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Nausea Vomiting and BiPolar (BP)?
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<blockquote data-quote="rlsnights" data-source="post: 313312" data-attributes="member: 7948"><p>No Inflammatory Bowel Disease (Crohn's Disease and Ulcerative Colitis) is NOT the same as IBS. Both these diseases are autoimmune diseases of the intestinal system. Both can be life-threatening if left untreated or if the symptoms cannot be brought under control either medically or surgically. UC often requires colectomy - removal of the colon. Crohn's eventually requires surgery with something like 80% of Crohn's patients having at least one surgery in their lifetime. Both have periods of flaring and remission that are unpredictable. Both are serious illnesses that cause permanent damage and require medical and/or surgical intervention. Most Crohn's patients and some UC patients require long-term chemotherapy to suppress their immune system.</p><p></p><p>IBS and other functional problems with the intestines are not uncommon in people with IBD but IBS does not cause severe and permanent damage to the bowel and other organs. I am not suggesting that IBS is not a difficult and sometimes severely life-disrupting condition. But IBS affects the way the bowel functions without causing detectable damage to the intestines. </p><p></p><p>Ulcerative Colitis affects primarily the Colon or large bowel and causes extensive ulceration and swelling in the bowel. It's like having a massive sore on the outside of your body but it's inside the colon. Typical symptoms of UC are diarrhea ( up to 20x per day) or, less often, constipation, bleeding with stools, weight loss, fatigue, belly pain. Can include inflammation of the stomach and liver along with arthritis and joint pain. Of the two diseases, UC symptoms are much more likely to be noticeable and have a sudden onset.</p><p></p><p>Crohn's Disease can affect the entire digestive system including all the organs that make it up like the liver, pancreas, gallbladder, etc. Crohn's also causes extensive ulceration and swelling but it can occur anywhere within the small and large intestines and in the stomach. Crohn's often also causes perianal disease, fistulas, abscesses, full and partial blockages, and more permanent damage like strictures (extreme narrowing of the bowel due to swelling and scar tissue) which must often be removed surgically. Crohn's in children can and often does have an insidious onset and a child may be seem healthy for years before obvious symptoms appear. Even after diagnosis, Crohn's patients may have periods of "remission" where the disease is not actually in remission but there are few or even no discernible symptoms. Some people may have only minor changes in bloodwork and Crohn's often requires colonoscopy and endoscopy with biopsies to confirm the diagnosis. Typical symptoms include poor growth (in children), diarrhea, sometimes severe constipation, vomiting, reflux, some belly pain, thin bones, fatigue, arthritis along with the other things I mentioned before.</p><p></p><p>It is very unlikely that your child has IBD but, given the seriousness of the illness and the fact that Crohn's can go undiagnosed for years, it is worth at least being considered in the differential diagnosis of chronic vomiting. There are a number of other GI conditions including cyclical vomiting that can cause persistent vomiting and usually require a specialist to diagnose.</p><p></p><p>Abdominal migraines do not necessarily cause headaches. They cause GI symptoms like nausea, vomiting and significant belly pain. There may be a similar constellation of symptoms to "regular" migraines but not always. They are typically diagnosed in children not adults.</p></blockquote><p></p>
[QUOTE="rlsnights, post: 313312, member: 7948"] No Inflammatory Bowel Disease (Crohn's Disease and Ulcerative Colitis) is NOT the same as IBS. Both these diseases are autoimmune diseases of the intestinal system. Both can be life-threatening if left untreated or if the symptoms cannot be brought under control either medically or surgically. UC often requires colectomy - removal of the colon. Crohn's eventually requires surgery with something like 80% of Crohn's patients having at least one surgery in their lifetime. Both have periods of flaring and remission that are unpredictable. Both are serious illnesses that cause permanent damage and require medical and/or surgical intervention. Most Crohn's patients and some UC patients require long-term chemotherapy to suppress their immune system. IBS and other functional problems with the intestines are not uncommon in people with IBD but IBS does not cause severe and permanent damage to the bowel and other organs. I am not suggesting that IBS is not a difficult and sometimes severely life-disrupting condition. But IBS affects the way the bowel functions without causing detectable damage to the intestines. Ulcerative Colitis affects primarily the Colon or large bowel and causes extensive ulceration and swelling in the bowel. It's like having a massive sore on the outside of your body but it's inside the colon. Typical symptoms of UC are diarrhea ( up to 20x per day) or, less often, constipation, bleeding with stools, weight loss, fatigue, belly pain. Can include inflammation of the stomach and liver along with arthritis and joint pain. Of the two diseases, UC symptoms are much more likely to be noticeable and have a sudden onset. Crohn's Disease can affect the entire digestive system including all the organs that make it up like the liver, pancreas, gallbladder, etc. Crohn's also causes extensive ulceration and swelling but it can occur anywhere within the small and large intestines and in the stomach. Crohn's often also causes perianal disease, fistulas, abscesses, full and partial blockages, and more permanent damage like strictures (extreme narrowing of the bowel due to swelling and scar tissue) which must often be removed surgically. Crohn's in children can and often does have an insidious onset and a child may be seem healthy for years before obvious symptoms appear. Even after diagnosis, Crohn's patients may have periods of "remission" where the disease is not actually in remission but there are few or even no discernible symptoms. Some people may have only minor changes in bloodwork and Crohn's often requires colonoscopy and endoscopy with biopsies to confirm the diagnosis. Typical symptoms include poor growth (in children), diarrhea, sometimes severe constipation, vomiting, reflux, some belly pain, thin bones, fatigue, arthritis along with the other things I mentioned before. It is very unlikely that your child has IBD but, given the seriousness of the illness and the fact that Crohn's can go undiagnosed for years, it is worth at least being considered in the differential diagnosis of chronic vomiting. There are a number of other GI conditions including cyclical vomiting that can cause persistent vomiting and usually require a specialist to diagnose. Abdominal migraines do not necessarily cause headaches. They cause GI symptoms like nausea, vomiting and significant belly pain. There may be a similar constellation of symptoms to "regular" migraines but not always. They are typically diagnosed in children not adults. [/QUOTE]
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