Ulcerative Colitis. Ready for an Appointment? Back One Level. Related News. Other factors that may affect your nutritional status include: Medication — some medication used to treat IBD may lessen your appetite and interfere with the absorption of certain nutrients, such as folic acid.
Inflammation — your body needs greater amounts of nutrients in order to cope with inflammation and fever. Surgery — some people with IBD need surgery to remove parts of their small intestine. This lessens nutrient absorption. Problems caused by inadequate nutrition Over the long term, reduced absorption of food nutrients can cause a number of problems, including: anaemia weight loss impaired growth and development in children.
IBD and changing your diet Some dietary changes that may help a person with IBD include: Low-fibre diet — when IBD is active, most people find a bland non-spicy , low-fibre diet helps to ease diarrhoea and abdominal cramping. Low-lactose diet — the milk sugar lactose is broken down by the enzyme lactase, commonly found in the lining of the small intestine.
Lactose intolerance can be diagnosed with a simple test — ask your doctor. Plenty of water — people with IBD need to drink plenty of fluids to prevent dehydration. Vitamin and mineral supplements for IBD A person with IBD who eats a healthy, varied diet does not usually need to take vitamin supplements.
Medical advice and dietary changes for IBD Always speak with your doctor, healthcare specialist or dietitian before making any changes to your diet. Complications caused by nutritional deficiencies Some of the complications of malnutrition include: Dehydration — diarrhoea causes your body to lose fluid, which can lead to dehydration. Severe dehydration can damage your kidneys. Anaemia — reduced iron in the diet combined with losing blood from the bowel can lead to anaemia the blood does not carry enough oxygen.
Weight loss — reduced appetite and poor absorption of food nutrients can cause weight loss. Inflammation in other areas Some people with IBD have painful inflammation in other areas of the body, including: joints of the fingers, hands, feet, ankles and knees joints of the spine, including vertebrae and sacroiliac joints located at the pelvis eyes skin.
Skin problems Two specific skin problems that can occur as a result of IBD are: pyoderma gangrenosum — small, sunken ulcers on the skin erythema nodosum — painful, small, reddened nodules on the skin usually on the legs.
Fistulas Fistulas are abnormal openings in the body. Toxic megacolon Toxic megacolon is a rare complication. Seek urgent medical attention if you experience symptoms, which include: hard, swollen abdomen severe abdominal pain fever bloody diarrhoea accelerated heart rate. Treatment of IBD complications Treatment depends on the particular complication, but may include: complications caused by nutritional deficiencies — vitamin and mineral supplements by mouth or injection , changes to diet such as a low-fibre diet or a liquid diet in severe cases inflammation in other body areas — usually ease when the bowel inflammation is controlled with medication fistulas — small openings that often heal by themselves, with treatment to ease the inflammation.
A person may need surgery to close a larger fistula. Abscesses may need antibiotics and surgical drainage intestinal obstruction — in some cases, medical treatment to ease the inflammation will clear the obstruction.
In severe cases, the person will need surgery toxic megacolon — the person goes to hospital, and receives fluids and nutrients intravenously through a tube and needle into their bloodstream instead of by mouth, plus antibiotics and steroids to reduce inflammation. A ruptured bowel needs surgical repair or removal. In severe cases, the whole of the large bowel may need to be surgically removed. Diet and food allergies do not cause IBD. Medications help manage the symptoms of IBD.
People with IBD can lead useful and productive lives. If medication isn't reducing the inflammation and IBD progresses, surgery may be needed.
This is where people with ulcerative colitis tend to fare better. According to the Mayo Clinic , colectomy surgery — whether partial or full — usually requires additional procedures that reconnect the remaining portions of the digestive system so they can still rid the body of waste. However, things are looking up. A study published in December in the Journal of Gastrointestinal Surgery found that due to advances in medicine and medical care for IBD patients over the past decade, the number of hospitalized patients with ulcerative colitis who require a colectomy decreased by nearly 50 percent between and Surgeons remove the rectum and colon and then create a temporary opening in the abdomen, called a loop ileostomy , which will allow waste to move from the small intestine into an ostomy bag that sits outside the body while the digestive system heals from the surgery.
In some cases a stoma, or permanent opening in the abdomen that funnels waste into an external bag, is required, notes the Mayo Clinic.
This requires more frequent surgeries. Fistulas are serious and need to be repaired. Crohn's disease blogs can be a useful source of educational information on the condition and contain tips and accounts from individuals with the…. What is the difference between Crohn's disease and ulcerative colitis? Medically reviewed by Elaine K. Luo, M. Differences in symptoms.
Differences in diagnosis. Differences in treatment. Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. Related Coverage. Medically reviewed by Daniel Murrell, MD. What to know about ulcerative colitis. Medically reviewed by Mikhail Yakubov, MD. Colitis and Crohn's: Is 21st century living to blame? Remedies for ulcerative colitis constipation.
Medically reviewed by Saurabh Sethi, M. The 10 best Crohn's disease blogs Crohn's disease blogs can be a useful source of educational information on the condition and contain tips and accounts from individuals with the… READ MORE.
0コメント