MB BCh · FRCS — Consultant General, Colorectal & Gastrointestinal Surgeon

Nuffield Health · The Vale & Cardiff Bay

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Inflammatory bowel disease

Understanding IBD the symptoms, causes and how it is treated.

OVERVIEW

What is inflammatory bowel disease?

Inflammatory bowel disease, commonly referred to as IBD, is an umbrella term for a group of long-term conditions, principally Crohn’s disease and ulcerative colitis, that cause chronic inflammation somewhere along the digestive tract. Crohn’s disease can affect any part of the gut from mouth to anus, while ulcerative colitis is confined to the colon and rectum, and the two conditions, though related, often behave quite differently and require different approaches to management. IBD most commonly develops in teenagers and young adults, although it can begin at any age, and its exact cause remains only partly understood, with genetic, immune and environmental factors all thought to play a role. Symptoms typically follow a pattern of flares and periods of remission, and while there is currently no cure, most people with IBD achieve good long-term control of their symptoms through medication, dietary support and, where necessary, surgery.

Symptoms to look out for

Causes & risk factors

TREATMENT OPTIONS

How IBD can be treated

01

Medication

Anti-inflammatory and immune-modifying medicines control most flares.

02

Dietary Support

Nutritional advice helps manage symptoms alongside medical treatment.

03

Surgery

Surgery may be needed when medication alone cannot control the disease.

When should you seek advice?

Ongoing bowel symptoms deserve proper investigation Mr Woodward offers assessment within 48 hours.

Common Questions about IBD

Is IBD the same as IBS?

No, IBD involves visible inflammation and damage to the bowel, while IBS is a functional condition without inflammation, though symptoms can overlap.

There is currently no cure for IBD, but most people achieve good long-term control of symptoms with the right combination of treatment.

Not everyone with IBD needs surgery; many are managed successfully with medication, though surgery can help when flares are severe or persistent.