Crohn's and Colitis. Dr. Hillary Steinhart

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       Crohn’s & Colitis, Third Edition

      Text copyright © 2006, 2012, 2018 A. Hillary Steinhart

      Illustrations copyright © 2006, 2012, 2018 Robert Rose, Inc.

      Cover and text design copyright © 2006, 2012, 2018 Robert Rose Inc.

      No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, without the prior written consent of the publisher or a licence from the Canadian Copyright Licensing Agency (Access Copyright). For an Access Copyright licence, visit www.accesscopyright.ca or call toll-free: 1-800-893-5777.

      The author would like to thank Dr. Anne Griffiths of the Hospital for Sick Children, Toronto, Canada, for sharing her knowledge and expertise during the writing of the first edition of this book.

       Library and Archives Canada Cataloguing in Publication

      Steinhart, Allan Hillary, 1959-, author

      Crohn’s & colitis: understanding & managing IBD / Dr. A. Hillary Steinhart, MD, MSc, FRCP(C), Medical Director, Mount Sinai Hospital, Inflammatory Bowel Disease Centre. — Third edition.

      Includes bibliographical references and index.

      ISBN 978-0-7788-0619-6 (softcover)

      ISBN 978-0-7788-0642-4 (epub)

      1. Crohn’s disease. 2. Ulcerative colitis. I. Title. II. Title: Crohn’s and colitis.

RC862.E52S74 2018

616.3’44

C2018-903343-6

       Disclaimer

      This book is a general guide only and should never be a substitute for the skill, knowledge, and experience of a qualified medical professional dealing with the facts, circumstances, and symptoms of a particular case.

      The nutritional, medical, and health information presented in this book is based on the research, training, and professional experience of the author, and is true and complete to the best of his knowledge. However, this book is intended only as an informative guide for those wishing to know more about health, nutrition, and medicine; it is not intended to replace or countermand the advice given by the reader’s personal physician. Because each person and situation is unique, the author and the publisher urge the reader to check with a qualified health-care professional before using any procedure where there is a question as to its appropriateness. A physician should be consulted before beginning any exercise program. The author and the publisher are not responsible for any adverse effects or consequences resulting from the use of the information in this book. It is the responsibility of the reader to consult a physician or other qualified health-care professional regarding his or her personal care.

      Front Cover & Interior Design: Kevin Cockburn/PageWave Graphics Inc.

      Back Cover Design & Production: Daniella Zanchetta/PageWave Graphics Inc.

      Proofreader: Kelly Jones

      Indexer: Gillian Watts

      Illustrations: Kveta/Three in a Box

      Cover image: Beige textured background © Bill Noll/iStockphoto.com

      Back cover image: Balanced white stones © Daniel Chetroni/iStockphoto.com

      The publisher gratefully acknowledges the financial support of our publishing program by the Government of Canada through the Canada Book Fund.

      Published by Robert Rose Inc.

      120 Eglinton Avenue East, Suite 800, Toronto, Ontario, Canada M4P 1E2

      Tel: [phone] Fax: [phone]

       www.robertrose.ca

       Contents

       Preface

       PART 1 • Understanding Crohn’s Disease and Ulcerative Colitis

       1. What Is This Disease?

       What Is Inflammatory Bowel Disease?

       Glossary of Inflammatory Bowel Disease

       Who Gets Inflammatory Bowel Disease?

       Where in the Body Does IBD Occur?

       What Goes Wrong in IBD?

       What Are the Possible Complications of IBD?

       2. How Do I Know I Have IBD?

       Recognizing Symptoms

       Common Symptoms

       Diagnostic Methods

       Prognosis

       3. What Can I Expect Now That I Have IBD?

       Frequently Asked Questions

       Can I Die from This Disease?

       Will the Disease Get Worse?

       Can My Condition Improve?

       Can I Still Go to School?

       Can I Get and Keep a Job?

       Will I Need to Be Hospitalized?

       Will I Need to Have Surgery?

       Will I Need a “Bag” Outside My Body to Collect Stool?

       What