Prefacep. 8
Part 1Understanding Crohn's Disease and Ulcerative Colitis
1What Is This Disease?p. 10
What Is Inflammatory Bowel Disease?p. 10
Glossary of Inflammatory Bowel Diseasep. 12
Who Gets Inflammatory Bowel Disease?p. 14
Where in the Body Does IBD Occur?p. 15
What Goes Wrong in IBD?p. 21
What Are the Possible Complications of IBD?p. 23
2How Do I Know I Have IBD?p. 34
Recognizing Symptomsp. 34
Common Symptomsp. 35
Diagnostic Methodsp. 44
Prognosisp. 55
3What Can I Expect Now That I Have IBD?p. 56
Frequently Asked Questionsp. 56
Can I Die from This Disease?p. 58
Will the Disease Get Worse?p. 58
Can My Condition Improve?p. 60
Can I Still Go to School?p. 62
Can I Get and Keep a Job?p. 63
Will I Need to Be Hospitalized?p. 64
Will I Need to Have Surgery?p. 65
Will I Need a "Bag" Outside My Body to Collect Stool?p. 65
What Lifestyle Changes Will I Need to Make?p. 66
Will 1 Be Able to Become Pregnant?p. 67
Can I Take My Medication during Pregnancy?p. 68
Will My Condition Flare during Pregnancy?p. 69
Will This Disease Affect the Birth of My Child?p. 69
Can I Travel If I Have IBD?p. 70
What Causes IBD?p. 73
4How Did I Get This Disease?p. 74
Causal Factorsp. 75
Possible Infectious Causesp. 76
Possible Environmental Causesp. 78
Possible Inherited (Genetic) Factorsp. 81
Unified Theoryp. 88
Implications for Treatmentp. 89
Part 2Managing Inflammatory Bowel Disease
5Dietary Strategies for Managing IBDp. 92
Reliable Informationp. 93
The Right Dietp. 94
Preventing Malnutritionp. 95
Diet Modificationsp. 102
Elimination Dietsp. 103
Lactose-Restricted Dietsp. 104
Calcium Sourcesp. 108
Vitamin Dp. 111
Other Vitamin and Mineral Supplementsp. 113
Liquid Calorie Supplementsp. 116
Low-Fiber Dietsp. 118
High-Stool-Output Management Dietsp. 121
Fluid Dietsp. 124
Food Fearsp. 127
Nutrition Supportp. 127
Nutrition Researchp. 129
Diet Counselingp. 133
6Psychological Support for Managing IBDp. 134
Psychological Concernsp. 134
Stressp. 136
Depressionp. 137
Coping Strategiesp. 140
Coping with the Medical Systemp. 148
7Drug Therapy for Managing IBDp. 152
Treatment Goalsp. 152
Medication Considerationsp. 154
Drug Therapy Optionsp. 160
Nonsteroidal Anti-Inflammatory Drugsp. 161
Mesalamine (5-Aminosalicylic Acid) Containing Drugsp. 163
Glucocorticoid (Steroid) Medicationsp. 170
Antibioticsp. 179
Immunosuppressant Medicationsp. 181
Non-Biologic (Small-Molecule Drugs)p. 188
Biologic Drugsp. 190
Future Medical Therapiesp. 202
Complementary and Alternative Medicinep. 205
Clinical Research Study Designsp. 208
Surgery Optionp. 210
8Surgical Treatment of IBDp. 211
The Need for Surgeryp. 212
Ileostomy and Colostomyp. 213
Surgical Procedures for Ulcerative Colitisp. 214
Surgical Procedures for Crohn's Diseasep. 222
Laparoscopic Surgeryp. 233
Preventing Recurrencep. 234
Children with IBDp. 236
9Treating Children with IBDp. 238
Family Challengesp. 239
Special Managementp. 239
Prospectsp. 245
Resources and Referencesp. 246
Indexp. 255