Inflammatory bowel disease or IBD

Inflammatory bowel disease or IBD: Symptoms, Causes and Risk Factors

Inflammatory bowel disease is a broad term that covers the disorders of chronic inflammation of the digestive tract.

Types of inflammatory bowel diseases are:

Ulcerative colitis: Ulcerative colitis is a condition where there is ulceration of the inner lining of the colon and the rectum. This is a long-lasting condition.

Crohn’s disease: In Crohn’s disease there is inflammation of the lining of the digestive tract which spreads deep into affected tissues.

Inflammatory bowel disease is debilitating and sometimes life-threatening too.

Symptoms:

The symptoms vary depending on the severity and site of the inflammation. The symptoms are usually intermittent.

The symptoms are:

  • Abdominal pain and distress
  • Diarrhoea, sometimes bloody diarrhoea
  • The severe urge to pass stools.
  • Fever
  • Loss of appetite
  • Weight loss
  • Anemia, because of blood loss
  • Pus or mucous in the stool
  • Vomiting
  • Night sweat
  • Fatigue
  • Painful bowel movements

Associated symptoms:

  • Joint pain
  • Oral thrush
  • Inflammation of eyes
  • Irregular menstruation
  • Painful coitus in women.
  • Growth impairment in children having this illness.

Causes:

There is no known cause for inflammatory bowel disease but the factors that are believed to cause inflammatory bowel disease are:

  • Abnormal immune response to bacteria, viruses and certain food that fuel an inflammatory reaction in the gut.
  • Family history with biological close relatives suffering from inflammatory bowel diseases.
  • Coli and entrovirus, causes Crohn’s disease.
  • Smoking tobacco
  • Diet
  • Using oral contraceptive
  • Breastfeeding
  • Antibiotics

Risk factors:

The risk factors for inflammatory bowel disease are:

  • People under the age of 30 are at higher risk.
  • People with close biological relatives are at higher risk.
  • People who smoke tobacco
  • Women who use oral contraceptive pills.
  • Medicines, such as non-steroidal anti-inflammatory drugs increase the risk of inflammatory bowel disease.
  • People with Caucasian and Ashkenazi ethnicity are at higher risk.
  • People who have undergone the appendectomy.
  • Excessive consumption of sweets, fatty, and oily food increases the risk of developing inflammatory bowel disease.
  • Certain microorganisms in the intestinal flora increase the risk.
  • Stress

Complications:

The complications associated with inflammatory bowel disease can be dealt with under the following two heading:

Complications associated with ulcerative colitis:

  • Perforation of the intestine due to chronic inflammation and ulceration. The perforation is life-threatening.
  • Fulminant colitis
  • Toxic megacolon
  • Increased risk of colorectal cancer

Complications associated with Crohn’s disease:

  • Intestinal obstruction caused due to swelling and scar formation. The thickening of the intestinal wall causes narrowing of intestinal passage.
  • An abscess caused by a bacterial infection in the intestinal pockets.
  • Fistula
  • Fissure
  • Malnourishment
  • Small intestinal bacterial overgrowth

Lifestyle tips:

Some lifestyle tips to control symptoms to flare are:

  • Limit dairy products
  • Consume less sugar
  • Avoid fatty and oily food
  • Take care of fiber
  • Avoid the problem aggravating food
  • Eat small meals
  • Drink plenty of water and fluids
  • Take nutritional supplements
  • Quit smoking tobacco
  • Reduce stress
  • Exercise regularly
  • Try breathing exercises

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