Inflammatory Bowel Disease (Crohn’s and Ulcerative Colitis) in 90 Seconds
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- เผยแพร่เมื่อ 19 ต.ค. 2024
- In the inaugural episode of GI disease of the week, I’ll discuss IBD! (Crohns and Ulcerative Colitis). Comment below which disease I should discuss next!
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As someone with Crohn's disease I get tired of trying to explain the disease to family and friends. And that I just can't change my diet and make the disease go away. Going to just start sending this video to them. Thank you
Have you tried carnivore diet?
I also have Crohn’s disease and I have tried different diets to try and help. One diet started working for a bit but then I started getting stressed and I started experiencing symptoms again staying on the diet after the stressful event and I still had major symptoms so I didn’t know what to do. It’s really tough for me now to try other diets.
Have severe pancolitis, had a buddy nearly try to fight me by saying I needed to grow my own fruits and only eat those bc the GMO’s are what make my disease flare🤣😭😭
As someone who has ulcerative colitis I feel the same way about explaining why I can’t drink or do this or that as I don’t want to have a flare up.
@@gabrielbarrantes6946I have. It works until it doesn’t. Unfortunately, even carnivore diet doesn’t stop flares from occurring. Wish it did!
This is a great idea for a series. 60 second explanations are a great service - very user friendly and convenient form of education for people.
Especially if you are aware of someone who has Crohn's! But wasn't aware of the extent of illness.
....the title says 90 seconds, not 60, fyi
I had considered colectomy for my UC when I was starting college since I couldn't live my life at the time with the symptoms I was having but decided against it when I learned that 25% of people with UC who get a colectomy developed Chrohns within 10 years after the surgery. Ended up putting off school for a year but doing much better now.
I just realized you have over half a million subs! Way to go Doc, you're doing a great service and getting the word out to a lot of people.
Appreciate you!
@@Doc_Schmidt Doc, I've said it before and you know I'm going to say it again... I'm going to be proud enough to cry when you make a million. You'll get there! 🤗
@@tommiegirl2441 thank you for all your support!
Thank you so much for covering IBD. I was diagnosed with Crohn's Disease in 2000 at only 11 years old and I'm now on a biologic medication, so it's always nice to see other talking about and providing education on the subject.
I was also diagnosed with Crohn’s at a young age. I was 12 but I had symptoms before that. I am currently not doing the best. I was on a biologic but I ended up a rare fungal infection in my lungs because of how much the medication lowered my immune system. I now have to be off the medication for a while now so now I’m back to square one.
Wow you are suffering from 23 yrs.. salute! May i know what are your diets?
I am having a horrible time with GI issues. It’s been absolutely miserable dealing with it all!! Thanks for this video! 💗💗💗
My sister died from hepatic-renal failure. I know the basics but if you could go more in depth I think that a lot of people would be interested. Thanks doc. Great channel.
Thanks so much for spotlighting IBD! I have UC, and I’ve finally achieved remission last month 🎉. Your videos are incredibly educational and easy for patients to understand, thanks for your work 😊
Congrats on achieving remission!
You know someone is an expert when they can summarise a complex topic that well! Good job doc. Next topic: hiatal hernia and treatments? Ooh, diverticulitis too.
One more request for a condition to potentially cover in this series: Boerhaave Syndrome/Mallory Weiss tears. It's something I wish I'd known about when I was bulimic. It's also something that I think would be beneficial to increase awareness of because there's a common misconception in eating disorder communities that bulimia can't be lethal and is therefore "better" or "safer" than anorexia.
Eosinophilic esophagitis, H. Pylori, esophageal varices, achalasia, pyloric stenosis, diverticulosis/diverticulitis, hiatal hernias... 😁💪 This series is an awesome idea!
Thank you for sharing a little more about these diseases! I was diagnosed with IBD in Jan of 2020, and unfortunately I haven't really gotten a lot of information about it myself. It's good to know I'm not crazy to worry about losing so much weight after my diagnosis though! My whole family thinks I should just be happy about it but I worry.
Sorry you've had to deal with not only this disease but also family members who're trying to be helpful without actually trying to understand what and how they can actually help you. On a side note, rapid unintentional weight loss, regardless of the initial size of the victim, is a sign of a lot of very serious medical conditions that include what you have and just straight-up cancer so it really shouldn't be congratulated and it's messed up to think that, if things were a bit different, they could've been congratulating cancer instead. I hope you're doing well and are at least able to get your IBD under control so it's at least manageable for you.
