Inflammatory bowel disease (IBD), which can lead to life-threatening conditions such as bowel perforation, is now estimated to affect about 25 in 100,000 people in SingaporeThat is two to five times as many sufferers as there were a decade ago, said Dr Kelvin Thia, a consultant at the department of gastroenterology and hepatology at the Singapore General Hospital (SGH).It works out to about 1,000 to 1,500 people who find eating to be a misery and about 100 new cases joining their ranks every year.Sufferers tend to be men in their 20s to 40s, with Indians appearing to be more vulnerable than Chinese or Malays.
Inflammatory bowel disease (IBD) involves chronic inflammation of all or part of your digestive tract. IBD primarily includes ulcerative colitis and Crohn's disease.Severe diarrhea, pain, fatigue and weight loss. IBD can be debilitating and sometimes leads to life-threatening complications.
Doctors use one of two approaches to treatment: "step-up," which starts with milder drugs first, versus "top-down," which gives people stronger drugs earlier in the treatment process.
Intestinal inflammation in Crohn's disease involves the entire thickness of the bowel wall, whereas the inflammation in ulcerative colitis is confined to the inner lining. Accordingly, complications such as intestinal strictures, fistulas, and fissures are far more common in Crohn's disease than in ulcerative colitis.