Inflammatory Bowel Disease (IBD)

Definition:

Inflammatory is an umbrella term used to describe conditions that are characterized by bowel inflammation:

  1. Crohn’s Disease
  2. Ulcerative colitis

Etiology:

  1. Active cause is idiopathic
  2. Passive cause includes:
  3. Bacteria
  4. Virus
  5. Auto-immune reaction
  6. Food allergy
  7. Heredity

Crohn’s Disease

Definition:

Crohn’s disease is a chronic, non-specific inflammatory bowel disorder of unknown origin that can affect any part of the GI tract. It may occur at any age but 25-30 years is most often in females.

Clinical features:

  1. Diarrhea
  2. Fatigue
  3. Abdominal pain
  4. Weight loss
  5. Fever
  6. Cramping
  7. Tenderness
  8. Abdominal distension
  9. Finger clubbing
  10. Complications:
  11. Fistula
  12. Strictures
  13. Anal abscesses
  14. Perforation
  15. Toxic
  16. megacolon Investigations:
  17. CBC
  18. Stool for occult blood
  19. Barium enema of small & large intestine
  20. Protosigmoid scopy
  21. Sigmoid colon scopy
  22. Biopsy

Medical Management:

  1. Anti-inflammatory drug (to relieve pain)
  2. Nutritional therapy
  3. Antipyretic Nursing Management:
  4. Promote for nutritional balance
  5. Plan for regular follow-up care

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