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Inflammatory bowel disease: What you need to know

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Pharmacy2U Team
Inflammatory bowel disease: What you need to know

Inflammatory bowel disease (IBD) refers to a group of conditions that cause chronic inflammation of the gut (gastrointestinal tract). They are called Crohn’s disease and ulcerative colitis. 

It’s important to note that IBD is not the same as irritable bowel syndrome (IBS), which is a separate condition with different causes and treatments

Crohn’s disease is a lifelong condition that can affect any part of the digestive system. 

Ulcerative colitis is a lifelong condition that specifically causes inflammation in the colon (large intestine). 

Symptoms of IBD

The main symptoms of inflammatory bowel disease (IBD) can include:

  • Diarrhoea that lasts longer than 4 weeks (explore options for diarrhoea relief)

  • Stomach ache

  • Blood or mucus (clear slime) in your poo

  • Bleeding from your bottom

  • Feeling tired all the time

  • Unintentional weight loss

See a doctor if you are experiencing any of the following symptoms:

  • Diarrhoea that lasts more than 7 days

  • Bloating or a stomach ache that keeps coming back

  • You have blood or mucus (clear slime) in your poo

  • You’ve been losing a lot of weight without trying

Diagnosis of IBD

To diagnose Crohn’s disease or ulcerative colitis a doctor may recommend blood tests, a sample of poo (stool sample) or other hospital procedures or scans. Early diagnosis is key to managing IBD effectively and preventing complications.

What causes IBD?

The exact causes of Crohn's disease and ulcerative colitis are unknown, but they occur when your immune system mistakenly attacks your bowel, leading to chronic inflammation. You're more likely to get IBD if one of your close relatives, such as a parent, grandparent or sibling has the condition.

Treating Crohn's disease

There is no cure for Crohn's disease, but treatments can help control your symptoms and reduce inflammation. The main treatments are:

  • Medicines to reduce inflammation – usually steroid tablets

  • Medicines to stop the inflammation coming back – either tablets or injections

  • Surgery to remove a small part of the digestive system – sometimes this may be a better treatment option than medicines

Living with Crohn’s disease

Crohn’s disease can affect your daily life, with flare-ups and medical check-ups sometimes making work, school and social activities difficult. But if symptoms are well controlled, many people can still live a full and active life. If you have Crohn's disease, some medications may worsen your symptoms. Always speak with a pharmacist or a doctor for advice before taking a medication. Support is available from your care team and organisations like Crohn's & Colitis UK that can offer help and advice when you need it.

Treating ulcerative colitis

Treatment for ulcerative colitis aims to relieve symptoms during a flare-up and prevent symptoms from returning. In most people, this is achieved by taking medicine, such as amino salicylates, steroids or immunosuppressants.

  • Mild to moderate flare-ups – often treated at home with prescribed medication

  • Severe flare-ups – may require hospital treatment for closer monitoring and stronger therapies

  • Surgery – if medicines are not effective at controlling your symptoms or your quality of life is significantly affected by your condition, removing some or all of your bowel (colon) may be an option

Living with ulcerative colitis

Ulcerative colitis is a lifelong condition, but with the right treatment and care many people lead full and active lives. Eating a balanced diet, staying hydrated and keeping a food diary can help identify trigger foods – though major dietary changes should be discussed with your care team. Stress management, exercise and support networks may help reduce flare-ups. Your mental health may also be affected, so if you experience anxiety or depression, seek support from organisations like Crohn's & Colitis UK or a doctor. Regular bowel cancer screening is recommended (browse tests for bowel cancer screening). If you're considering pregnancy, most women living with ulcerative colitis have healthy pregnancies, but getting symptoms under control beforehand is advised. Some medications may need adjusting so be sure to speak with your care team.

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