IBD

what are the two types of IBD

ulcerative colitis

chrons disease

what is ulcerative colitis

inflammation and ulcers in colon and rectum - autoimmune

what is chrons disease

patchy inflammation anywhere along the GI tract

risk factors for both

genetics

white

jewish

tobacco use

symptoms of UC

tenesmus - urgent need to poop

bloody, wet, mucous filled stools

inflammation of rectum

high pitched bowel sounds

LLQ pain

Vit D deficiencies

symptoms of chrons disease

frequent stools

abdominal pain

RLQ pain

terminal ileum most common - patchy pain

5-6 loose stools - less than UC. non bloody

fistulas

anemia

weight loss

steatorrhea

labs for IBDs

hemoglobin and hematocrit - will be down

ESR - will be up

WBC will be up

C-reactive protein will be up

serum albumin is down

FOBT is positive

potassium, magnesium and calcium is down

follic acid and B-12 are down

urinalysis has a WBC count for chrons ONLY

antiglycan antibodies are up for chrons

labs for uc

magnetic resonance enterography

sigmoidoscopy

barium enema - to see if its UC or another disease
CT scan/MRI

stool exam

Chrons disease labs

MRE

Endoscopy

Sigmoidoscopy

barium enema

CT

X ray

meds for UC and Chrons

5-aminosalicycilic acid - antiinflammatory

corticosteroids for exacerbations

immunosuppressants

immunomodulators

antidiarrheals

subtypes of 5 aminosalicyclic acid

sulfonamides. - cause yellow secretions

nonsulfonamides

procedures for CD and UC

proctocolectomy with permanent ileostomy

ileostomy care

increase sodium

regular food after 2 days

use moisture barrier ointment

complications of UC

toxic megacolon

cancer risk after 10 years

risks of chrons disease

fistulas, fissures, abscesses, peritonitis, perforation, nutritional deficiencies, electrolyte imbalances, especially potassium

diet for IBD

no caffeine or alcohol

high protein, high calories (3000), low fiber.