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Inflammatory bowel disease (IBD) is a group of intestinal disorders that cause long-term inflammation (swelling) in the digestive tract. It occurs when the body’s immune system mistakenly attacks healthy bowel cells. IBD can damage the bowels, and surgery may be needed to treat the condition.
People with IBD can experience debilitating abdominal symptoms that affect their quality of life. IBD also increases their risk of developing colorectal cancers.
The two main types of IBD are Crohn’s disease and ulcerative colitis. Both are inflammatory bowel diseases, but they affect people differently.
Crohn’s disease can occur anywhere in the gastrointestinal (GI) tract, from the mouth to the anus. It’s commonly found in the end of the small bowel (ileum) and the beginning of the colon. Crohn’s disease can damage the entire bowel wall, and the inflammation is usually patchy (some sections of the bowel are spared). Crohn’s disease can cause scarring and narrowing in the GI tract. In some cases, it leads to tunnels forming between the bowels and skin or other organs.
Ulcerative colitis occurs only in the large intestine (colon). The disease affects only the innermost lining of the colon. With ulcerative colitis, inflammation is usually continuous with no gaps of healthy tissue.
IBD can cause a variety of symptoms that range from mild to severe. Symptoms of IBD may include:
IBD is sometimes confused with irritable bowel syndrome (IBS). While IBS has similar symptoms, they are not the same.
While the exact cause is unknown, experts believe several factors may be linked to IBD. Risk factors for developing inflammatory bowel disease include the following.
A diet high in processed food, fat and animal protein can increase the risk of developing IBD.
IBD may run in families; having a family member with the disease increases your risk.
IBD may begin as a response to viruses or bacteria, but the immune system never shuts off, causing chronic inflammation.
IBD can occur at any age, but many people are diagnosed at age 30 or younger and age 60+.
IBD is more prevalent in developed countries, urban areas and northern climates.
Smoking, poor diet, lack of exercise and use of certain medications can also raise your risk.
At Mercy, we help people with IBD reclaim their quality of life. Our multispecialty care teams use the latest advancements to diagnose and treat IBD. We bring together specialized expertise, the latest treatment advances and personalized support services to help address the entire spectrum of inflammatory bowel disease.
Early diagnosis and treatment are critical to minimizing the long-term complications of IBD. No single test can diagnose the disease. A physical exam and several tests are used to diagnose IBD. Tests may include:
Mercy gastroenterologists offer treatments to help reduce inflammation, relieve IBD symptoms and minimize bowel damage. While there’s no cure for IBD, several effective treatment options are available.
Medications used to treat IBD include:
Mercy dietitians can assess the nutritional status of people with IBD and recommend dietary or lifestyle changes to improve their symptoms. A food diary can be used to identify foods that trigger IBD symptoms.
TPN is liquid nutrition delivered through a catheter that’s inserted into a vein. The nutrients go directly into the blood instead of the digestive tract. It may be needed if the digestive system isn’t functioning or needs complete rest.
It’s common for people with IBD to have abdominal pain. Mercy gastroenterologists offer pain management options. Non-steroidal anti-inflammatory drugs like ibuprofen can worsen IBD symptoms. Acetaminophen (Tylenol) may be recommended. Sometimes medications are used to treat spasms and slow down the GI tract transit (the time it takes for food to leave your stomach and pass through the intestines). Opiates sometimes treat severe pain in the short term, but they’re used cautiously to avoid dependence or addiction.
Surgery may be required if medication and nutritional support aren’t effectively controlling IBD – or if complications like bowel obstruction or severe bleeding occur. Mercy offers a variety of IBD surgery options, including minimally invasive procedures to repair or remove damaged areas of the GI tract.
At Mercy, we offer comprehensive testing services to diagnose inflammatory bowel disease, including:
At Mercy, we offer compassionate care for a variety of treatment services, including: