Inflammatory bowel disease (IBD) is a systemic disease. Apart from the complexities of managing bowel inflammation per se, it is important to consider the patient as a whole. IBD patients tend to be young and in their working and reproductive years; although it should not be forgotten that a relevant proportion is diagnosed after 60. This chapter explores how active and inactive IBD may cause a significant physical and psychological burden and the importance that health-care professionals understand each patient’s experience and expectations about their disease. This chapter focuses on pain, fatigue and urgency; some of the symptoms that most frequently concern patients on their daily basis. The text explores the possible mechanisms behind them and their differential diagnoses, such as the numerous causes of urgency and diarrhoea in the IBD patient other than active disease. The management of each symptom is also examined, including practical daily tips for altered bowel habit and non-pharmacological therapies for fatigue.
KeywordsFatigue Abdominal pain Urgency
- Dibley L, Bager P, Czuber-Dochan W et al (2016) Identification of research priorities for inflammatory bowel disease nursing in Europe: a Nurses-European Crohn’s and colitis organisation Delphi survey. J Crohns Colitis 11(3):353–359Google Scholar
- Feldman M, Friedman LS, Brandt LJ (2016) Sleisenger and Fordtran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management, 10th edn. Sanders/Elsevier, PhiladelphiaGoogle Scholar
- Keohane J, O’Mahony C, O’Mahony L, O’Mahony S, Quigley EM, Shanahan F (2010) Irritable bowel syndrome-type symptoms in patients with inflammatory bowel disease: a real association or reflection of occult inflammation? Am J Gastroenterol 105(1788):9–94; quiz 95Google Scholar