CROHN'S DISEASE AND ULCERATIVE COLITIS

1. SYSTEMIC SYMPTOMS

1.1. Fever

1.2. Loss of Appetite

1.3. Weight Loss

1.4. Fatigue

1.5. Night Sweats

1.6. Loss of normal menstrual cycle

2. RISKS

2.1. Men and Women affected equally

2.2. Tobacco use

2.2.1. Cigarette smoking

2.3. Age

2.3.1. Usually at a young age

2.4. Family History

2.5. Living in urban environment or in Northern regions

2.6. Nonsteroidal anti-inflammatory medications

3. GI SYMPTOMS

3.1. Diarrhea

3.2. Rectal Bleeding

3.3. Urgent need to move bowels

3.4. Abdominal cramps and pain

3.5. Sensation of incomplete evacuation

3.6. Constipation

4. WHAT IS IT?

4.1. Chronic inflammation of the gastrointestinal tract

4.2. Both are subsets of the bigger disease: Inflammatory Disease

4.3. Autoimmune disorder

4.4. Crohn's Disease affects Small Intestine

4.5. Ulcerative Colitis mostly affects Large Instestine

4.6. No known cause

5. DIAGNOSIS AND TESTING

5.1. Endoscopy

5.1.1. Use of small camera to view intestine

5.1.2. Is inserted through mouth and travels down the esophagus to the duodenum

5.2. Biopsy

5.3. Colonoscopy

5.3.1. Use of tube that is inserted through anus to view the lower portion of large instestine

5.4. Chromoendoscopy

5.4.1. Use of dye within colonoscopy procedure

5.5. Small Intestine Imaging

6. TREATMENT

6.1. Surgery

6.2. Medications

6.2.1. Aminosalicylates

6.2.2. Corticosteroids

6.2.3. Immunomodulators

6.2.4. Antibiotics

6.2.5. Biologic Therapies

6.3. Diet

6.3.1. Specific Carbohydrate Diet

6.3.2. Avoidance of sugar, gluten and dairy

7. ORAL MANIFESTATIONS

7.1. Aphthous Ulcers

7.2. Edema or swelling of lips

7.3. Dry mouth

7.4. Mucosal Tags

7.5. Pyostomatitis vegetans

7.5.1. Only seen in Ulcerative colitis

7.6. Erythema

7.7. Cobblestone appearance of tissues

7.8. Corrugated buccal mucosa

7.9. Oral granulomatosis

7.10. Granulomatous cheilitis

7.11. Inflammation and salivary duct abscess

7.12. Gingivitis and mucogingivitis

8. SYSTEMIC COMPLICATIONS

8.1. Ulcerations

8.2. Bowel Obstruciton

8.3. Fistulas

8.4. Inflammation

8.5. Anal Fissures

8.6. Malnourishment

8.7. Colon Cancer

8.8. Sever Bleeding

8.8.1. Mostly with U.C.

8.9. Other problems

8.9.1. inflammation in other parts of the body

8.9.1.1. especially seen in joints and skin

8.9.2. anemia

8.9.3. osteoporosis

8.9.4. delayed growth