Inflammatory Bowel Disease (IBD) (Intestinal Problems of IBD)

  • Medical Author: Lori Kam, MD
  • Medical Editor: Leslie J. Schoenfield, MD, PhD
    Leslie J. Schoenfield, MD, PhD

    Leslie J. Schoenfield, MD, PhD

    Dr. Schoenfield served as associate professor of medicine and consultant in gastroenterology on the faculty of the Mayo Clinic for seven years. He became a professor of medicine in residence at UCLA from 1972 to 1999 (now emeritus). He was the director of gastroenterology at Cedars-Sinai Medical Center in Los Angeles for 25 years, where he received the chief resident's teaching award, the president's award, and the pioneer of medicine award.

Inflammatory Bowel Disease Slideshow Pictures

Quick GuideInflammatory Bowel Disease Pictures Slideshow: A Visual Guide to IBD

Inflammatory Bowel Disease Pictures Slideshow: A Visual Guide to IBD

What should be done about polyps in IBD?

Not all polyps that are found in IBD patients are pre-cancerous or cancerous.Some polyps form as a result of the inflammatory and healing processes. These polyps are called inflammatory polyps or pseudopolyps, and they do not turn into cancer. The only way to make sure that polyps do not have pre-cancerous or cancerous cells, however, is to remove (biopsy) and examine them under the microscope.

What is toxic megacolon and what are its causes and symptoms?

Toxic megacolon causes

Toxic megacolon is a widened (dilated) segment of the colon in a patient withsevere inflammation of the colon (colitis). The megacolon develops when thelining of the colon is so inflamed that the colon loses its ability to contractproperly. When this happens, the propelling (peristaltic) contractions areunable to move the intestinal gas along through the colon. The colon, therefore, accumulates excessive amounts of gas. The gas then increases the pressure on thebowel wall, which causes the colon to dilate.

Toxi megacolon symptoms

Patients with toxic megacolon usually are very ill, with abdominal pain, bloating (distention), and fever. Thedilated colon can allow bacteria to leak through the bowel wall into the bloodstream (septicemia). With continuing dilation, the inflamed colonic wall becomesat high risk for bursting (perforating) and causing inflammation of the abdominal cavity (peritonitis). Both septicemia and peritonitis are serious infections, which, in some cases, can even lead to death.

Toxic megacolon typically occurs when inflammation of the colon is severe. This complication, however, does not occur exclusively in patients with ulcerative colitis or Crohn's disease. Thus, a toxic megacolon can develop in other types of colitis, such as amebiasis or bacillary dysentery (shigella). Narcotics, codeine, or anti-diarrheal medications such asdiphenoxylate (Lomotil) or loperamide (Imodium) can decrease the contractions ofthe colon and allow excessive gas to accumulate. These medications, therefore, predispose to the development of toxic megacolon and should be avoided during severe episodes (flares) of colitis.

Medically Reviewed by a Doctor on 5/26/2015
VIEW PATIENT COMMENTS
  • Inflammatory Bowel Disease - Experience

    Please describe the inflammatory bowel disease you suffer from.

    Post View 22 Comments
  • Inflammatory Bowel Disease (IBD) - Treatments

    What kinds of treatment, therapy, or medication have you received for your inflammatory bowel disease?

    Post View 4 Comments
  • Inflammatory Bowel Disease - Fistulas

    Were you diagnosed with fistulas? Please describe your symptoms.

    Post
  • Inflammatory Bowel Disease - Colon Cancer

    If you have IBD, what are your concerns about developing colon cancer?

    Post
  • Inflammatory Bowel Disease - Complications

    What are the complications you've experienced with IBD? How have these been treated?

    Post

Health Solutions From Our Sponsors