World Inflammatory Bowel Disease day: ‘The incidence of IBD is increasing’

May 19 is celebrated worldwide as the International Inflammatory Bowel Disease (IBD). The disease is considered a chronic inflammatory condition of the intestine and is divided into two main types: ulcerative colitis and Crohn’s disease. Inflammatory bowel disease is on the rise in India and this increase is largely driven by changes in diet and western lifestyle.

A recent editorial in The Lancet described gastroenterology and hepatology in South Asia (including India) as a new frontier for IBD. Some studies have shown that IBD is as prevalent in North India as it is in the Western world. Heredity, immune response and changes in dietary pattern also play a role in the pathogenesis of this disease. IBD can affect any age or gender. Typically, these patients have abdominal pain, diarrhea and stool bleeding. Diagnosis is often delayed due to lack of awareness of the disease in the community, lack of access to colonoscopy, and confusion about other diseases such as hemorrhoids, abdominal tuberculosis, and cancer.

The Department of Gastroenterology, PGI, celebrated this day to raise awareness about the condition as well as to improve the care and treatment of patients living with IBD. Professor Usha Dutta, Head of the Department of Gastroenterology, said that special lectures were organized where patients with IBD were educated about the disease, diagnostic tests, different treatment options, the role of diet and maintaining health. Prof. SK Sinha spoke about the nature and presentation of the disease, Dr. Vishal Sharma spoke about treatment options for the disease, and Prof. Dutta spoke about the diet and lifestyle approach to IBD.

“The incidence of the disease is steadily increasing in India and there are many factors responsible for this rise, such as Western diet, lack of fresh fruits and vegetables in our diet, pesticides, stress, lack of sunlight, adulterated foods, polluted water and highly refined oils that They affect the lining of the intestines and affect the balance of good bacteria in the body.It is critical that people do not ignore symptoms such as loose movements, abdominal pain and blood in the stool, which last for more than two weeks.A specialist should be consulted and no painkillers, steroids or over-the-counter medications should be used. Prescription, which can cause further complications.Only medicines prescribed by a specialist should be taken, and alternative medicine treatments should be avoided.Also, treatment should not be stopped and regular follow-up is essential to catch early cancer.Most patients respond well to treatment, and in our outpatient clinics We follow up over 1,500 patients, with new patients being added every month,” explains Professor Dutta.

As for the age group most affected by IBD, Professor Dutta adds, it is seen across age groups, although the peak IBD is seen in people between the ages of 20 and 40. Professor Dutta recommends early intervention by professionals, raising awareness of the disease, changing our diet and adding more fresh and healthy foods, using natural probiotics such as curd and lassi, and living an active and stress-free life.

On this occasion, the IBD card designed by the Department of Gastroenterology, in association with Colitis and Crohn’s Foundation of India was released. This card will provide an overview of disease status and drug treatments with educational materials and will be useful in improving various aspects of care including diet, preventative health, and medication. The card is designed with suggestions from other experts from AIIMS, Delhi, DMC, Ludhiana, SGPGI and Lucknow. The card will be available for clinicians and gastroenterologists across the country to use and will be launched through an online meeting on World IBD Day.

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