Preface |
|
xi | |
Part 1: The Basics |
|
1 | (16) |
|
1. What are Crohn's disease and ulcerative colitis? |
|
|
|
2. What's the difference between Crohn's disease and ulcerative colitis? |
|
|
|
|
|
|
|
5. How do you know if you have Crohn's disease or ulcerative colitis? |
|
|
|
6. Can someone have Crohn's disease or ulcerative colitis and not know it? |
|
|
|
7. How common are Crohn's disease and ulcerative colitis? I seem to know more and more people with it. |
|
|
Part 2: Diagnosis |
|
17 | (16) |
|
8. How are Crohn's disease and ulcerative colitis diagnosed? |
|
|
|
9. If I have Crohn's disease or ulcerative colitis, will I pass it on to my children? |
|
|
|
10. Can I ever be cured of IBD, or will I have it for my entire life? |
|
|
|
11. Can I die from having Crohn's disease or ulcerative colitis? |
|
|
|
12. Are Crohn's disease and ulcerative colitis ever confused with other disorders? |
|
|
|
13. Is IBD the same thing as IBS? |
|
|
|
14. Some of my symptoms sound like a disease called celiac sprue. How would I know if I have this? |
|
|
Part 3: Medications |
|
33 | (34) |
|
15. Years ago my mother used to take sulfasalazine (Azulfidine) for ulcerative colitis. Is this drug still in use? |
|
|
|
16. What are the newer sulfasalazine-type (Azulfidine) drugs used to treat Crohn's disease and ulcerative colitis? |
|
|
|
17. What is the role of topical therapy in treating proctitis, and is topical therapy used for treating anything else? |
|
|
|
18. I've heard that prednisone is commonly used to treat Crohn's disease and ulcerative colitis. When should you use prednisone, what are its side effects, and is it safe? |
|
|
|
19. I've heard that there is a new type of prednisone with fewer side effects called budesonide (Entocort). How does it work? |
|
|
|
20. What are immunomodulators and when should they be used? |
|
|
|
21. What is infliximab (Remicade)? |
|
|
|
22. What is the role of cyclosporine in IBD? |
|
|
|
23. What is the role of methotrexate? |
|
|
|
24. What is the role of antibiotics in Crohn's disease? |
|
|
|
25. Does having Crohn's disease or ulcerative colitis mean I will be on medication for my entire life? |
|
|
|
26. I've heard that if you have IBD you can't take ibuprofen or naproxen. Is this true, and if it is, what can I do about my arthritis? |
|
|
|
27. Is it okay to use antidiarrheal drugs such as dephenoxylate/atropine (Lomotil) or loperamide (Imodium), and what other drugs are available to treat the symptoms of IBD? |
|
|
|
28. I've heard a lot lately about probiotics. Can these help patients with IBD? |
|
|
Part 4: Cancer and Dysplasia |
|
67 | (10) |
|
29. Am I more likely to get colon cancer if I have ulcerative colitis? |
|
|
|
30. Does Crohn's disease also increase my risk for cancer? |
|
|
|
31. What is dysplasia and how is it related to cancer? |
|
|
|
32. Is a polyp the same thing as dysplasia? |
|
|
|
33. How do you screen for dysplasia and colon cancer in IBD? |
|
|
|
34. Should patients with Crohn's disease be screened for small bowel cancer? |
|
|
|
35. Can I do anything to prevent getting colon cancer? |
|
|
Part 5: Complications |
|
77 | (16) |
|
36. I have a friend with Crohn's disease who was operated on for a bowel obstruction. Does this occur often in Crohn's disease? |
|
|
|
37. What is toxic megacolon? |
|
|
|
38. How do I know if my bowel is perforated? |
|
|
|
39. What is sepsis, and why does it happen? |
|
|
|
40. I heard that people with Crohn's disease can get something called a fistula. Can you tell me what this is? |
|
|
|
41. What is an anal fissure? |
|
|
|
42. I have Crohn's disease and often get abscesses around my rectum. What exactly is an abscess and how is it treated? Can I get abscesses in other places? |
|
|
|
43. I have really bad hemorrhoids and something my doctor calls a skin tag. Are these common in someone with IBD? |
|
|
|
44. I go to the bathroom so much that I get a lot of itching and irritation. What can I do to treat this? |
|
|
|
45. I have ulcerative colitis and often pass blood with my bowel movements. Is this something I should worry about? |
|
|
Part 6: Surgery |
|
93 | (20) |
|
46. What is the role of surgery in Crohn's disease? |
|
|
|
47. What types of operations are performed in Crohn's disease? |
|
|
|
48. How often does Crohn's disease occur after surgery, and is there any way to prevent it? |
|
|
|
49. What is the role of surgery in ulcerative colitis? |
|
|
|
50. What types of operations are performed in ulcerative colitis? |
|
|
|
51. VVhat is pouchitis, and how is it treated? |
|
|
|
52. What are some of the other complications found after ileal pouch surgery? |
