
Crohn's and Colitis For Dummies
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Crohn's disease and ulcerative colitis are diseases that disrupt your body's ability to digest food, absorb nutrition, and eliminate waste in a healthy manner. Crohn's And Colitis For Dummies is the ultimate reference to these common forms of inflammatory bowel disease (IBD), including tips on how to recognize and control the symptoms, so you can get your life back. Get ideas for keeping disease in check through diet and lifestyle changes, learn about the various medical and surgical treatment options, and discover healthier living with this friendly Dummies guide. This updated edition covers the latest research on IBD and new therapies that are helping today's Crohn's and colitis patients. You'll also find resources that will help and offer hope as you navigate your diagnosis.
* Learn about the different forms of inflammatory bowel disease
* Ask the right questions at the doctor's office
* Make simple changes that will improve your symptoms
* Know that there's hope and that you are not alone
This book is perfect for anyone who has been recently diagnosed with Crohn's or colitis, and for those who suspect they may have an IBD. If you're a caregiver or family member of an IBD sufferer, you'll also love the easy-to-understand information inside.
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Content
- Intro
- Title Page
- Copyright Page
- Table of Contents
- Foreword
- Introduction
- About This Book
- Foolish Assumptions
- Icons Used in This Book
- Beyond the Book
- Where to Go from Here
- Part 1 The Who, What, and Why of Crohn's and Colitis
- Chapter 1 Crohn's and Colitis One Step at a Time
- Defining Crohn's and Colitis
- Getting the Treatment You Need
- Recognizing That You're Not Powerless
- Living a Full Life with the Disease
- Managing Special Cases: Advice for Pregnant Women and Kids
- Chapter 2 Defining Crohn's and Colitis
- Figuring Out What Crohn's and Colitis Are
- Looking at the big picture: Inflammatory bowel disease
- Zeroing in on Crohn's and colitis
- Defining Crohn's disease
- Defining colitis
- Seeing how Crohn's and colitis are different
- Noticing the Signs and Symptoms
- Blood in stool
- Diarrhea
- Abdominal pain
- Urgency
- Tenesmus
- Other symptoms
- Identifying Other Parts of the Body Involved in Crohn's and Colitis
- Bones
- Joints
- Skin
- Liver and gallbladder
- Hepatitis
- Gallstones
- Primary sclerosing cholangitis
- Kidneys and bladder
- Eyes
- Complicating Things
- Intestinal complications
- Toxic megacolon
- Strictures
- Fistulas
- Anal fissures
- Nutritional complications
- Malnutrition
- Vitamin and mineral deficiency
- The cancer connection
- Colon cancer
- Cervical cancer
- Lymphoma
- Skin cancer
- Chapter 3 How the Digestive System Works
- Tracking the Journey of Food inside the Gastrointestinal Tract
- The oral cavity (or mouth)
- The esophagus
- The stomach
- The small intestine
- The large intestine
- The anus
- Getting Help from the Liver, Pancreas, and Gallbladder
- Liver
- Pancreas
- Gallbladder
- Understanding How Inflammation Affects the Digestive Process
- Gastritis: Inflammation of the stomach
- Enteritis: Inflammation of the small intestine
- Colitis: Inflammation of the large intestine
- Proctitis: Inflammation of the rectum
- Chapter 4 Who Gets Crohn's and Colitis and Why
- Who Gets Crohn's and Colitis
- The Role of the Immune System in Crohn's and Colitis
- An immune system primer
- Bone marrow
- Spleen
- Complements
- Phagocytes
- Lymphocytes
- Antibodies
- When your gut's immune system goes awry
- Environmental Factors
- Food
- Air
- Hygiene
- Other environmental factors
- Genes Gone Bad: The Role of Genetics
- Considering family history
- Calling out key genes for Crohn's and colitis
- NOD 2
- Autophagy genes
- Getting a genetic test
- Part 2 Getting Medical Help
- Chapter 5 Assembling Your Healthcare Team
- Finding the Right Doctor for You
- Why you need a specialist
- How to choose among the specialists in your area
- When you get to your first visit
- Rounding Up Other Key Players
- Your primary care physician
- Nurses
- Physician assistants
- Registered dietitians
- Psychiatrists
- Surgeons
- Friends and family
- Chapter 6 Getting a Diagnosis
- Preparing for Your First Visit
- Charting your signs and symptoms
- Assembling your medical records
- Medical history
- Surgical history
- Social history
- Drug history
- Talking to Your Doctor
- Getting over the embarrassment