@Pegged Yourdad This was so nice to read! It truly warms my heart to know that there are caring people like you out here on the internet. Thank you. It hasn't been particularly rapid, but the volume was so much that I was worried I might have cancer or diabetes or something. I'm going to bring it up again at my yearly check up.
Thank you for this! As someone with UC, I’m always reading up about my condition and conditions like it!
Thank you. I have UC and I think I’ve learned more from this than from my gastro doctor.
Thanks for spotlighting IBD. I got diagnosed with UC back in fall of 2021 so it means a lot.
How r u now?
I'm excited about this series!
A couple of requests for diseases to cover:
1. Epiploic appendagitis - I had never heard of it until I got it, and it was interesting to learn how tricky it can be for doctors to catch.
2. Auto brewery syndrome- it's so interesting that this is something that can happen to the body. Last I heard, it's a controversial diagnosis, so it would be interesting to hear about the controversy too.
Thank you for what you do!
Edit for people who are curious about what these conditions are:
Epiploic appendages are little strands of fat that are attached to the colon. In rare cases, these strands can develop a thrombosis or twist in ways that cut off their blood supply; this is called epiploic appendagitis. It's not a dangerous condition and almost always resolves on its own, but it's very painful when it's happening.
Auto- brewery syndrome is a very rare condition where certain fungus or bacteria in the gut cause carbs a person eats to ferment and turn into alcohol, so the person gets drunk despite not drinking. Like I said, I think it's wild that this is a thing that can happen!
Wow. I just read up on these, they really are quite interesting! Also, hope you're doing better now!
How about gastroparesis?
@@ksharma103 Thank you! The EA thankfully resolved within a few days, as it does in the vast majority of cases. Honestly, the most frustrating part about it was that, since it's pretty rare and presents so similarly to appendicitis, diverticulitis, ovarian torsion, and ovarian cyst rupture, I ended up going to the emergency room and getting a big bill for something that would've resolved on its own. But still better to have EA than any of those conditions.
I love how you talk with your hands. I never know what to do with my hands so I sometimes will also do this. I appreciate seeing some “aggravating” habits in accomplished and intelligent people. It makes me feel less “weird.”
I recently started working in research at an IBD clinic, and it’s been incredible learning about Crohn’s & UC and the latest biologics!
I am looking for a research topic on IBD myself. Some inputs will be of great help 😅😅😅
Just hearing the word "autoimmune" brings tears to my eyes. This was easily understood, Doc, good work. 👍
Doctors are shifting towards classifying IBD not as “autoimmune” but an “autoinflammatory” disease. Pretty sure this is more specifically related to Crohn’s rather than ulcerative colitis because in Crohn’s there’s no antibodies being produced against body tissue like in autoimmune diseases, instead, the immune system directly attacks the gut bacteria, not the tissue itself.
Great video Dr Schmidt! Other ideas:
1. All the inflammatory "Chole-"s lol: cholelithiasis, cholecystitis, choledocholithiasis, and ascending cholangitis
2. Ogilvie's syndrome- I feel like a lot of your fanbase may benefit from knowing about this one
Thank you for this excellent video, as a chrohn's sufferer myself I found this helpful.
Important topics
Yes please! Please do PBC vs PSC! : )
Thank you! I have UC and it's always helpful to have a quick explanation on hand for people unfamiliar with it 😁
Can you please do celiac next if you haven’t? My grandmother has it and I’m going to get tested for it soon. It’s special to me.
I like this series idea! I have Crohn’s (so close to remission for the first time since diagnosis, per my latest lab work!). Can you also discuss Indeterminate Colitis? As you mentioned, UC is only in the large intestine, but I know people who have UC symptoms outside of the colon, and have been diagnosed with IC instead.
I am one of those people!
I hope you are in remission soon.
Funny. I’m in my GI course rn in med school, and you posted this the same day we received a lecture on IBD and IBS.
Other ideas- types of ostomies; gastroparesis; Barrett’s esophagus; types of feeding tubes; TPN 😊
You sound so much better, finally kick the bug? I hope so.
My mom thought she had UC, she had EPI. Her pancreas showed atrophy so she takes Creon now.
Could you do one on megacolon? I know it’s not really common but doing both common and uncommon gi diseases is a good balance.
This is really helpful for any medical professional even as a reminder
As someone who has both, I deeply appreciate the increased awareness. I would absolutely love for there to be a more efficient cure so I can go it I remission soon
I’m so so excited for this series ! GI is what I’m currently most interested in!
Thank you very much for getting right to the point.
Could you talk about vagal nerve interaction with the GI system?
If it's damaged you develope Gastroparesis. A paralysis of the stomach delaying it from emptying. Causes extreme nausea, pain and weight loss.
