There are about 600,000 patients with inflammatory bowel disease in China, and the number of cases is on the rise, and the disease has become a “not uncommon and rare disease”. The total number of cases of inflammatory bowel disease has increased more than 24 times in the last 10 years compared to the previous 10 years. Experts say that the rate of misdiagnosis of inflammatory bowel disease is extremely high, early detection and early treatment, the choice of scientific treatment is particularly important.
Phenomenon: High number of cases in developed areas.
As with many diseases, the pathogenesis of inflammatory bowel disease is still a mystery. Inflammatory bowel disease mainly includes ulcerative colon disease and Crohn’s disease, the cause of the current pathogenesis are not very clear, “mainly the individual’s immune disorder, launched an attack on their own intestines, which leads to the intestine old rotten. Among them, Crohn’s disease loves to target young people in their 20s, and ulcerative colitis loves to target people in their 50s and 60s.
One pattern of the disease is clear: developed areas have more people with the disease. “At the beginning, the disease incidence is high in North America and Europe, followed by Japan, and now South America, China, India, the incidence is slowly increasing,” said the expert, Guangdong has done an epidemiological survey in Zhongshan, the incidence rate in Zhongshan is more than 3:100,000, the ratio of Crohn’s disease and ulcerative colitis in Zhongshan City is about 3:1.
We find that some people are prone to this disease because of what we often call heredity. The second may have some relationship with food allergy factors, environmental factors may also be a big reason, such as the discovery of bacteria in the refrigerator in foreign countries, through the change of flora is also related to the onset.
Symptoms: Belly pain and diarrhea with bloody stools.
Regardless of the cause of onset, ultimately the disease leads to inflammation of the intestinal mucosa itself. Crohn’s disease is not quite the same as ulcerative colitis, but both mainly affect the intestinal mucosa, leading to inflammation, erosion, ulceration and hemorrhage in the intestine, with symptoms such as belly pain, diarrhea and blood in the stool.
How to distinguish between Crohn’s disease and ulcerative colitis? The most obvious clinical manifestations of ulcerative colitis are diarrhea, bloody stools, and in some cases, fever, abdominal pain, and even arthralgia, skin disease, ankylosing spondylitis, etc. If a patient has diarrhea and blood in the stool, we will pay high attention to whether he has ulcerative colitis.
While Crohn’s disease mainly manifests as abdominal pain and weight loss, some patients may also have diarrhea and bloody stools. Patients are more typically seen with perianal lesions, including anal fistulas and anal abscesses. Many patients with Crohn’s disease are misdiagnosed as appendicitis and have their appendix removed. The misdiagnosis rate of the disease is quite high, such as it is easily confused with intestinal tuberculosis, leukodystrophy, dysentery, etc.
Prevention: colonoscopy every 3 to 5 years.
Although the cause of inflammatory bowel disease is unknown, clinical consultations reflect that the number of cases is increasing year by year. In the 1980s and 1990s, the number of people suffering from enteritis was very small, only one case in a few years, and now there are more than ten cases a year. Inpatients already account for one-sixth of the wards. The increase in numbers is related to both the increased accuracy of screening equipment and the increased incidence of the disease. Early detection and intervention as well as early treatment are the keys to improve the quality of life of patients. Since colonoscopy is not included in routine medical examinations, people tend to ignore intestinal problems, so doctors recommend that people have a colonoscopy every 3 to 5 years.
Treatment: Supplementation of beneficial bacteria.
How to achieve early detection and timely treatment? The onset in children may be reflected in poor development, especially in developing children who no longer appear to be increasing in height, malnutrition and wasting.
For confirming the diagnosis of inflammatory bowel disease, colonoscopy, gastroscopy, CT small bowel imaging, and MRI can be performed in order of the complexity of the disease. Nowadays, many people pursue capsule endoscopy, but the test is not the first choice for this disease.
After the diagnosis is confirmed, what else do patients need to do to cooperate with it, besides conventional treatment? Qian Jiaming said that patients should pay more attention to their diet, first of all, they should not eat irritating food, and secondly, they should not eat food that has been placed in the refrigerator for too long, the food has bacteria in the refrigerator, although it is not bad, but it is still unhealthy.
In addition, in the treatment process, we also need to supplement bacteria, the intestinal tract is similar to the environment, we should pay great attention to improve the bacteria in the intestine and the intestinal environment a little better, we often supplement patients with beneficial bacteria, we may be a little sensitive to bacteria, but it is not infectious.
Patients with inflammatory bowel disease, especially Crohn’s disease, are prone to malnutrition. Patient attention to diet and appropriate dietary modifications may reduce symptoms and promote recovery. In about two-thirds of patients with Crohn’s disease of the small intestine, significant stenosis occurs in the distal segment of the small intestine (i.e., ileum). For these patients, a low-fiber, low residue or special liquid diet may reduce abdominal pain as well as some other symptoms.
High-fiber foods usually include fresh fruits, vegetables, grain seeds, nuts, and the husks of grains, animal Achilles tendons that contain a lot of connective tissue, and older muscles, which can cause more food residue to be excreted into the intestine to form feces. Patients should minimize the use of this type of food rich in dietary fiber, such as meat should be selected tender lean meat parts, vegetables selected tender leaves, flowers and fruits parts, melons should be peeled, fruits with juice.
Recognize inflammatory bowel disease.
Pathogenic groups.
Mainly includes Crohn’s disease and ulcerative colitis; Crohn’s disease loves to target young people in their 20s; ulcerative colitis loves to target people in their 50s and 60s.
Number of patients.
Currently, there are about 600,000 patients with inflammatory bowel disease in China; in the past 10 years, the total number of cases of inflammatory bowel disease has increased more than 24 times in developed regions, and the number of patients is significantly higher; nowadays, the disease has become a “not uncommon and rare disease”.
Symptoms.
The most obvious clinical manifestations of ulcerative colitis are diarrhea, bloody stools, and in some cases, fever, abdominal pain, and even arthralgia, skin disease, and ankylosing spondylitis; Crohn’s disease mainly manifests as abdominal pain, weight loss, and some patients may also have diarrhea, bloody stools, etc. Many patients with Crohn’s disease are misdiagnosed as appendicitis, intestinal tuberculosis, leukodystrophy, and dysentery. dysentery, etc.
Advice to the public.
Have a colonoscopy every 3 to 5 years.
Advice to patients.
Do not eat irritating food, do not eat food that has been left in the refrigerator for too long