Personalised, lifelong care for Crohn’s Disease and Ulcerative Colitis.
Overview
The IBD Clinic provides integrated management for chronic intestinal inflammation using endoscopic surveillance, imaging, immunological testing, and biologic therapy to help patients achieve remission.
Conditions We Treat
- Ulcerative Colitis
- Crohn’s Disease
- Microscopic Colitis
- Indeterminate Colitis
- IBD-Associated Fistulas & Perianal Disease
- IBD-Related Anaemia & Malnutrition
- Post-Surgical Pouchitis
- Extra-Intestinal Manifestations (Eye, Joint, Skin)
Ulcerative Colitis
Overview
Ulcerative Colitis (UC) is a chronic inflammatory disease of the colon and rectum where the inner lining becomes ulcerated, leading to bleeding, diarrhoea, and abdominal pain.
Symptoms
- Persistent diarrhoea: With blood or mucus
- Abdominal pain: And cramping
- Urgency: And frequent bowel movements
- Fatigue: And weight loss
- Anaemia: From chronic blood loss
Diagnosis
- Colonoscopy with Biopsy: Confirms diagnosis and assesses inflammation.
- Stool Tests: Rule out infections and detect calprotectin.
- Blood Tests: Evaluate anaemia, inflammatory markers.
Treatment
- Anti-Inflammatory Drugs: 5-ASA compounds for mild-to-moderate disease.
- Corticosteroids: Short-term during flare-ups.
- Immunosuppressants: Azathioprine for maintenance.
- Biologic Therapy: Anti-TNF agents for moderate-to-severe UC.
- Surgery: Colectomy for unresponsive cases.
Crohn’s Disease
Overview
Crohn’s Disease is a chronic inflammatory disorder that can affect any part of the GI tract, commonly small intestine and colon, causing strictures, fistulas, and malabsorption.
Symptoms
- Chronic diarrhoea: Often without blood
- Abdominal cramps: Lower right quadrant
- Weight loss: And fatigue
- Fistulas: Around anus or skin
- Joint pain: And mouth ulcers
Diagnosis
- Colonoscopy with Ileoscopy: Identifies skip lesions, ulcers.
- MRI / CT Enterography: Evaluates small bowel involvement.
- Capsule Endoscopy: Detects lesions missed on scopes.
Treatment
- Anti-Inflammatory & Immunosuppressive Therapy
- Biologics: Anti-TNF or anti-integrin agents.
- Nutritional Therapy: Exclusive enteral nutrition.
- Surgery: For strictures, obstruction, or fistulas.
Microscopic Colitis
Overview
Microscopic Colitis causes chronic watery diarrhoea with normal colonoscopy but abnormal biopsy. Divided into collagenous and lymphocytic colitis.
Symptoms
- Chronic watery diarrhoea: Non-bloody
- Abdominal cramping: And bloating
- Fatigue: And dehydration
Treatment
- Budesonide: Highly effective for remission.
- Dietary Changes: Low-fat, lactose-free diet.
- Medication Review: Stop NSAIDs or PPIs triggering flares.
Perianal Fistulising IBD
Overview
A severe Crohn’s complication where abnormal tracts develop between anal canal and skin causing pain, swelling, and infections.
Treatment
- Antibiotics: Ciprofloxacin or metronidazole.
- Biologics: Infliximab or adalimumab.
- Seton Placement: Drains infection.
- Surgical Fistulectomy: Definitive management.
Post-Surgical Pouchitis
Overview
Inflammation of the ileal pouch after colectomy, causing diarrhoea, urgency, and abdominal discomfort.
Treatment
- Antibiotics: Ciprofloxacin or metronidazole.
- Probiotics (VSL#3): Maintain remission.
- Biologic Therapy: For chronic pouchitis.
IBD with Extra-Intestinal Manifestations
Overview
IBD can affect joints, eyes, skin, and liver. These require systemic treatment and multidisciplinary care.
Symptoms
- Joint: Arthritis, swelling
- Eye: Uveitis, redness
- Skin: Erythema nodosum
- Liver: Fatty liver, PSC
Treatment
- Systemic Therapy: Corticosteroids or immunosuppressants.
- Biologic Drugs: TNF inhibitors for gut and joint/skin.
- Multidisciplinary Follow-Up: Regular specialist evaluation.