I liked the video! Would you do one on Celiac disease please?
This is great! Please continue doing this series
Saving this in case I don't feel like talking someone through my Crohn's step by step!
Thank you for this!
After being told for many years that my G.I. symptoms were “just IBS” last spring I was diagnosed with UC. It has been in remission for a number of months now so when my symptoms returned today I immediately assumed it was something I ate. Thank you for the timely reminder. Now to find my meds and restart them (as per my GI’s instructions). 😉
Can you do a video on the difference between IBS and IBD?
This is extremely cool and comprehensive!
I have both diagnoses..
Got UC at 23, 3 years later I had my colon removed and got a J-pouch - and 6 years after that I started with symptoms again and 2 years later I was finally diagnosed with Chrons…
My GI doc had a hard time seeing the Chrons because of my initial ( really classic symptomatic) UC - so he only wanted to treat me for pouchitis, even though the doctor that did my pouchoscopy multiple times said that my presentation was classic Chrons, and my inflammation was not at all located in my pouch….
So - as an immunocompromised patient - please look at all the information….
I am 48 now and have 6 autoimmune diagnosis - and even though I don’t have my colon anymore, I do have other diseases that link to that through the autoimmune thing…
Oh - and yeah - I have tried biologics - they tried 3 different things, and the last one gave me heart issues…
So now I live as stress free as possible, and am on NO medication for the autoimmune stuff…. Only pain management ( for my sacroiliitis )
Wonderful video doc! I would suggest GERD next, or ever better EoE! 😍
Excellent! Short and sweet!!
I have a consult with a GI at the end of the month. I’ve had diarrhea for over ten years and yes that’s my normal. I’ve never had solid stools. I always have gas and stomach pain. But I’m just now seeing someone for it.
Very nice video
I could never achieve remission after two years when my disease returned
Thank you for covering UC
Please don't lose your love for gi medicine and helping patients. My gi told me I was too complicated because have autonomic neuropathy and mcas causing severe gi dysmotility and other symptoms. We need good gi's.
Low FODMAP and other GI related diets, and WHY they matter/ when are they recommended (or not )
Could you do one over gastroparesis/gastric motility disorders? I am trying to understand them because my GI suspects that I have gastroparesis
Will do!
@@Doc_Schmidt I was going to ask this myself. I personally have severe lower Esophageal Dysphasia with non functioning valves for both the sphincters in the stomach.
Im kind of curious if you would know why someone could have regular motility in the upper third of the esophagus and then pretty much no movement at all in the lower? I do have a connective tissue disorder that does contribute to it but I don’t totally understand mechanics of something like this.
Plus I’m a nursing student so I absolutely love learning.
Thanks for the great content.
@@Roni-xw9pr do you have Ehlers Danlos Syndrome? I have EDS and it’s causing me no end of G.I. problems!
My swallowing issues are probably the most frustrating. I recently have a oesophageal manometry test and although the results in the report were listed as outside the norm the interpretation was everything was fine because it didn’t meet the criteria for achalasia.
@Doc Schmidt I second the requests for gastric motility and swallowing disorders. Thank you 🙏
Can you talk about hemorrhoids?
Would love a follow up on microscopic colitis.
My cousin has to have remicade infusions every so often since her UC tends to be severe when it flares up. She was even in the hospital for at least a week while they tried everything else to help her.
Looking forward to more.
SCD and IBD-AID help. A lot of doctors ignore diet. My sons has Crohns. He is lucky enough that Modulen get him into remission and diet maintains. Very lucky. His disease was caught early enough that there was only a few ulcers. 4 years in and still lucky. The drugs are scary, but most people do need them. Diet and drugs are a magic combination for a lot of people with severe disease. Hard, but better than unchecked inflammation.
happy GE week! 💩 🎉
I just learned about Ileus, had never heard of it before and would love to hear your explanation. I assume it counts as a GI disease. I'm still pretty early in my (pre-)medical education obviously :)
H-pylori colonisation, I meet a lot of people who just 'live with it' as they're unaware of how easy detection and treatment can be.
Also that last frame of the video is a priceless portrait, you're a beautiful human.
I'd like to know if fecal implants are becoming a common effective treatment and for what. And how the fecal transplant is graded, what criteria is used for safety, content, effectiveness of contents / how they're either sourced or created. Thanks!
I've heard legitimate news stories on how they have been lifesaving. 🤔🤨
Great video! How about one on bile duct stones? My gall bladder was removed 21 years ago but I still get stones in my bile ducts requiring ERCP to remove blockages.