|
|
Part 7: Diet and Nutrition |
|
113 | (18) |
|
53. I find that if I watch what I eat and eliminate certain foods, I feel better. Does that mean that Crohn's disease and ulcerative colitis are caused by something in the diet and can be cured by eating the right types of food? |
|
|
|
54. Is IBD caused by a food allergy? |
|
|
|
55. How does having Crohn's disease or ulcerative colitis affect my nutrition? |
|
|
|
56. How do I know if I should take vitamins? |
|
|
|
57. I'm chronically underweight. What can I do to gain weight? |
|
|
|
58. Since I have to avoid fruits and vegetables due to my Crohn's disease, what can I do to lose weight? |
|
|
|
59. What foods should I eat or avoid if I have chronic diarrhea? |
|
|
|
60. What foods should I eat or avoid if I have a stricture? |
|
|
|
61. Is there a specific diet that I should follow if I have Crohn's disease or ulcerative colitis? |
|
|
|
62. Do all patients with Crohn's disease or ulcerative colitis have lactose intolerance? |
|
|
Part 8: Extraintestinal Manifestations |
|
131 | (24) |
|
63. Can IBD affect parts of my body other than just my bowels? |
|
|
|
64. How can IBD affect my skin? |
|
|
|
65. I often get little sores in my mouth, especially when my IBD is active. Are these related, and what can I do about them? |
|
|
|
66. My joints are often stiff and sore. Is this related to my IBD? |
|
|
|
67. Are any of the drugs that treat IBD also helpful in treating the joint pains? |
|
|
|
68. How do I know if I am at risk for osteoporosis, and is there any way to prevent it? |
|
|
|
69. Am I more likely to get osteoporosis if I have Crohn's disease or ulcerative colitis? |
|
|
|
70. How can I tell if I have osteoporosis? Are there ways to treat it? |
|
|
|
71. Is it true that Crohn's disease and ulcerative colitis can also affect my eyes? |
|
|
|
72. I recently developed a kidney stone and my doctor said it was from my IBD. What do Crohn's disease and ulcerative colitis have to do with the kidneys? |
|
|
|
73. Are gallstones common in Crohn's disease and ulcerative colitis? |
|
|
|
74. How do Crohn's disease and ulcerative colitis affect the liver? |
|
|
|
75. How do Crohn's disease and ulcerative colitis cause you to become anemic? |
|
|
|
76. Am I more likely to get a blood clot if I have IBD? |
|
|
Part 9: Sexuality, Reproductive Issues, and Pregnancy |
|
155 | (20) |
|
77. Is it safe to have a baby if I have IBD? |
|
|
|
78. Is there a best time to get pregnant if I have IBD? |
|
|
|
79. Will having Crohn's disease or ulcerative colitis affect my ability to conceive? |
|
|
|
80. Why do I feel like I have no sex drive? |
|
|
|
81. Can IBD affect fertility in men? |
|
|
|
82. What is the effect of pregnancy on Crohn's disease and ulcerative colitis? |
|
|
|
83. Should I continue to take my IBD medications during pregnancy? |
|
|
|
84. Are IBD medications safe to use during pregnancy? |
|
|
|
85. Are there any Crohn's disease and ulcerative colitis medications that are not safe during pregnancy? |
|
|
|
86. Can I take IBD medications while I am breastfeeding? |
|
|
|
87. Can I still have a vaginal delivery if I have perianal Crohn's disease, or do I need to have a C-section? |
|
|
|
88. Which tests or X rays for Crohn's disease and ulcerative colitis are safe during pregnancy? |
|
|
|
89. Can I safely have surgery for Crohn's disease or ulcerative colitis during pregnancy? |
|
|
|
90. Will prior surgery for Crohn's disease or ulcerative colitis affect my pregnancy or delivery? |
|
|
|
91. Will Crohn's disease and ulcerative colitis affect my periods? Can they make PMS worse? |
|
|
|
92. If I have Crohn's disease or ulcerative colitis, what is the chance that my children will have it? Should my family members be tested? |
|
|
Part 10: Lifestyle |
|
175 | (10) |
|
93. Does stress affect Crohn's disease and ulcerative colitis? |
|
|
|
94. Can changing my lifestyle help with my IBD? |
|
|
|
95. I know smoking is bad for me, but I've heard that smoking can actually make IBD better—is this true? |
|
|
|
96. Do I have to take any precautions if I want to exercise? |
|
|
|
97. Can I drink alcohol if I have IBD? |
|
|
Part 11: IBD in Children and the Elderly |
|
185 | (6) |
|
98. Does IBD occur in children? How is it different than in adults? |
|
|
|
99. Can IBD occur in the elderly? |
|
|
Part 12: The Future of Crohn's Disease and Ulcerative Colitis |
|
191 | (2) |
|
100. What does the future hold for the diagnosis and treatment of Crohn's disease and ulcerative colitis? |
|
|
Appendix |
|
193 | (2) |
Glossary |
|
195 | (12) |
Index |
|
207 | |