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What is Colitis, Crohns, and IBS

Colitis

Ulcerative colitis (UC) is a disease that causes inflammation and sores, called ulcers, in the lining of the rectum and colon. It is one of a group of diseases called inflammatory bowel disease.

UC can happen at any age, but it usually starts between the ages of 15 and 30. It tends to run in families. The most common symptoms are pain in the abdomen and blood or pus in diarrhea. Other symptoms may include

  • Anemia
  • Severe tiredness
  • Weight loss
  • Loss of appetite
  • Bleeding from the rectum
  • Sores on the skin
  • Joint pain
  • Growth failure in children

About half of people with UC have mild symptoms.

Doctors use blood tests, stool tests, colonoscopy or sigmoidoscopy, and imaging tests to diagnose UC. Several types of drugs can help control it. Some people have long periods of remission, when they are free of symptoms. In severe cases, doctors must remove the colon.

Crohn’s disease

Crohn’s disease causes inflammation of the digestive system. It is one of a group of diseases called inflammatory bowel disease. Crohn’s can affect any area from the mouth to the anus. It often affects the lower part of the small intestine called the ileum.

The cause of Crohn’s disease is unknown. It may be due to an abnormal reaction by the body’s immune system. It also seems to run in some families. It most commonly starts between the ages of 13 and 30.

The most common symptoms are pain in the abdomen and diarrhea. Other symptoms include

  • Bleeding from the rectum
  • Weight loss
  • Fever

Your doctor will diagnose Crohn’s disease with a physical exam, lab tests, imaging tests, and a colonoscopy.

Crohn’s can cause complications, such as intestinal blockages, ulcers in the intestine, and problems getting enough nutrients. People with Crohn’s can also have joint pain and skin problems. Children with the disease may have growth problems.

There is no cure for Crohn’s. Treatment can help control symptoms, and may include medicines, nutrition supplements, and/or surgery. Some people have long periods of remission, when they are free of symptoms.

IBS

Irritable bowel syndrome (IBS) is a problem that affects the large intestine. It can cause abdominal cramping, bloating and a change in bowel habits. Some people with the disorder have constipation. Some have diarrhea. Some go back and forth between constipation and diarrhea. Although IBS can cause a great deal of discomfort, it does not harm the intestines.

IBS is a common disorder and happens more often in women than men. No one knows the exact cause of IBS. There is no specific test for IBS. However, your doctor may run tests to be sure you don’t have other diseases. These tests may include stool sampling tests, blood tests and x-rays. Your doctor may also do a test called a sigmoidoscopy or colonoscopy. Most people diagnosed with IBS can control their symptoms with diet, stress management and medicine.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

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