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    • Inflammatory bowel disease cannot be attributed to a single cause. However, genetic factors and the immune system are associated with this disease.
    • Following are some associated risk factors:
    • Family history
    • Autoimmunity where the immune system attacks the body’s own cells
    • Environmental factors such as cigarette smoke or pollution
    • Age: Affects all age groups, but generally starts before the age of 35 years
    • Geographical area: People in urban areas are more at risk
    • Stress
    • Certain medications such as non-steroidal anti-inflammatory drugs (NSAIDs)

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    Complications

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    If untreated for a prolonged period it may lead to

    • Bowel narrowing and obstruction
    • Rupturing or formations of holes in the intestine
    • Canker sores in mouth because of Crohn’s disease
    • Ulcers, fissures, and fistulas around genital areas and anus
    • Eye inflammation
    • Skin disorders
    • Arthritis or inflammation of joints
    • Malnutrition
    • Colon cancer
    • Shock, in severe cases of blood loss and diarrhea

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    Symptoms

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    Seek immediate medical attention if you experience symptoms.

    Symptoms may vary from mild to severe and include:

    • Diarrhea
    • Fever
    • Fatigue
    • Blood in stool
    • Bleeding ulcers
    • Stomach pain
    • Bloating and cramping
    • Reduced appetite
    • Unintended weight loss
    • Anemia
    • Flatulence

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    Diagnosis

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    One or more of these tests may be recommended by your medical provider.
    The diagnosis involves examining the family and personal history, performing a physical exam and running lab tests.

    Common tests & procedures

    Blood test: Blood tests alone cannot be used to diagnose IBD. They are performed to detect anemia or infection and gain additional insights.

    Video capsule endoscopy: This test can detect the early stages of the condition.

    X-ray: Done in emergency situations where intestine rupture is suspected.

    Barium enema: To distinctly visualize the colon and small intestine.

    Magnetic resonance imaging (MRI): Done for evaluating a fistula around the anal area.

    CT scan: Provide more details and any other underlying causes, like abscess.

    Colonoscopy: Provides a detailed view of the inside of intestine.

    Sigmoidoscopy: Examines only the last part of the large intestine - the sigmoid colon.

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    Treatment

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    Treatment of inflammatory bowel disease focuses on reducing inflammation that causes the symptoms which can eventually lead to complications. The treatment involves administering medication or performing surgery.

    Medication

    Anti-inflammatory drugs: To reduce inflammation of the digestive tract.

    Sulfasalazine . Corticosteroids

    Immune suppressants: To prevent the immune system from attacking own cells.

    Azathioprine

    Antibiotics: To cure bacterial infections.

    Ciprofloxacin . Metronidazole

    Anti-diarrheal agents: To prevent diarrhea.

    Loperamide . Diphenoxylate . Cholestyramine

    Analgesics: Pain relieving medications.

    Acetaminophen

    Supplements: Vitamin and mineral supplements.

    Vitamin D . Calcium

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  2. Key points

    • Inflammatory bowel disease (IBD) triggers the body's immune system to mistakenly attack healthy bowel cells.
    • This causes problems in the intestines, causing life-long disease.
    • IBD appears to result from interactions between genetics and the environment that trigger an immune response.
    www.cdc.gov/inflammatory-bowel-disease/causes/index.html
    www.cdc.gov/inflammatory-bowel-disease/causes/index.html
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