What is inflammatory bowel disease?
Inflammatory bowel disease is the name of a group of disorders that cause
the intestines to become inflamed (red and swollen). The inflammation lasts
a long time and usually comes back over and over again. More than 600,000
peoples have some kind of inflammatory bowel disease every year.
If you have inflammatory bowel disease, you may have abdominal cramps and
pain, diarrhea, weight loss and bleeding from your intestines. Two kinds of
inflammatory bowel disease are Crohn's disease and ulcerative colitis.
Crohn's disease usually causes ulcers (open sores) along the length of the
small and large intestines. Crohn's disease either spares the rectum, or
causes inflammation or infection with drainage around the rectum. Ulcerative
colitis usually causes ulcers in the lower part of the large intestine,
often starting at the rectum.
What causes inflammatory bowel disease?
The exact causes are unknown. The disease may be caused by a germ or by an
immune system problem. You don't have to worry about your family members
catching the disease from you, because it isn't contagious. However,
inflammatory bowel disease does seem to be hereditary (runs in your family).
How is inflammatory bowel disease diagnosed?
Based on your symptoms, your doctor may suspect that you have Crohn's
disease or ulcerative colitis. Your bowel movements may be tested for germs
and the presence of blood. Your doctor will probably look inside your
intestines with a sigmoidoscope or a colonoscope. In these procedures, the
doctor uses a narrow flexible tube to look directly inside your intestines.
Special x-rays may be helpful in diagnosing this illness.
How is inflammatory bowel disease treated?
The best thing you can do is take good care of yourself. It's important to
eat a healthy diet. Depending on your symptoms, your doctor may ask you to
cut down on the amount of fiber or dairy products in your diet. In addition
to eating well, you need to get enough rest. It's also important that you
learn to manage the stress in your life. When you become overly upset by
things that happen at home or at work, your intestinal problems can get
worse.
You will most likely be treated by a team of doctors. This team may include
your family physician, a gastroenterologist (a specialist in stomach and
intestinal disorders) and, possibly, a surgeon.
The goal of treatment is to get rid of the inflammation. Many types of
medicine can reduce inflammation, including anti-inflammatory drugs such as
sulfasalazine, corticosteroids such as prednisone, and immune system
suppressors such as azathioprine and mercaptopurine. An antibiotic, such as
metronidazole, may also be helpful for killing germs in the intestines,
especially if you have Crohn's disease.
To help treat your symptoms, your doctor may recommend anti-diarrheals,
laxatives, pain relievers or other over-the-counter (OTC) drugs. It is
important to talk to your doctor before taking any OTC medicine on your own.
Your body may not be able to handle the effects of medicine. If you have
severe symptoms, such as diarrhea, fever or vomiting, you may need to go to
the hospital to be treated with special fluids and medicines that must be
given intravenously (in your veins).
If your ulcerative colitis becomes so severe that it can't be helped by
medicines, it may be necessary to remove part or all of your colon
surgically. Crohn's disease usually isn't helped with surgery.
Because Crohn's disease and ulcerative colitis keep coming back and their
symptoms cannot be predicted ahead of time, patients with these illnesses
can become depressed. If you feel depressed, talk with your family doctor.
An antidepressant medicine could help you feel better.
How can I get more information?
By asking questions, reading informational materials and discussing your
treatments with your doctor, you'll be able to understand your illness and
manage it better. Patient support groups are helpful, especially if you have
severe disease. (AAFP)
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