MUMBAI: More and more people in the city are presenting with symptoms as common as diarrhoea but are diagnosed with serious problems that are collectively termed as inflammatory bowel disease (IBD). Doctors say the incidence of IBD is rapidly increasing in the urban population.
Dr Amit Thadhani, endoscopic surgeon and medical director of Niramaya Hospitals called frequent diarrhoea a hidden danger. He cited the case of
Rakesh Mishra, a 35-year old software engineer working in a top company. He was frustrated due to frequent loose stools several times a day. He was consulting his family doctor time and again for this problem and had been prescribed several courses of antibiotics without much relief. He also noted that he was passing blood with stools. Finally, when he consulted a gastroenterologist, he was diagnosed with Ulcerative Colitis.
Similarly, Sheetal Singh (name changed) suffered from same symptoms but her condition was poorly controlled with medicines. Eventually, she opted for surgery to remove the entire large intestine and finally, her condition has stabilized and she is regaining weight.
Thadhani said that more people are now being diagnosed as Crohns Disease, a feared autoimmune condition, which is difficult to treat both medically or surgically. While ,there could be many caused behind IBD, doctors blame urban lifestyle the most. "The pre-disposing factors include use of piped and sterile water as compared to water directly from natural sources such as wells and streams, food rich in sugars and starches, aerated drinks and increasing presence of refined wheat in diet. Surprisingly, intestinal parasites have been found to protect against IBD and routine use of de-worming medicines is no longer recommended," said Thadani. "The modern corporate lifestyle with its high stress levels is a major pre-disposing factor for developing IBD. There have been some studies that have traced the rise of IBD with the rise of refrigeration," he added.
He said it is increasingly been seen as a lifestyle disorder that can be managed substantially with significant changes in diet.
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