Alcohol in IBD – “not a good idea”

Not that I assume that for you as a patient with inflammatory bowel disease with Crohn`s disease or ulcerative colitis alcohol is an everyday issue. In the sense of: dealing with it every single day. During the last weeks I was asked by my patients rather frequently: “… and how about alcohol ?”

And most of the patients already seemed to have at least a slight idea about that. Because the next thing was: “…probably not a good idea, is it ?” And why they were exactly right on that you can read in the new blog article


…the surgical approach (still talking about fistulas)

In this article on surgical options for fistula therapy I am like an Alien entering a kind of strange enviroment, I mentioned that before. But this is about giving you information on the basic considerations and strategies there are on the surgical approach to fistula therapy. In case of fistula it`s mostly not the surgeon or the gastroenterologist, who is doing the therapy alone, but rather both specialists should work in an interdisciplinary team, that supports you with the therapy. Also the surgical therapeutical options do not always – to say te least – lead to healing of the fistula. Healing in the sense of: before: fistula – after: no fistula ! As with the medical therapeutical options healing of the fistula is not always possible or even: it is possible just under given circumstances. And often it is not the main goal either. The main goal is often, to controll the situation and avoid complications.


therapy of fistuals – the gastroenterologic approach

Actually I love to write about what we can do in order to improve your situation as a patient with IBD, Crohn`s disease or ulcerative colitis and pass on information what contributes to your health as a patient with inflammatory bowel disease. Today I want to focus on the therapy of fistulas and that is a very wide field. There are internal medicine approaches, there are surgical approaches. The range varies literaly from “doing nothing at all” to “doing everything”. Therapies range from: “a little inconvenient, but people get used to it and than it is ok and a good, uncomplicated solution for a problem” to “heavy, life changing surgery”. Which will definetly bring some relief and improve the situation for the patient though.
And why one or the other option is suggested to you as a patient really depends a lot on how you as a patient are affected. And to point out the therapeutical options without you not seeing the wood for the trees anymore was a little challenge. Yet therapeutical options for fistuals are too much for one article. So let`s start today with the therapeutical options from the gastroenterologic point of view.


New paths nobody needs – fistulas, mostly in Crohn`s disease

Today on an issue that`s mostly concerning patients with Crohn`s disease: fistulas. To have Crohn`s disease with abdominal pain and diarrhea is one thing and challenging enough. To have Crohn`s disease with fistulas is even more stressfull. These small connecting passages develop between an inflamed segment of the small or the large intestine and the body surface or another inflamed segment of the intestine and often end in small orifices in the area around the anus, the perianal region. They can secrete, cause physical complaints and compromise the body image of the patient even more than it already is in case of inflammatory bowel disease. Fistulas make everything even worse, I can only say it that clearly. And because of that we are called to work together here. Because for diagnostics and therapy it needs teamwork, for the therapeutical options especially teamwork with the surgeons. But today I first want to share some information on how and why there is fistula formation and what we need to consider, when fistulas are diagnosed]