All you wanted to know about IBD

Dr. Manish Joshi is a Consultant Surgical Gastroenterologist, GI Oncologist and Advanced Laparoscopic Surgeon at the BGS Global Hospitals, Bangalore. He had earlier served as Head of Surgical Gastroenterology services at St. John’s Medical College Hospital, Bangalore for almost 3 years. 

What is IBD?

Inflammatory bowel disease (IBD) is an umbrella term used to describe disorders that involve chronic inflammation of your digestive tract. 

Causes of IBD?

The exact cause of inflammatory bowel disease remains unknown. Previously, diet and stress were suspected, but now doctors know that these factors may aggravate but don’t cause IBD. One possible cause is an immune system malfunction.

Ulcerative colitis

This condition causes long-lasting inflammation and sores (ulcers) in the innermost lining of your large intestine (colon) and rectum. 

Crohn's disease

This type of IBD is characterized by inflammation of the lining of your digestive tract, which often spreads deep into affected tissues. 

Symptoms of IBD

Inflammatory bowel disease symptoms vary, depending on the severity of inflammation and where it occurs. Symptoms may range from mild to severe. You are likely to have periods of active illness followed by periods of remission. Signs and symptoms that are common to both Crohn’s disease and ulcerative colitis include

Diarrhea

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Fever and fatigue

Abdominal pain and cramping

Blood in your stool

Reduced appetite

Unintended weight loss

Complications of IBD

Ulcerative Colitis 

  • Colon cancer. 
  • Skin, eye and joint inflammation. 
  • Blood clots: IBD increases the risk of blood clots in veins and arteries. 
  • Toxic megacolo: Ulcerative colitis may cause the colon to rapidly widen and swell, a serious condition known as toxic megacolon. 
  • A hole in the colon (perforated colon): A perforated colon most commonly is caused by toxic megacolon, but it may also occur on its own. 
  • Severe dehydration: Excessive diarrhea can result in dehydration. 

Crohn’s disease 

  • Colon cancer 
  • Blood clots 
  • Bowel obstruction
  • Malnutrition
  • Ulcers in digestive tract  
  • Fistulas 
  • Anal fissure

Diagnosis

Blood Test

  • Tests for anemia or infection 
  • Fecal occult blood test

Endoscopic Procedures

  • Colonoscopy 
  • Flexible sigmoidoscopy  
  • Upper endoscopy
  • Capsule endoscopy  
  • Balloon-assisted enteroscopy

Imaging Procedures

  • X-ray.  
  • Computerized tomography (CT) scan.  
  • Magnetic resonance imaging (MRI).  

Treatment Options for GERD

Medication

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Nutrition Suplements

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Surgery

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Surgery for Ulcerative Colitis

Surgery can often eliminate ulcerative colitis. But that usually means removing your entire colon and rectum (proctocolectomy). 

In most cases, this involves a procedure called an ileal pouch anal anastomosis. This procedure eliminates the need to wear a bag to collect stool. Your surgeon constructs a pouch from the end of your small intestine. The pouch is then attached directly to your anus, allowing you to expel waste relatively normally. 

In some cases a pouch is not possible. Instead, surgeons create a permanent opening in your abdomen (ileal stoma) through which stool is passed for collection in an attached bag. 

Surgery for Crohn's Disease

Up to one-half of people with Crohn’s disease will require at least one surgery. However, surgery does not cure Crohn’s disease. 

During surgery, your surgeon removes a damaged portion of your digestive tract and then reconnects the healthy sections. Surgery may also be used to close fistulas and drain abscesses. 

The benefits of surgery for Crohn’s disease are usually temporary. The disease often recurs, frequently near the reconnected tissue. The best approach is to follow surgery with medication to minimize the risk of recurrence. 

IBD FAQ's

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Ask the Doctor

PreOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

PostOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

Key Benefits of Laparoscopic / Robotics Surgery

Key Hole Surgery

No Bigger Cuts

Shorter Hospital Stay

Safe & Stress Free Surgery

Short Stay Surgery

Dedicated Doctors

Best-in-Class Process for Best-in-Class Patient Experience

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Consulting

Pre-Surgery Counselling

Surgery

Post-Surgery Counselling

Discharge & Follow-Up

With Dr. Manish Joshi - You Are In Trusted Hands

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Dr. Manish Joshi is the Best Gastrointestinal surgeon in Bangalore & India. He is an expert in Advanced Laparoscopic & Robotic Surgical Techniques. His motto is ‘Patient comes first” View Profile.

Book Appointments at an Area Near You

Dr Manish Joshi conducts consultation at below locations

BGS Gleneagles Global Hospitals

Apollo Clinic

  • Consulting : 06:00 PM – 07:00 PM (Tues/Thur/Sat)
  • 673/A, Opp. Shriram Samruddhi , Varthur Road, Kundalahalli gate signal, Bengaluru, Karnataka 560066
  • www.apolloclinic.com

Trustwell Hospitals

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