Understanding IBD

There are two main types of inflammatory bowel disease (IBD): Crohn’s disease and ulcerative colitis (UC). Each affects the digestive tract. Both are chronic and are considered autoimmune disorders.

Actor portrayal

The “I” in IBD is inflammatory

Your immune system protects your body from germs, infections, and other unwanted intruders. With IBD, your immune system attacks what it shouldn’t—your digestive tract. And this battle creates inflammation, which can do damage and get worse over time. In some people, the damage can be serious enough that surgery is needed.

Learn about types of IBD

What are the common symptoms of IBD?

The symptoms of IBD can be similar to symptoms of other conditions. People with IBD often experience symptoms in waves of flare-ups (when symptoms are active) and remission (period of time in between flare-ups when you experience few to no symptoms). Having some or all of these symptoms does not mean you have IBD; only your healthcare provider can tell you that.

Symptoms More commonly seen in
Crohn’s disease
More commonly seen in
ulcerative colitis
Diarrhea or changes in bowel movements
Stool with blood or mucus -
Bowel Urgency -
Malnutrition -
Mouth sores -
Abdominal pain (or stomach pain or cramping)
Fatigue
Nausea
Weight loss

Causes and risk factors

The exact cause of IBD isn’t clear.

A person may develop IBD due to the interaction between the genes they inherit from their parents and environmental factors (such as where they live and their lifestyle). Together, these factors could trigger an immune response.

IBD’s impact on the body

Crohn’s disease can affect any part of the digestive tract, from the mouth to the anus.

It commonly impacts the end of the small intestine and the beginning of the large intestine. Inflammation can affect all layers of the intestinal walls and cause patchy damage, affecting some areas but not others. Crohn’s is usually progressive, which means it’s likely to get worse over time for some people.

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Ulcerative colitis affects the large intestine (colon and rectum).

It typically starts at the rectum and spreads up through the colon. Inflammation impacts only the innermost layer of the large intestine. It causes swelling and ulcers, or sores, all along its path, leaving no healthy tissue. UC can be progressive in some people. That means it can get worse over time.

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Conditions commonly mistaken for IBD

Irritable bowel syndrome (IBS) and celiac disease share a lot of symptoms with IBD and are often mistaken for one another—but they’re different conditions. Talk with your care team to learn more about these conditions.

IBD

Shari Living with UC

My doctor told me to educate myself about IBD and let me tell you, I did. See Shari’s story