Best Inflammatory Bowel Disease Treatment Hospital in Hyderabad

Inflammatory bowel disease bowel disease encompasses two major components, Ulcerative colitis and Crohn's disease. Ulcerative colitis as the term indicates, predominantly involves the colon and less of the small intestine, whereas Crohn's disease predominantly affects the small intestine but you can also involve the large intestine. How do you differentiate? Differentiation is mainly by doing the colonoscopy examination, by taking the history and also imaging studies.

What causes inflammatory bowel disease?

The actual cause of inflammatory bowel disease is still not because nothing has been concretely, found out what is the exact pathogenesis of IBD? It has been said that sometimes infection can cause, dietary alterations can cause, alterations in intestinal microbial flora can cause, and sometimes ethnic variations are also there because this is predominantly seen in the Western world compared to the Eastern world. And sometimes genetic tendencies may also be there, because it is some little common in some specific antigens, so it's multifactorial.

What are the symptoms of inflammatory bowel disease?

Inflammatory bowel disease predominantly causes stomach pain, abdomen pain, fever, crampy pain, loose motions and this loose motions are specifically associated with mucus as well as sometimes blood also, and which are persisting for quite some time. It can go from days, weeks and months until the patient consult specialist, It cannot be detected because clinically it's very difficult. Only we need a colonoscopy examination to find out the actual cause of this the diarrhea.

Sometimes in a severe case in the patient can present with acute toxic megacolon or sometimes shock and rarely a perforation. And in a Crohn's disease patient can also manifest with repeated vomiting because of this underlying structures in the small intestines. This can cause subacute intestinal obstruction or sometimes a total obstruction.

Is inflammatory bowel disease autoimmune?

This is not very clear but possibility are there of its autoimmune nature.

What is the difference between crohn's disease and ulcerative colitis?

Ulcerated colitis predominantly affects the colon, whereas the Crohn's disease, predominantly the small intestine and presentation wise, we cannot differentiate how the patient presents, but if the patient presents with vomiting and signs of obstruction intestinal obstruction, we suspect Crohn's. And the patient having a lot of blood in mucus in the stool, we suspect Ulcerated colitis. However, the main diagnostic mode is colonoscopy.

How long does ulcerative colitis last?

Ulcerative colitis is a condition which is sometimes can be self-limiting. Sometimes it can go with relapses and this relapses can be a long-standing one, because depending on the main cause of the ulcerative colitis, if we don't attend to the causes this control on and can lead to a pan colitis and recurrent symptoms were almost years together. So in such a case, will have to be tackled very appropriately and at the right time. So to prevent any further relapse and extension of the colitis.

What is a stricture in crohn's disease?

Crohn's disease predominant involves a small intestine, so a long-standing Crohn's disease can lead to fibrosis of the intestines at intermittently levels, and this can lead to sometimes a partial obstruction or a total obstruction. This narrowing of the small intestine is known as a stricture. This presents predominantly with the stomach pain and then repeated vomiting. The treatment for this stricture, once it occurs medically, cannot be corrected. But sometimes patients may have to undergo surgery if the stitches are accessible. We can do dilatation or stent placement.

What is the best treatment for ulcerative colitis?

This is really sort of difficult to answer because there are so many modes of treating ulcerative colitis, starting for basic medications and through high-level immunomodulators sometimes we have to do total colectomy. So depending on the case will have to decide what appropriate treatment is required. This is adjusted by knowing, the severity of the ulcerative colitis. Depending on the involvement where there's only sigmoid, colon, rectum is involved, or the descending colon is involved or transverse or sometimes ascending colon. So depending on the site of involvement again, the appropriate therapy is advised and further depends upon the amount of blood loss upon the CRP level of the toxicity levels. Systemic symptoms like fever, tachycardia. In this will have to give some steroids also. So it depends on the type of patient which treatment suits to which patient. It will be customized according to symptoms and severity.

What is the most effective treatment for crohn's disease?

It depends the severity of the Crohn's disease. A mild case of Crohn's can be tackled with medical therapy, improving the immunity of the person. But if any patient comes with severe strictures and obstruction, the best modes only intersection and bypassing the structure.

How to cure / treat inflammatory bowel disease permanently?

This is very difficult because getting cured of this information bowel disease is rather difficult because one has to accept the condition that it is controllable but not curable. Just like person is suffering from diabetes, support and suffering from hypertension, they have to be on lifelong medication, lifelong checkups, blood sugar monitoring. Same with inflammatory bowel disease (IBD), it should be constantly monitored and see for any red flag signs. If the patient is having fever or having acute abdomen pain or a lot of blood loss in the motion, they have to consult the doctor immediately. Otherwise, they have to be regularly maintained and frequent checkup.

Regarding the Ulcerative colitis one has to be very careful about the occurrence of malignancy because the chance of malignancy in ulcerative colon, colonic malignancy is much more than the normal population, so they have to undergo a regular colonoscopy examination and for the Crohn's disease one has to look for obstructive symptoms because they are the things you know which can lead into problems, and they'll have a malnourishment, severe abdominal pain, and then sometimes reading and emergency surgeries.