One of my dogs has IBD. Apparently his intestines send out antibodies when food arrives. He was misdiagnosed for years, so very poorly, collapsed often, especially in the heat, bad appetite, bloody diarrhea. He saw vet after vet, including alternatives. I get so mad now when I think of the courses of antibiotics and other medications I had to force down his throat and how much unnecessary pain he went through, and how often he was admitted to hospital on a drip. It wasn't until I joined a forum on Facebook that it confirmed he was suffering from IBD, and it wasn't until he had his first doses of SBoulardii and a hydrolysed food that he had a "normal" bowel movement. I still remember asking a vet if Hills ZD wouldn't help when he was prescribed his 4th course of antibiotics in a row, and he said no, he doesn't need it🙄🙄So he was on the ZD for 4 years, and his intestines have healed so well, I can occasionally give him well cooked rabbit and venison as well. He's back to being like a puppy now, with most of the pain grumpiness gone. He still can't tolerate deworming though, throws every kind up, so he hasn't been wormed in 11 years. A human baby colic medication made up by a local pharmacy, and baby Buscopan are all he needs occasionally now. Also something the vets said I shouldn't give for more than 2 weeks🙈 One of my other doggies has IBS, stress related from an abusive first home.
Please describe megacolon, symptoms and causes.
These are great!
I’d love to see a video about vasculitis.
All the types of hepatitis, from A to E
Learned from this. While I know I could watch it again, I do wish you would slow down your speaking just a bit. Please.
Would love to see a video on functional dyspepsia!
I've been told I have hemangipmas but not to worry about them. So I don't. Maybe you could discuss that one day.
I'm waiting to see a specialist to see which I have. It is going to be 12 months. Yet I am suffering. I can't afford to pay for private health and live rural.
I am always tired (need multiple naps) get ulcers in my mouth constantly, always blood and mucus in stools (or even by themselves when I open bowels), I do bowel motions 6 plus times a day, I have pain, stomach bloat, etc
Only advice I was given was to keep a food dairy and if things become worse go to E.D. That's it...I'm at a loss. I have a 2 and 4 year old I struggle and feel overwhelmed at times.
So far its been 4 months and its slowly getting worse.
Any info on Malabsorption caused by Pancreas Enzymes issues?
can you do GERD/GORD (us vs uk spelling) at some point please? people dont realise how debilitating it can be sometimes
Will do!
As someone with Crohns who put of going to the Doc for a year because I pinned my symptoms on stress during my bachelor's thesis: go see your doctor, really
I know it's not a common disease, but maybe you could do a video on CSID?
Really good. I have an aunt with colitis.
Also food poisoning and when one has this how do they manage to erupt from both ends at the same time?
Thanks Mr Doctor!
Can you talk about crohns more and eim’s also crohns and upper gi!
Hi doctor
Can you do Irritable Bowel Syndrome?
What's the difference between IBD and IBS
Thx doc, very interesting.
Please do something on Microscopic Colitis (lymphocytic). Also 25% of us (approx) have unexplained weight gain (vs loss), barely eat. Thx!
Check out my GI Disease of the Week playlist!
Celiac disease next :)
I’ll add it to the list- thanks!
my husband has a fistuala but has not been diagnosed with IBD, the drs say he doesn't have ibd and fistula's sometimes just happen. My husband had his first surgery on the fistula 6 months ago and is expecting to have a 3rd soon. Can you tell us more about fistulas? I'd love to know if there's anything he can do to prevent this from "just happening" again.
I think Celiac disease would be a great topic!
bowel obstruction! which ones are surgical. which aren’t and the why’s!
also IBS and why it’s different than IBD
As someone who struggled my whole young adult life with severe Crohn’s and only finally achieving remission (after 15 years)- it’s a pain in the literal butt. Would not wish it on anyone 😂
I have also had a dr say that not everyone loses weight with IBD. Although more common : there are some who have the oppesite where they gain weight.
I am under investigation after over 26 years of being told IBS and slow bowel. Had all the available IBS medications and diet changes, none worked. Now 27 and they are finally sending me to gastro for possible IBD. NHS stuggling right now though so will be months before i am seen by a consultant. I have had more bloods, stools done and they are trialling me with colestyramine aka questrant. Over a week and no change yet. Still going 4 + times a day : diarrheoa , nausea, acidic or sulphuric poop and on bad trips i get hot/cold, shakes and vertigo. Past 7 years i've been like this. It's rough. Yet it's taken so long because i gain weight, i don't lose it : no matter how healthy or unhealthy i eat, exersice etc. Nothing helps.
