IBD Symptoms & Causes: Recognizing Inflammatory Bowel Disease Early
Inflammatory bowel disease (IBD) is a group of long-term conditions that cause swelling and irritation in the digestive system. It mainly affects the intestines and can lead to sudden episodes of pain, diarrhoea, and other stomach problems.
However, IBD doesn’t only affect your stomach; it can also impact your overall health, emotions, and mental well-being. This article will explain common IBD symptoms, their development, and more. Keep reading to learn how to recognise and manage this chronic digestive condition.
What are the Types of Inflammatory Bowel Disease?
There are two main kinds of IBD, which are:
- Crohn’s Disease: This condition causes painful sores in the digestive tract. It can affect any part of the digestive system, from the mouth to the anus, but it most often affects the small intestine and the beginning of the large intestine.
- Ulcerative Colitis (UC): UC causes swelling and open sores in the large intestine. It usually starts in the rectum and can spread throughout the colon.
What are the Symptoms of Inflammatory Bowel Disease?
IBD symptoms can range from mild to severe. They may come and go, and it’s often difficult to know when they’ll appear. Common IBD symptoms include:
- Pain or cramping in the lower belly
- Blood in the stool
- Ongoing diarrhea
- Feeling very tired
- Losing weight without trying
What are the Causes of Inflammatory Bowel Disease Symptoms?
IBD develops when your immune system, which normally protects you, mistakenly attacks healthy parts of your digestive system. Experts believe that changes in certain genes may be involved. When these genes mutate, your chances of developing IBD rise.
Certain everyday activities may worsen your symptoms if you have one or more of these risk factors. While these triggers don’t cause IBD, they can lead to flare-ups. Common examples include:
- Taking antibiotics
- Using NSAIDs (nonsteroidal anti-inflammatory drugs)
- Smoking
- Feeling stressed
What are the Treatments for Inflammatory Bowel Disease Symptoms?
There’s no cure for IBD, but treatments can help control it and improve your quality of life. The main goals are to reduce inflammation, prevent flare-ups, and help the gut recover. Treatment often involves:
- Medications to calm the immune system and reduce inflammation
- Surgery, if medicines aren’t enough or if there are complications
- Diet and lifestyle changes to support recovery and reduce symptoms
Other major treatments involve:
1. Medications for Inflammatory Bowel Disease
Most people with IBD will need to take medication for a long time, even when they feel better. The main goals of treatment are to reduce symptoms, stop inflammation, and prevent flare-ups. Listed below are a few of the medications:
- Immunosuppressants: These drugs calm down the immune system so it stops attacking the digestive tract. They’re often used for moderate to severe IBD. Newer biologic types are now widely used, especially for Crohn’s disease.
- Topical Anti-inflammatory Drugs: These come as suppositories or enemas. They help control diarrhoea and bowel urgency in mild to moderate cases. They usually have few side effects.
- Pain Relief: Pain management must be approached with caution. Common painkillers like NSAIDs (e.g., ibuprofen) should be avoided as they can worsen inflammation. Acetaminophen may be an option, but pain should primarily be managed by treating the underlying inflammation. Always consult a doctor for pain management.
- Antibiotics: These may help in certain Crohn’s cases, primarily when abscesses or fistulas exist. They can also help after certain surgeries.
- Steroids: These potent anti-inflammatory drugs can be effective during flare-ups. However, they are only used for the short term because of serious side effects (like weight gain, bone loss, and higher infection risk).
2. Inflammatory Bowel Disease Surgery
If medications don’t help enough, long-term inflammation can damage the intestines, and surgery may be needed. The likelihood of needing surgery varies. Historically, up to 70-80% of Crohn's patients and 20-30% of UC patients required surgery, but these rates are declining with advances in medication. Surgery may be done to:
- Remove damaged sections of the intestine.
- Treat blockages, abscesses, fistulas, or narrowing of the bowel.
- If a large section needs to be removed, create a stoma (an opening in the belly to remove waste).
The type of surgery depends on which part of the intestine is affected. Crohn’s disease often impacts the lower small intestine (terminal ileum), while ulcerative colitis affects the colon and rectum.
What are the Complications of Inflammatory Bowel Disease Symptoms?
Inflammatory bowel disease (IBD) can lead to problems in your digestive system and other parts of your body. Some of these problems can be serious, such as:
- Colon Cancer: People with IBD have a higher chance of getting colon cancer.
- Perforated Bowel: This means a hole forms in the wall of your intestine. It causes strong stomach pain, swelling, and tenderness.
- Toxic Megacolon: A rare but life-threatening condition where the colon becomes swollen. Symptoms include bloody diarrhoea, severe stomach pain, and a tender belly.
- Anal Fistula: An abnormal tunnel that forms between the end of the bowel and the skin around the anus.
- Anal Stenosis: When the anal canal becomes too narrow, it makes it hard to pass stool.
Understanding inflammatory bowel disease (IBD) can help you manage symptoms better and seek timely medical care. With the right treatment plan and lifestyle choices, many people with IBD lead active, fulfilling lives. However, it is always advised to have health insurance to protect your health and finances during critical times.