. Symptoms usually develop over time, rather than suddenly.
A flare-up may be sudden and severe
A flare-up may begin gradually
Chikitsa Siddhant (Principle)
Re-search medicine by (Vaidyaratnam Sandip Patel)
Fried Methi (Fenugreek) 100gm
Haldi (Turmeric) 100gm
Ganthoda (Granthik) 10gm
Mix it properly
Dose: one teaspoon Morning & Evening
Castrol oil –one teaspoon with warm water/milk/tea at bedtime once or twice in weak
Fried Lahsun- with ghee and take one to two pieces everyday morning.