- Communicating your symptoms
- Being realistic about your expectations
- Knowing What to Expect during a Physical Exam
- General physical exam
- Focused physical exam
- Rectal exam
- Being Poked and Prodded for Medical Tests
- Blood tests
- Stool tests
- Scans
- Endoscopy
- Identifying Other Diseases That Mimic Crohn's and Colitis
- Chapter 7 Achieving Remission with Medications
- Rejoicing for Remission
- Types of Remission
- Clinical remission
- Biochemical remission
- Radiologic remission
- Endoscopic remission
- Histologic remission
- The role of symptom control
- Using Steroids
- Types of steroids
- Systemic steroids
- Nonsystemic steroids
- Side effects of steroids
- Turning to Aminosalicylates
- Types of aminosalicylates
- Mesalamine
- Sulfasalazine
- Side effects of aminosalicylates
- Getting Involved with Immunomodulators
- Types of immunomodulators
- Thiopurines
- Methotrexate
- Side effects of immunomodulators
- Battling Your Disease with Biologics
- Types of biologics
- Anti-TNF drugs
- Anti-Integrins
- Interleukin inhibitors
- Side effects of biologics
- Loss of response to anti-TNF therapy
- Benefits of biologics
- Targeting Crohn's and Colitis with Small Molecules
- Types of small molecules
- JAK Inhibitors
- S1P Inhibitors
- Side effects of small molecules
- Attacking Your Illness with Antibiotics
- Types of antibiotics
- Side effects of antibiotics
- Considering Other Medications
- Antidiarrheals
- Bile salt binders
- Analgesics
- Iron
- Calcium and vitamin D
- Vitamin B12
- Chapter 8 Considering Surgery
- Determining When You May Need Surgery
- For Crohn's disease
- For ulcerative colitis
- Understanding the Types of Surgery
- Resectioning the small intestine
- Repairing a stricture
- Treating fistulas
- Draining abscesses
- Resecting the colon
- Pouch surgery
- Considering Complications from Surgery
- Short-term complications
- Ileus: Sleeping intestines
- Thrombosis: Blood clots
- Wound infections
- Abscesses
- Leaking intestines
- Narcotic withdrawal
- Steroid withdrawal
- Long-term complications
- Pouchitis
- Short bowel syndrome
- Nutritional deficiencies
- A recurrence of Crohn's disease
- Defining Ostomy: What It Is and How to Deal with It
- Types of ostomy
- When you may need ostomy
- How to care for your stoma
- Your ostomy pouch
- Coming to terms with Ostomy complications
- Skin irritation
- Infection
- Parastomal hernia and prolapse
- Retraction
- Obstruction
- Listing Some Ostomy Resources
- Part 3 Healing and Dealing with the Disease
- Chapter 9 Paying Attention to What You Eat
- Considering the Impact of Nutrition
- The impact on your immune system
- How the immune system affects your nutrition
- How nutrition affects your immune system
- The impact on wound healing
- Identifying the Nutrients You Need
- Macronutrients
- Carbohydrates
- Proteins
- Fats
- Micronutrients
- Vitamins
- Minerals
- Wondering about Fiber
- Types of fiber
- Insoluble fiber
- Soluble fiber
- Why fiber matters
- Fiber's role in Crohn's and colitis
- Considering Specialized Diets for Crohn's and Colitis
- Liquid diets
- Low-residue diets
- Lactose-free diets
- Elemental diets
- Specific Carbohydrate Diet
- Mediterranean diet
- Low FODMAP diet
- Choosing a diet that suits your body's needs
- Getting Nutritional Support: When You Can't Go It Alone
- Feeding through a tube
- Feeding directly into your veins
- Boosting your diet with supplements
- Chapter 10 Preventing Health Problems
- Getting Vaccinated
- Why vaccination matters
- Which vaccines you need
- The influenza vaccine
- The pneumococcal vaccine
- The hepatitis B vaccine
- The HPV vaccine
- Varicella
- Shingles
- Meningococcal vaccine
- Caring for Your Skin: It's Not Just Cosmetic
- Identifying the skin complications you may face
- Recognizing and reducing your risk of skin cancer
- Caring for your skin "down there": Perianal skin care
- Boning Up on Bone Health
- Opening up about osteopenia and osteoporosis
- Seeing what Crohn's and colitis can do to your bones
- Managing bone loss
- Screening for Cancers
- Colon cancer
- Cervical cancer
- Chapter 11 Alternative and Complementary Therapies
- Let's Get Physical: Exercise
- Looking at how exercise can help with Crohn's and colitis
- Gathering some useful exercise tips
- Working Over-Thyme: Herbal Therapy
- Healing with herbs
- Identifying beneficial herbs for Crohn's and colitis - and knowing which herbs to avoid
- Homing in on Homeopathy
- Exploring the pros and cons of homeopathy
- Using homeopathic remedies for Crohn's and colitis
