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Contents

Preface

PART 1 • Understanding Crohn’s Disease and Ulcerative Colitis

1. What Is This Disease?

What Is Inflammatory Bowel Disease?

Glossary of Inflammatory Bowel Disease

Who Gets Inflammatory Bowel Disease?

Where in the Body Does IBD Occur?

What Goes Wrong in IBD?

What Are the Possible Complications of IBD?

2. How Do I Know I Have IBD?

Recognizing Symptoms

Common Symptoms

Diagnostic Methods

Prognosis

3. What Can I Expect Now That I Have IBD?

Frequently Asked Questions

Can I Die from This Disease?

Will the Disease Get Worse?

Can My Condition Improve?

Can I Still Go to School?

Can I Get and Keep a Job?

Will I Need to Be Hospitalized?

Will I Need to Have Surgery?

Will I Need a “Bag” Outside My Body to Collect Stool?

What Lifestyle Changes Will I Need to Make?

Will I Be Able to Become Pregnant?

Can I Take My Medication during Pregnancy?

Will My Condition Flare during Pregnancy?

Will This Disease Affect the Birth of My Child?

Can I Travel If I Have IBD?

What Causes IBD?

4. How Did I Get This Disease?

Causal Factors

Possible Infectious Causes

Possible Environmental Causes

Possible Inherited (Genetic) Factors

Unified Theory

Implications for Treatment

PART 2 • Managing Inflammatory Bowel Disease

5. Dietary Strategies for Managing IBD

Reliable Information

The Right Diet

Preventing Malnutrition

Diet Modifications

Elimination Diets

Lactose-Restricted Diets

Calcium Sources

Vitamin D

Other Vitamin and Mineral Supplements

Liquid Calorie Supplements

Low-Fiber Diets

High-Stool-Output Management Diets

Fluid Diets

Food Fears

Nutrition Support

Nutrition Research

Diet Counseling

6. Psychological Support for Managing IBD

Psychological Concerns

Stress

Depression

Coping Strategies

Coping with the Medical System

7. Drug Therapy for Managing IBD

Treatment Goals

Medication Considerations

Drug Therapy Options

Nonsteroidal Anti-Inflammatory Drugs

Mesalamine (5-Aminosalicylic Acid) Containing Drugs

Glucocorticoid (Steroid) Medications

Antibiotics

Immunosuppressant Medications

Non-Biologic (Small-Molecule Drugs)

Biologic Drugs

Future Medical Therapies

Complementary and Alternative Medicine

Clinical Research Study Designs

Surgery Option

8. Surgical Treatment of IBD

The Need for Surgery

Ileostomy and Colostomy

Surgical Procedures for Ulcerative Colitis

Surgical Procedures for Crohn’s Disease

Laparoscopic Surgery

Preventing Recurrence

Children with IBD

9. Treating Children with IBD

Family Challenges

Special Management

Prospects

Resources and References

Index

Crohn's and Colitis

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