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Inflammatory Bowel Disease Clinic

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Inflammatory Bowel Disease Clinic

Inflammatory bowel disease (IBD) can impact a patient’s quality of life and their daily activities. The experts at the Bumrungrad Digestive Disease (GI) Center have a deep understanding of IBD and advanced treatment option to help patients regain their quality of life. With a team of highly experienced specialists and state-of-the-art technology, we provide accurate and timely diagnoses and treatments. 

We consider holistic care important and focus on personalized patient care, with treatment plans and nutritional advice appropriate for each patient, along with close long-term follow-up. Our goal is to help patients improve their quality of life by controlling symptoms and reducing the chances of recurrence.

Inflammatory bowel disease (IBD) is a group of conditions that cause chronic inflammation of the digestive tract. The exact cause is unknown. There are two main types of inflammatory bowel disease: Ulcerative colitis and Crohn's disease.

 

Ulcerative Coliti

Crohn's disease

Nature of ulcerative colitis

• It affects the colon or the large intestine only.
• Inflammation is typically confined to superficial tissues like the inner lining of the colon, often spreading upward from the rectum.
• It can affect any part of the gastrointestinal (GI) tract from the mouth, esophagus, stomach, small intestine, large intestine, and anus.
• Inflammation can spread and result in colon perforation or blockage.

Symptom

• Frequent bowel movements, with mucus or fresh blood in stools, incomplete bowel movements, painful straining at passage of stools
• Other possible symptoms include joint and eye inflammation.
• Symptoms generally include abdominal pain, diarrhea, bloody stools, weight loss, and abscesses around the anal area.
• Malnutrition and anemia may also be detected.
• Severe inflammation may cause deep ulcerations in nearby organs such as the vagina and the bladder, skin problems around the anus, as well as abdominal abscesses. 

While the main cause of IBD currently remains unknown, studies show that a combination of factors may contribute to IBD development, including:

Ancestry or Genetic Factors

Individuals of Caucasian descent have a higher incidence of IBD compared to those of Asian ancestry. Certain genetic variations may also increase the risk of developing IBD.

Immune System Factors

Chronic abnormal immune response.

 

Environmental and Social Factors

Viral or bacterial infections in the gut can trigger an overactive immune system and produce a variety of inflammatory substances that lead to gastrointestinal inflammation.

Other Risk Factors that Trigger IBD

Certain lifestyle behaviors such as a low-fiber diet, overly processed / fast food consumption, smoking, and chronic stress.

Step 1

History taking and physical examination To help with the diagnosis

Step 2

Screening To look for inflammatory markers and rule out other diseases such as infection.

Step 3

Colonoscopy To assess the severity of the disease

Step 4

Advanced imaging CT scan or MRI to assess the extent of the lesion and to look for complications.

The main goal of IBD treatment is to relieve symptoms, reduce inflammation in the intestines, prevent possible complications, and improve the quality of life of the patient.

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Medications: Use of a variety of medications as part of individualized drug treatment including anti-inflammatory drugs, immunosuppressants, and biologic drugs.

Layout-Orthopedics-Center-Element_800x800-8.png Behavioral and dietary modification: Stress management, exercise, and adequate rest, as well as advice on foods to avoid which can trigger the symptoms, such as high-fat, spicy, or hard-to-digest foods.
Nutritional support: Nutritionists guide and ensure appropriate iron and vitamin supplementation.

 

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Surgery (if necessary) If conservative treatment proves ineffective or in case of complications, such as intestinal strictures or fistulas, the damaged part of the intestine may need to be removed or a rectal abscess may need to be surgically drained.

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Long-term follow-up: Monitoring for inflammation and complications involves using CT or MRI scans, as well as colonoscopy, to assess intestinal wall ulceration and screen for colon cancer.

Our multidisciplinary team of doctors and other professionals consists of highly experienced gastroenterologists and teams involving nurses, dietitians, colorectal surgeons and psychologists.

State-of-the-art diagnostic technologies such as colonoscopy, CT scan of the colon and the abdomen, and genetic analysis provide accurate diagnoses.
 

Personalized treatment programs are designed and planned according to the needs of each patient, which may include medications, behavioral changes and innovative treatments such as immunotherapy.

 Intestinal rehabilitation programs to help restore and strengthen the intestines, including nutrition counseling, physical therapy and stress management.

Comprehensive patient care services, with an emergency hotline for convenient and rapid access to treatment, and long-term follow-up services to prevent recurrence and to enhance sustainable quality of life.


 

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Last modify: January 14, 2025

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