2023-06-20 02:11:21
Inflammatory bowel disease “inflammation” is like this!
In order to promote the awareness of inflammatory bowel disease (Inflammatory Bowel Disease, IBD), the Taiwan Inflammatory Bowel Disease Society and the Taiwan Intestinal Health Association recently conducted a “”Inflammation” comes like this” inflammatory bowel disease patients at the Taipei Mayor’s Residence. During the event, patients and family members gathered together to understand the role of “inflammation” in IBD.
Inflammatory bowel disease is a general term for ulcerative colitis and Crohn’s disease. Yang Shiguang, chairman of the Taiwan Bowel Treatment Association, said that many patients have been with IBD for a lifetime, and everyone’s active treatment is moving. In this patient meeting event, in addition to inviting Li Baixian, associate professor-level attending physician of the Gastroenterology and Hepatobiliary Department of Linkou Chang Gung Hospital, and Lin Weisheng, a senior attending physician of the Gastroenterology and Hepatobiliary Department of Taipei Mackay Memorial Hospital, to share disease health education, and in response to the epidemic situation. Patients share the precautions for IBD travel abroad, and plan soft courses to teach patients to explore their gastrointestinal tension. There is also a 40-minute Q&A session, so that patients can take care of the disease, consult on-site experts, and achieve Better disease control.
The immune system fights itself with proper medication, and there is a chance to avoid surgery
Dr. Li Baixian pointed out that intestinal inflammatory diseases are the immune system attacking itself, and the battlefield is in the gastrointestinal tract, causing inflammation and ulcers, which are manifested in the form of diarrhea, bloody stools, and abdominal pain. If the disease is not well controlled, the immune system may attack the areas outside the gut, causing problems such as arthritis, skin lesions, and cardiovascular blockages.
Doctor-patient communication and decision-making play an important role in treatment. In addition to traditional drugs, IBD currently also has new biological agents and small molecule drugs and other therapeutic weapons. “Statistics show that the use of biological agents not only changes the treatment model, but also shows that many patients do not need surgery.” Dr. Li Baixian added that in addition to biological agents, there are also small-molecule drugs that are conditionally covered by the national health insurance. Patients do not need to stay in the hospital for a long time The hospital accepts injection treatment, so that IBD can also achieve the treatment mode of “home treatment”.
IBD afraid of colonoscopy?Medical violence: important
Dr. Li Baixian said that the goal of IBD treatment is endoscopic mucosal healing. When the mucosa is healed, patients are less likely to need surgery and have repeated hospitalizations, and the risk of other complications and cancer in the future is also reduced. The intestinal tract is repeatedly inflamed and repaired. If the repair is wrong, it may become colorectal cancer. Therefore, it is very important to confirm the condition of the mucosa. Patients are urged not to be afraid of colonoscopy.
“Fecal calprotectin” is an important indicator of IBD. Dr. Li further stated that when the value is greater than 300, it can predict an acute attack in the next month. Therefore, if you find that the value of fecal calprotectin soars, it is recommended to discuss it with your doctor treatment strategy.
Pay attention to FODMAP to avoid abdominal pain
Dr. Lin Weisheng shared that in daily diet, patients should have the basic concept of FODMAP: meaning oligosaccharides, disaccharides, monosaccharides and polyols that can be fermented. The intestinal tract is not easy to absorb, and the water is easy to go to the intestinal tract, creating an environment for bacterial fermentation, causing patients to be prone to abdominal distension and abdominal pain.
Dr. Lin Weisheng pointed out that a low FODMAP diet is more suitable for IBD patients, such as: carrots, cucumbers, grapes, chicken, eggs, potatoes, etc. As the food is eaten, there are also fiber considerations. Cellulose is divided into water-soluble fiber and insoluble fiber. Water-soluble fiber can help reduce cholesterol and blood sugar, and increase good bacteria in the intestines to maintain good health; non-water-soluble fiber can help smooth bowel movements. Many patients may encounter intestinal strictures. At this time, water-soluble fiber is more helpful to the body, such as peeled apples, carrots, black beans, etc. Studies have shown that patients with Crohn’s disease who pay attention to fiber intake can reduce the chance of recurrence by 40% compared with those who do not pay attention.
Dr. Lin Weisheng added that curcumin has anti-inflammatory and anti-oxidant effects. Because of its fat-soluble properties, it is recommended to take it following meals. Studies have shown that moderate intake of curcumin during the maintenance period of IBD can help reduce disease recurrence and inflammation problems, but curcumin can also easily stimulate gastric acid secretion, and patients who take hypoglycemic drugs and anticoagulants need to pay attention to the interaction generation.
Have a physical and mental condition?Doctor: Inflammation of IBD affects
“We often think that patients tend to be depressed because they suffer from the disease for a long time.” Dr. Lin Weisheng pointed out that research shows that 40% of IBD patients are accompanied by anxiety and depression. Inflammatory substances run into the liver and brain, so it can be speculated that controlling IBD will also help improve physical and mental conditions.
Hongyuan Wang, chairman of the Taiwan Inflammatory Bowel Disease Society, said that IBD has the characteristics of ups and downs, and patients often need to adjust their medicines. The most important thing is to maintain close communication with doctors. The current trend is interdisciplinary team care, including gastroenterologists, nutritionists, nurses, psychologists, etc., to assist patients and their families to take better care of diseases. This event is very happy to see patients communicate with each other, and looks forward to investing in multiple resources in the future. It can control the patient’s IBD as best as possible.
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