I am really hoping this medication works soon because i see this one being another bust.
Waiting on date for a SehCat scan. Xx
Can you do one or did you do one on C Diff I would like to know all your protocol of what you tell your patient. Diet or whatever, thanks
I am not on WhatsApp I am on Facebook where I saw this, but thanks anyway
Would like your advice on IDA ( Iron Deficiency Anemia) + IV/ Oral Supplementation...(eg. Fe Polysaccaride Non-heme vs. Heme
type oral supplement. Is QOD oral
dosing advantageous to avoid
Hepcidin limited absorption ?)
I has a mass in my colon removed. I have had a reversal. Talk about patient life after reversal. Taking metamucil and etc.
Biliary colic, abdominal migraines, collagenous colitis, or general gut preventative maintenance - like 10 things you wish everyone did for their gut health.
I didn't know IBD was so serious.
Talking about IBD... could you do some "debunk" videos.... because ive seen some ppl that claim they can "heal it without medication themselves"...
Brilliant!
I feel constant pain and swelling on my sigmoid and rectum region with chronic constipation and all other IBS C symptoms. My CT scan showed sigmoid inflammation but colonoscopy came clear.. they did not perform any biopsy. What should I understand by this ?
Dermatitis herpetiformis and it’s related GI diseases- please :)
Thank you!
I have a question and I'm asking you because I really do not have anyone else to ask sadly and you seem open to do so. When they do a colonoscopy do they use a dye for the process to either point something out or to clean something out?
I ask because to my knowledge I am allergic to every contrast used for med procedures, thus far. I am known to throw up with the IVP contrast (kidney stones l the barium contrast ( Either for the MRI or the cat scan I can't remember which it's been 20 years), the other contrasts they've used to determine where my cysts are. Whatever they used for IVF and even the contrast that they use for eye exams ex where I am in pain and cannot use my eyes to drive back home let alone see for 2 days since everything is exceedingly blurry. So in the end I ask because I was told that I need to do to my age have a colonoscopy. I'm not sure I can if it comes with a contrast. Thank you for being willing to answer my question.
I have celiac disease. I only got diagnosed last year, but I think I've always had it. I've had dizzy spells as long as I can remember, along with chronic constipation. I blacked out (my vision just went black) one day at work as a teenager... long story short. Even though I've completely cut out gluten, I'm still having a LOT of problems. My blood pressure goes low as soon as I stand up but goes back to normal if I sit down. I have chronic tachycardia so bad that when I first wake up and walk just to the kitchen to check my pulse, it's often over 150. I've had it 171 from a single flight of stairs. I feel like this has gotten worse over the years rather than better as I served in the military, and whereas I did have trouble running, i made it through my service. Now, I can hardly get out of bed but a couple hours a day, and sometimes I have to take baths because I can't stand up long enough to shower. My family and my doctors don't really believe me when I complain of the dizziness and pain, but I've been living with my brother for a few months now while I look for my own place, and he has seen me monitor my heavily fluctuant blood pressure and he's finally starting to understand, but still thinks I should just get up and exercise more. He still doesn't seem to understand that I can't walk more than around the grocery store, and that makes me absolutely exhausted... I'm very frustrated and depressed. Advice welcomed, from anyone!!!!!
Have you seen a cardiologist? Sounds like it could be POTS (Postural Orthostatic Tachycardia Syndrome).
@Tamarin Mangold yeah I think that's what it is, and I think I might also have EDS, if you know what that is. I have always had hypermobile joints and it and POTS often go together... I tried to get genetic testing done at VCU in Richmond, Virginia, but they pretty much told me that EDS is mostly a clinical diagnosis based on symptoms... I really need to call them back and see if I can get the testing anyway because the VA is like trying to swim in tar just to get anything properly diagnosed. It's always affected by quality of life, but lately, it's been really bad.
@@Flutistno3 oh, man! I can’t imagine trying to get EDS diagnosis through VA!
I was also coming here to suggest POTS or orthostatic hypotension or another type of dysautonomia. I have orthostatic hypertension and POTS, as well as EDS. I hope you get answers and help soon.
@@carlyar5281 thanks!
@@Flutistno3 I actually have EDS, myself, as well as dysautonomia, so most definitely familiar with it. 🦓
Omg it’s me!!!
Hi Dr my stool is yellow and l am low on nutrients eg vit d, b a and c inspite of supplements, does that mean l have a malabsorption issue in my small intestine and that bile is not being reabsorbed?
IBS next?
Can you do splenic flexure syndrome? It’s really hard to find info about it on YT
UC gang!