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Video: Crohn's Disease - All About Bowel Disease
2023 Author: Wallace Forman | [email protected]. Last modified: 2023-08-25 11:04
Inflammatory Bowel Disease: Causes & Symptoms
In the case of inflammatory bowel disease, the immune system reacts incorrectly, causing an excess of inflammation-promoting substances (cytokines, chemokines) to be released into the intestinal wall. As a result, inflammations develop in the intestines. The alternation between acute attacks and symptom-free phases is characteristic. The development of inflammatory bowel disease is difficult to prevent…
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Much is still unexplained about the development of inflammatory bowel disease. The influence of genetic components (family history) is clear. Among the environmental factors it is discussed that, for example, excessive hygiene in childhood increases the risk. Infections in the intestine may also have an impact.
The influence of cigarette smoking on the disease process is opposite in Crohn's disease and ulcerative colitis. While smoking increases the risk of Crohn's disease, the opposite is true for ulcerative colitis: Smoking lowers the risk of the disease. Another possible influencing factor being discussed is an appendix operation that has taken place.
Chronic inflammatory bowel disease is characterized by recurring phases of high disease activity (so-called relapses), followed by symptom-free phases (remission).
The two diseases differ in terms of the sections of the intestine that are affected by the inflammation. Crohn's disease (MC) can affect all areas of the digestive tract from mouth to anus. Various combinations of different inflammation sites are also possible. Frequently affected areas in Crohn's disease are the lower section of the small intestine (ileum) at the transition to the large intestine, the uppermost section of the small intestine (duodenum, duodenum), the entire small intestine and / or the large intestine, stomach and esophagus. In Crohn's disease, the inflammatory process extends deep into all layers of the intestinal wall (transmural).
In ulcerative colitis (CU), the inflammatory process is concentrated in the large intestine. The rectum, the left-sided descending large intestine, extensive parts of the large intestine or - less often - the entire large intestine can be affected. The inflammation is not as deep as in Crohn's disease and is mostly limited to the mucous membrane (mucosa and submucosa).
Typical complaints of inflammatory bowel disease:
- Diarrhea, often bloody and slimy, possibly purulent in ulcerative colitis;
- Abdominal pain, often spasmodic;
- painful bowel movements (in ulcerative colitis);
- general feeling of illness;
- Weight loss;
- Stunted growth.
The development of inflammatory bowel disease is difficult to prevent. Only the influence of smoke in Crohn's disease is clear.
Copper storage disease (Wilson's disease) is a rare, hereditary disorder of copper metabolism in the liver. Consistent therapy enables normal life expectancy
Inflammatory bowel disease: diagnosisThe diagnosis of inflammatory bowel disease is very complex and involves a combination of different methods. At the beginning there is a detailed discussion with the doctor. She / he discusses which problems exist, how long they have existed and when they can arise
Inflammatory Bowel Disease: DietThere are no special dietary recommendations for inflammatory bowel diseases such as Crohn's disease or ulcerative colitis. Primarily one should orientate oneself on a balanced mixed diet, which corresponds to the Austrian food pyramid
Inflammatory bowel disease: therapyAccording to the current state of medical knowledge, Crohn's disease and ulcerative colitis cannot yet be treated causally, ie a cure is not possible. The focus of the therapy is therefore on reducing or eliminating inflammation in the intestine as well as largely extending symptom-free phases (remission) while maintaining the highest possible quality of life
Inflammatory Bowel Disease: Complications & ConsequencesIn the case of chronic intestinal diseases, symptoms of illness outside the intestine, so-called extraintestinal manifestations, are possible. These side effects usually come to the fore during active flare-ups