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Large Intestine (in Disease) IBD and IBS
Large Intestine (in Disease) IBD and IBS
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Video Summary
The session focuses on gastrointestinal issues, specifically inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). IBD includes Crohn's disease and ulcerative colitis, characterized respectively by inflammation throughout the GI tract and limited to the colon. Crohn's involves the entire bowel wall, causing strictures and fistulas, while ulcerative colitis affects the mucosa, often leading to toxic megacolon. Diagnosis involves endoscopy and biopsy, with treatments ranging from steroids to biologics and surgery. Meanwhile, microscopic colitis shows normal colon appearance but microscopic inflammation, primarily affecting middle-aged women. It is managed with anti-inflammatory agents and antidiarrheals. IBS, characterized by abdominal pain and altered bowel habits, is a functional disorder influenced by brain-gut interaction. It is diagnosed by exclusion using the Rome IV criteria and managed through lifestyle changes, psychological approaches, and symptom-specific medications, enhancing patients' quality of life.
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Kajali Mishra, MD
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