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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Inflammatory Bowel Disease IV: Clinical Manifestations01:20

Inflammatory Bowel Disease IV: Clinical Manifestations

Inflammatory bowel disease (IBD) encompasses two major chronic disorders—ulcerative colitis and Crohn’s disease—each characterized by relapsing episodes of gastrointestinal inflammation. Although they share certain clinical features, their patterns of involvement and manifestations differ in ways that aid diagnosis and guide management.Ulcerative ColitisUlcerative colitis is limited to the colon and rectum and involves continuous inflammation of the mucosal layer. The disease course is marked...
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
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Inflammatory Bowel Disease I: Introduction01:26

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Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Inflammatory Bowel Disease III: Crohn's Disease

Crohn’s disease is a chronic, relapsing form of inflammatory bowel disease characterized by segmental, transmural inflammation that can affect any part of the gastrointestinal tract. Its pathogenesis arises from a combination of genetic susceptibility, environmental exposures, epithelial barrier dysfunction, and immune dysregulation. Together, these factors lead to an exaggerated immune response against components of the gut microbiome.Genetic and Environmental InfluencesMultiple genetic...

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Investigating Intestinal Inflammation in DSS-induced Model of IBD
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Published on: February 1, 2012

Ramadan fasting and inflammatory bowel disease.

Hamid Tavakkoli1, Saeid Haghdani, Mohammad Hassan Emami

  • 1Department of Gastroenterology, Al-Zahra Hospital, Isfahan, Iran. h_tavakoli@med.mui.ac.ir

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|May 2, 2009
PubMed
Summary

Ramadan fasting appears safe for patients with inflammatory bowel disease (IBD). A study found no negative impact on disease severity, quality of life, or psychological state during Ramadan.

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Published on: February 27, 2014

Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Clinical Nutrition

Background:

  • Ramadan fasting involves daily periods of fasting from dawn to sunset.
  • The physiological effects of Ramadan fasting on gastrointestinal health are not fully understood.
  • The impact of Ramadan fasting on patients with inflammatory bowel disease (IBD) remains unclear.

Purpose of the Study:

  • To assess the effect of Ramadan fasting on patients with IBD.
  • To evaluate changes in quality of life (QoL), psychological state, and disease severity during Ramadan.
  • To determine the safety and potential risks of Ramadan fasting for IBD patients in remission.

Main Methods:

  • A cohort study was conducted during Ramadan 2006.
  • Sixty IBD patients in remission voluntarily fasted.
  • QoL, psychological state, and disease severity were assessed before and after Ramadan.

Main Results:

  • No correlation was found between fasting duration and disease severity, QoL, or psychological state.
  • Overall QoL did not change significantly after Ramadan.
  • Anxiety scores decreased in women with ulcerative colitis (UC) (p=0.026).
  • Colitis activity index scores decreased in men with UC (p=0.008).
  • Younger UC patients fasted for more days than older patients (p=0.01).

Conclusions:

  • Ramadan fasting does not appear to pose significant risks for IBD patients in remission.
  • Fasting may be associated with improved psychological well-being and reduced disease activity in some UC patients.
  • Further research is warranted to explore the specific effects on different IBD subtypes and patient demographics.