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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