Inflammatory bowel disease (IBD) is a chronic inflammation of the digestive tract, not to be confused with Irritable Bowel Syndrome (Irritable Bowel Syndrome or IBS). There are two types of IBD that cause abdominal pain, diarrhea, rectal bleeding, fever, and weight loss. These; This is called Crohn’s disease and ulcerative colitis. About 7 million people worldwide have IBD. Although not a common disease, an increasing number of people have been diagnosed with these diseases in the last 20 years.
Effective in stress and diet IBD
Although there is no single cause of IBD, genetic factors, immune system problems, diet and stress can be effective in this disease. The symptoms of IBD vary depending on the severity of the inflammation and where it occurs. The symptoms are sometimes mild and sometimes severe. Symptoms in both Crohn’s disease and ulcerative colitis can be listed as follows:
– Abdominal pain and cramping
– Unwanted weight loss
– Blood in the stool
– Decreased appetite
– Burn and destroy completely
Increases the risk of colon cancer
Smoking, a non-steroidal anti-inflammatory drug, and family history are among the biggest risk factors for IBD. It is important to consult a doctor, as both ulcerative colitis and Crohn’s disease can cause some complications. Both diseases can increase the risk of colon cancer. It can cause inflammation of the skin, eyes and joints, cause clotting problems and damage the liver. Specific complications of ulcerative colitis; Toxic megacolon, gallbladder saturation, colon perforation, severe fluid loss.
Specific complications for Crohn’s disease; Intestinal obstruction, formation of flowing structures called fistulas, malnutrition, involved around the anus. Among those who quit smoking, Crohn’s disease activity is significantly reduced. Crohn’s patients should not smoke.
Surgery may be considered if there is no response to the drug
Diagnosis of inflammatory bowel disease begins with blood counts, inflammation tests, and stool tests. Depending on the involvement of the bowel and additional signs or symptoms, cross-sectional imaging such as MR enterography or intestinal CT intergraphy and viscera may also be ordered. A colonoscopy is then performed. Sometimes procedures such as balloon-assisted endoscopy can be applied. At the end of all these tests, the healing process begins.
The goal of treatment is to reduce the inflammation that causes the symptoms and signs. Treatment is given with drugs (immunosuppressive drugs) that may be effective locally or throughout the body and reduce inflammation. Which medicine to use also depends on the affected area of the intestine. If no results are obtained from the drug treatment, surgical treatment may be applied.
Milk and dairy products can make symptoms worse
Inflammatory bowel diseases are not contagious. The patient does not spread the disease among the people around him. Milk and dairy products, fatty foods, spicy foods, caffeine and alcohol, and even high-fiber foods can make symptoms worse. It is very important for IBD patients to eat foods that are easily digested and to keep a record of the foods they eat. Also, keeping track of medications taken in conjunction with food will be helpful in monitoring drug-food interactions.
A balanced diet should be followed
Living with inflammatory bowel disease means that patients pay special attention to what they eat. Some foods can help relieve symptoms, others can make symptoms worse. Patients in this group need protein.
Red meat, fish, eggs, chicken can be eaten. After diagnosis, symptomatic foods should be prescribed, even if they do not increase inflammation. For example, if the number of stools increases after eating certain foods, if there is swelling or pain in the abdomen, those foods can be excluded from the diet.
Bread, lean white cheese, honey, well-cooked meat, fish, chicken, rice pilaf, boiled potatoes, boiled vegetables, light tea can be good foods to start with. For example, if eggs are added to these foods and you feel uncomfortable, these nutrients may be omitted from the list.
Although lemons, dark coffee, lemons, onions, fatty and fried foods and spices do not increase the activity of the disease, symptomatic patients are advised not to eat these foods, as it may cause discomfort to some patients.