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Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) is a term used to describe a series of conditions that create chronic inflammation in part or all of the digestive tract. Ulcerative colitis and Crohn’s disease are the most common conditions known under this umbrella term.

The causes of IBD are unknown. While it was once believed that stress and diet were the causes, it is now shown that these factors aggravate but do not cause IBD.

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What is Ulcerative Colitis? 

Ulcerative colitis is a condition that causes chronic inflammation, forcing the colon to empty frequently and resulting in diarrhea. Cells from the lining of the colon slough off in the process, creating tiny open sores known as ulcers. The ulcers cause pus, mucus and bleeding. Ulcerative colitis occurs most frequently in patients between 15 and 40 years of age (though children and patients over 50 may develop it as well).

There are four types of ulcerative colitis, each of which is categorized by their location and the severity of symptoms:

  • Acute severe ulcerative colitis: A rare condition that affects the entire colon, resulting in violent episodes of diarrhea, intense abdominal pain, and bleeding. Fever usually accompanies these symptoms and there is a loss of appetite.
  • Left-sided colitis: With this condition, inflammation runs up to the sigmoid (low end of the colon) and descending colon. Symptoms include diarrhea, unintentional weight loss, and pain/cramping on the left side of the abdomen.
  • Proctosigmoiditis: This condition is an inflammation of the rectum and sigmoid colon with symptoms including pain/cramping, bloody diarrhea, and the urge to constantly have a bowel movement (known as tenesmus).
  • Ulcerative proctitis: Ulcerative proctitis is the mildest form of ulcerative colitis confined to the rectum. Rectal bleeding is the only symptom.

What Is Crohn’s Disease?

Crohn’s disease is an autoimmune disease in which inflammation occurs in sections of the large and small intestines that spreads into affected tissues. The inflammation is the result of the body’s immune system recognizing the cells in the digestive tract as a foreign body and attacking them.

While the causes are unknown, it is believed that those with a family history of the condition have an increased risk of developing it.

Crohn’s disease shares many symptoms with ulcerative colitis and the severity of symptoms hinge upon the severity of inflammation. Shared symptoms include:

  • Abdominal pain and cramping
  • Bloody stool
  • Reduced appetite
  • Diarrhea
  • Fatigue
  • Fever
  • Unintended weight loss

In addition, Crohn’s disease and ulcerative colitis cause similar symptoms found in other conditions such as irritable bowel syndrome.

What Are the Treatments for IBD?

Though there is no cure for IBD, symptoms can be managed by controlling the inflammation. It may be recommended to begin with milder drugs and move to stronger ones or start stronger and move to milder, depending on individual needs.

Medicinal treatments for the disease include:

  • 5-ASA anti-inflammatories (e.g., aminosalicylates and corticosteroids)
  • Biologics such as adalimumab (Humira®) and infliximab (Remicade®)
  • Immune system suppressors like azathioprine and mercaptopurine

Medications to manage symptoms include:

  • Antibiotics such as metronidazole and ciprofloxacin
  • Other medications such as anti-diarrheal and acetaminophen for pain

In addition, lifestyle changes may be recommended to help control symptoms. These include:

  • Dietary changes
  • Smoking cessation
  • Stress reduction

Surgery may also be recommended if all other conservative methods of treatment have failed. Surgical procedures differ depending upon the type of IBD:

  • Surgery for ulcerative colitis: During a procedure known as a proctocolectomy, the colon and rectum are surgically removed and a pouch is created from the end of the small intestine. The pouch is then attached directly to the anus to allow for normal excrement.
  • Surgery for Crohn’s disease: For a bowel resection, the damaged portion of the digestive tract is removed and then the healthy ends are attached to one another. In some cases, a stricturoplasty may also be performed. During this procedure, the narrowed areas of the intestine are surgically opened.

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Our Gastroenterology Centers in NJ

Hillsborough, NJ

511 Courtyard Drive Bldg. 500

Hillsborough, NJ 08844

Somerville, NJ

319 East Main Street

Somerville, NJ 08876

Warren, NJ

31 Mountain Boulevard Suite H 

Warren, NJ 07059

Recent Blogs

Learn more about all things digestive health and wellness by checking out our recent gastroenterology blogs.

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December 4, 2020
COVID-19 Update

To all our valued patients at Digestive Healthcare Center and Central Jersey Ambulatory Surgical Center Your health and safety are important to us. To help protect patients and staff, we have designated Digestive Healthcare Center and Central Jersey Ambulatory Surgical Center as a Patient and Staff “SAFE ZONE.” Our SAFE ZONE is defined by the safety […]

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Colorectal Cancer Screening: What You Should Know

What is Colorectal Cancer? At Digestive Healthcare Center, our team of expert gastroenterologists strives to ensure that patients have all the information they need to promote long term digestive health. In the case of certain gastroenterological conditions such as colorectal cancer, screening is incredibly important. Colorectal cancer starts in the colon (large intestine) or rectum. […]

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Gastroparesis Awareness Month – Learn More from DHC

What is Gastroparesis? At Digestive Healthcare Center, we want to ensure that patients have information about an array of digestive health conditions, to promote positive gastrointestinal health year-round. One such condition is gastroparesis, which is a digestive condition that affects the motility of the muscles in your stomach. Normally, after you swallow, the muscles within […]

Diagnosis and Treatment of IBD in NJ at Digestive Healthcare Center

Whether you are experiencing symptoms of Ulcerative colitis or Crohn’s disease, our physicians will work to reach an accurate diagnosis and craft a personalized treatment plan for you. We will ensure that all of your questions about your condition and treatment options are answered, whether you visit us in person or via a virtual telemedicine visit. To learn more about our gastroenterology services in NJ or to request an appointment, please contact us today.

About Telemedicine Visits

We are proud to offer telemedicine care to patients throughout NJ, allowing patients to consult with one of our expert gastroenterologists via a two-way video call. Setting up and completing a telemedicine visit is extremely simple, and all you need to do to get started is give one of our offices a call or contact us by filling out a form.