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Inflammatory Bowel (Crohn’s )Disease Treatment in India

Inflammatory bowel disease (IBD) refers to chronic conditions that cause  inflammation in some part of the intestines. The intestinal walls become swollen, inflamed, and develop ulcers, which can cause discomfort and serious digestive problems. The exact symptoms depend on which part of the digestive tract is involved. IBD primarily includes ulcerative colitis and Crohn’s disease. Both usually involve severe diarrhea, pain, fatigue and weight loss. IBD can be debilitating and sometimes leads to life-threatening complications.

Ulcerative colitis  is an inflammatory bowel disease that causes long-lasting inflammation and sores (ulcers) in the innermost lining of your large intestine (colon) and rectum.

Crohn’s disease is an IBD that cause inflammation of the lining of your digestive tract. In Crohn’s disease, inflammation often spreads deep into affected tissues. The inflammation can involve different areas of the digestive tract — the large intestine, small intestine or both.

Collagenous colitis and lymphocytic colitis also are considered inflammatory bowel diseases but are usually regarded separately from classic inflammatory bowel disease

Symptoms of Inflammatory Bowel Disease (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. Diarrhea is a common problem for people with IBD.
  • Fever and fatigue. Many people with IBD experience a low-grade fever. You may also feel tired or have low energy.
  • Abdominal pain and cramping. Inflammation and ulceration can affect the normal movement of contents through your digestive tract and may lead to pain and cramping. You may also experience nausea and vomiting.
  • Blood in your stool. You might notice bright red blood in the toilet bowl or darker blood mixed with your stool. You can also have bleeding you don’t see (occult blood).
  • Reduced appetite. Abdominal pain and cramping, as well as inflammation, can affect your appetite.
  • Unintended weight loss. You may lose weight and even become malnourished because you cannot properly digest and absorb food.

Causes of Inflammatory Bowel Disease

The cause of the inflammatory bowel diseases (IBD), ulcerative colitis, and Crohn’s disease, is not known. Studies suggest they are caused by a combination of things, including genes, psychological, infectious ,environmental factors, and problems with the immune system.

Diagnosis for Inflammatory Bowel Disease

Diagnosing Crohn’s disease: Physical Exam and History

The doctor will begin by gathering information about your health history and conducting a physical exam. Findings that may indicate further tests are needed include:

  • Diarrhea, which may be bloody
  • Family history of Crohn’s disease
  • Fever
  • Pain and tenderness in the abdomen

Diagnosing Crohn’s Disease: Lab Tests

The doctor may request lab tests in order to look for any problems that might be linked to Crohn’s disease. These tests check for signs of infection, inflammation, internal bleeding, and low levels of substances such as iron, protein, or minerals. Lab tests may include:

  • Blood protein levels
  • Blood sedimentation rates
  • Body mineral levels
  • Red blood cell counts
  • Stool samples to check for blood or infectious microbes
  • White blood cell counts

Diagnosing Crohn’s Disease: Imaging Studies and Endoscopy

Crohn’s disease may appear anywhere along the gastrointestinal tract, from the mouth to the rectum. X-rays and other images can help identify the severity and location of Crohn’s disease. These studies may include the following:

Barium X-rays and other X-rays: Barium X-ray

  • Lower Gastrointestinal Tract : In this test, a barium is given in the form of an enema which retains in the colon and the x-rays can be taken. Through this, colon in patients having ulcerative colitis and Crohn’s disease and also abnormalities in the rectum can also be noticed.
  • Upper Gastrointestinal Tract : The test is used for finding abnormalities in the upper gastrointestinal tract. A patient is required to swallow a chalky white substance known as barium. This barium helps in coating the inside of the intestinal tract which can further documented on x-rays
  • CT scans
  • Colonoscopy or sigmoidoscopy: Sigmoidoscopy : The last one-third part of the large intestine can be visualized by using a sigmoidoscope. This one-third part includes the sigmoid colon and the rectum. The test helps in examining bleeding, ulcers and inflammation.
  • Upper Endoscopy : An endoscope is used if a patient has gastrointestinal symptoms such as vomiting and nausea. The duodenum, esophagus and stomach are examined using an endoscope.

Treatments for Inflammatory Bowel Disease

The goal of inflammatory bowel disease treatment is to reduce the inflammation that triggers your signs and symptoms. In the best cases, this may lead not only to symptom relief but also to long-term remission and reduced risks of complications. IBD treatment usually involves either drug therapy or surgery. Surgery is the last option available and it depends upon the type of inflammatory bowel disease.

Robot Surgery for Inflammatory Bowel Disease

DA Vinci robotic surgery is a minimally invasive procedure that involves less scarring, small incisions and also results in quick recovery. The robotic surgery provides the best results in the treatment of ulcerative colitis and Crohn’s disease. This procedure involves patented surgical instruments, state of the art surgical platform and high definition vision. The procedure reduces the side effects of inflammatory bowel disease.

Benefits of Inflammatory Bowel Disease Treatment

Potential benefits

  • Long-term symptom relief
  • Reduced frequency or dose for ongoing medication
  • Healthier, more active lifestyle
  • Combination of medication and surgery often can give people the best quality of life

Intestinal Fistulas

Intestinal fistulas are tubular connections between the bowel and other organs or the skin. Fistulas form when inflammation extends through all of the layers of the bowel and then proceeds to tunnel through the layers of other tissues. Accordingly, fistulas are much more common in Crohn’s disease than in ulcerative colitis. Fistulas often are multiple. They may connect the bowel to other loops of the bowel (enteroenteric fistulas), to the abdominal wall (enterocutaneous), to the skin around the anus (perianal), and to other internal locations such as the urinary bladder (enterovesical), vagina (enterovaginal), muscles, and scrotum.

Cost of Inflammatory Bowel Disease

The IBD treatment in India is very affordable and provides best medical guidance and services to its patients