What is Inflammatory Bowel Disease?

Inflammatory Bowel Disease (or IBD) is a very common, long-term condition that affects the digestive system. It is slightly more common in women than men. Inflammatory Bowel Disease usually starts in early adulthood, but can occur at any age. Up to 3 million Americans have some form of IBD. 

Types of IBD

IBD includes Crohn’s Disease and Ulcerative Colitis. Both types affect the digestive system. In both cases, there is chronic inflammation of the intestines. 

Some symptoms may overlap between both types of Inflammatory Bowel Disease, but there are a few key differences. 

Crohn’s disease

Location

In Crohn’s Disease, inflammation can appear anywhere in the digestive tract, from the mouth to the anus. Crohn’s disease usually affects more of the GI tract and symptoms can appear throughout the body.

Inflamed Spots

People with Crohn’s Disease often have healthy areas in between inflamed spots.

Ulcerative Colitis

Large Intestine Location

In Ulcerative Colitis, inflammation affects only the large intestine.

Continuous Inflammation

With Ulcerative Colitis, there are no healthy areas in between inflamed spots.

What are the Symptoms of Inflammatory Bowel Disease?

With both types of Inflammatory Bowel Disease, you may have periods of normalcy and other times when symptoms disrupt your daily life. 

IBD affects the gut or the large intestine and colon. When you eat food and it passes through your intestines, the wall of the bowel slowly helps to break down the food. 

The gut wall is sensitive. If you have IBD, your immune system mistakes foods as foreign substances. This means it releases antibodies to fight off this threat, and it causes IBD symptoms such as: 

  • Cramping 
  • Bloating 
  • Diarrhea 
  • Constipation 
  • Gas 
  • Loss of appetite 
  • Upset stomach 

 

Some triggers of IBD may include: 

  • Infections 
  • Environmental stress 
  • Medications 
  • Family history or genetics 

These may be symptoms of Inflammatory Bowel Disease, but your gastroenterologist will also screen for cancer or Celiac Disease. 

You may also have symptoms similar to IBD, but no inflammation. In this case, you may have Irritable Bowel Syndrome. With IBS, there is no sign of disease or abnormality during an exam of the colon. Ruling out other conditions can get you on the road to recovery. Based on your symptoms, stool tests, or blood tests you can find the cause for your discomfort. 

Your gastroenterologist may also examine the lower part of your large intestines. This is a test called sigmoidoscopy. A sigmoidoscopy may be used to examine or diagnose certain conditions or structures in your lower colon. 

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How Can I Treat Inflammatory Bowel Disease?

Treatment for Inflammatory Bowel Disease can help you live a normal life. Although this is a chronic condition, there are many who live in remission a majority of the time. 

Remission is considered as a period of time when you do not have any IBD flares. Medications or surgery can help you on your road to recovery. 

Other daily treatment options for IBD include: 

  • Finding ways to relax and manage stress 
  • Getting regular exercise 
  • Meeting with a nutritionist for recommendations 
  • Keep a diary of foods you eat to avoid common triggers 
  • Take over-the-counter drugs to relieve constipation or diarrhea 

 

Often there is not one single fix for IBD. Your provider can work with you to see what works best for you. 

Medications and Surgical Treatments for IBD

Your gastroenterologist will work with you to find a medication that helps control your IBD symptoms. Often, medications can help control inflammation so you can live a normal life. 

Some medications to treat IBD include antibiotics to treat infections, anti-inflammatory medicine, biologics, corticosteroids to manage flares, immunomodulators to calm an overactive immune system, antidiarrheal medication, or probiotics including vitamins and supplements. 

If medication is not working for you, you may need to seek surgical care. 

With Crohn’s disease, as many as seventy percent eventually need surgery. Surgery may include a bowel resection to remove the part of the bowel that is diseased and connect two healthy ends of the bowel together. 

With Ulcerative colitis, about 1 in 3 people need surgery after living more than 30 years with the disease. Surgery may include removing the colon and/or rectum and connecting your small intestine and the anus. You then have a pouch that collects stool and exits through the anus. This procedure usually cures you of the disease. 

How Can I Find an IBD Provider?

If you have IBD you can still enjoy an active, normal life. With the right medical care, you can manage symptoms and no longer have digestive issues getting in the way. 

It is important to find a provider you trust to join you on your journey with IBD. 

 

Schedule your Appointment

Dr. Jonathan Erlich is a highly trained gastroenterologist with extensive experience diagnosing and treating patients with Hepatitis C. Call (773) 631-2728 to request an appointment or fill in the form below. 

Frequently Asked Questions

Crohn’s disease can affect any part of the GI tract from the mouth to the anus and may involve deeper layers of the bowel wall. Ulcerative colitis is limited to the colon (large intestine) and rectum, affecting only the inner lining of the colon.
The exact cause of IBD is unknown, but it is thought to result from an abnormal immune response, where the body attacks its own digestive tract. Genetics, environmental factors, and the gut microbiome may also contribute to its development.
No, IBS and IBD are different. IBS is a functional disorder that affects how the intestines work, while IBD involves chronic inflammation and physical damage to the intestines, such as in Crohn’s disease and ulcerative colitis.
Common symptoms include abdominal pain and cramping, chronic diarrhea (sometimes bloody), fatigue and weakness, weight loss, loss of appetite, fever, and urgency to have a bowel movement.
Diagnosis typically involves a combination of tests, including blood tests, stool tests, endoscopy (such as colonoscopy), imaging tests like CT or MRI, and biopsy of the intestinal tissue.
There is no cure for IBD, but with proper treatment, many people can manage their symptoms and lead full, active lives. Treatment is aimed at controlling inflammation, healing the bowel, and preventing flare-ups.
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Chicago, IL 60631

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