Overview
Definition
Inflammatory bowel disease characterized by continuous mucosal inflammation of the colon.
Epidemiology
Incidence peaking in 20s and 30s.
Etiology & Risk Factors
- Autoimmune
- Genetics
Clinical Symptoms
- Bloody diarrhea
- Tenesmus
- Abdominal cramping
- Urgency
Clinical Approach
Diagnosis
- Colonoscopy (continuous inflammation starting from rectum)
Management
- 5-ASA (Mesalamine)
- Corticosteroids
- Biologics
- Colectomy
Complications
- Toxic megacolon
- Colorectal cancer
- Primary sclerosing cholangitis