- Tapping into Traditional Chinese Medicine
- Understanding traditional Chinese medicine
- Controlling Crohn's and colitis with traditional Chinese medicine
- Mulling over Mind-Body Intervention
- Cognitive behavioral therapy
- Aromatherapy
- Yoga and meditation
- Support groups
- T'ai chi and Qigong
- Wondering about Worm Therapy
- Putting worms to work for your health
- Seeing how worms can help Crohn's and colitis
- Part 4 Living and Coping with Crohn's and Colitis
- Chapter 12 Living with Crohn's and Colitis
- Dealing with Your Diagnosis
- Stage 1: Denial
- Stage 2: Anger
- Stage 3: Bargaining
- Stage 4: Depression
- Stage 5: Acceptance
- Keeping Your Relationships Going Strong
- So, what's new with you? Telling people about your diagnosis
- Come here often? Dating with Crohn's and colitis
- Like a horse and carriage: Keeping your marriage strong
- Caring for a Loved One with Crohn's or Colitis
- Finding little things that help a lot
- Helping during a flare
- Helping after surgery
- Getting the help you need for yourself
- Chapter 13 Avoiding Triggers
- Quitting Smoking
- Deciding to Medicate
- Non-steroidal anti-inflammatory drugs
- Antibiotics
- Stressing Out
- Craving the culprit: Food, Glorious Food
- Artificial sweeteners
- High-fat foods
- High-fiber foods
- Caffeine
- Dairy products
- Alcohol
- Inviting the Sandman
- What sleep does for your immune system
- The effect of sleep on Crohn's and colitis
- How to get a good night's sleep
- Traveling at High Altitudes
- Chapter 14 Working and Traveling with Crohn's and Colitis
- Work It Out: Doing Your job When You Have Crohn's or Colitis
- Coordinating your job hunt around your disease
- Telling your employer and coworkers about your condition (or keeping it to yourself)
- Starting your day off right
- Planning your commute
- Packing an emergency kit
- Speed Bumps Ahead: Coping with Job-related Challenges
- Responding to symptoms when they get in the way
- Handling your coworkers' less-than-understanding attitudes
- Taking advantage of the Family and Medical Leave Act
- On the Road Again: Traveling with Crohn's and Colitis
- Assembling a vacation survival guide
- Getting immunized before you travel abroad
- Packing for your trip
- Avoiding traveler's diarrhea
- Finding a bathroom - fast!
- Part 5 Considering Special Populations with Crohn's and Colitis
- Chapter 15 Kids with Crohn's and Colitis
- Identifying How Crohn's and Colitis Are Different in Kids Than They Are in Adults
- Sex
- Symptoms
- The impact on growth and development
- Causes
- Effects
- How to manage growth failure
- Getting a Diagnosis
- Managing Crohn's and Colitis in Kids
- Monitoring medications
- Knowing the medications your child may take
- Sticking with the medications
- Paying attention to nutrition
- Vaccinating your child
- Growing Up with Crohn's and Colitis
- Surviving school
- Informing the school about your child's illness
- Enduring Crohn's and colitis as a (very) little one
- Turning 18: Adulthood begins (at least in theory)
- Going off to college
- Chapter 16 Having Sex and Getting Pregnant with Crohn's and Colitis
- Sex and Fertility
- Sexual activity
- Contraception
- Oral contraception
- Other options
- Your menstrual cycle
- Fertility
- Pregnancy
- Pregnancy planning
- How Crohn's or colitis may affect your pregnancy
- How your pregnancy may affect your Crohn's and colitis
- While you're pregnant
- Medications: What you can take and what you can't
- Nutritional considerations
- If you need surgery
- The big day and beyond
- Considering childbirth options
- Breastfeeding
- Planning for life after pregnancy
- Part 6 The Part of Tens
- Chapter 17 Ten Myths about Inflammatory Bowel Disease
- Myth#1: Diet Is the Cure
- Myth#2: Kids Get It from Their Parents
- Myth#3: It's Caused by Stress
- Myth#4: You Can't Get Pregnant if You Have It
- Myth#5: Steroids Are a Magic Potion
- Myth#6: If You Have It, You're Guaranteed to Get Cancer
- Myth#7: You're Responsible for Your Flares
- Myth#8: Surgery Cures It All
- Myth#9: You Can Stop Taking Your Medications if You Feel Better
- Myth#10: You Have to Stop Taking Your Medications during Pregnancy
- Chapter 18 Ten Reliable Resources
- The Crohn's and Colitis Foundation
- The United Ostomy Associations of America
- WebMD
- Mayo Clinic
- About IBD
- IBD Passport
- IBD School Videos
- Nutritional Therapy for IBD
- South Asian IBD Alliance (SAIA)
- Trustworthy Twitter accounts
- Index
- EULA
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