Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) is a chronic, recurring condition that affects various parts of the gastrointestinal tract and the mucosa. As the disease progresses, typical dyspeptic symptoms are observed, as well as extraintestinal manifestations (e.g., weakness and pruritus).

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Types of intestinal diseases

Inflammatory bowel disease often arises from ulcerative colitis, a condition that primarily affects the colon, causing cycles of flare-ups and remissions. The main symptom of this pathology is abdominal pain. Diarrhea is also present, and in severe cases, internal bleeding occurs, which is reflected by changes in stool color. Other types of intestinal inflammation include:

  • Crohn's disease. This is a chronic inflammatory disease localized in almost all parts of the gastrointestinal tract. It primarily affects the terminal ileum. The disease progresses, leading to significant tissue damage, fatigue, weight loss, diarrhea, and abdominal pain.
  • Inflammation of the colon. The disease is caused by infections, intestinal ischemia, or radiation. It often progresses against the background of chronic inflammatory processes, such as ulcerative colitis.

Almost all of these inflammatory bowel diseases arise from disruption of the microbiota of the small and large intestines. Crohn's disease develops due to a genetic predisposition.

Types of intestinal diseases

Симптоматика

Signs of an inflamed bowel depend on the location of the lesion and the severity of the disease. Most symptoms are cyclical: active phases alternate with periods of relative calm – during these periods, discomfort is barely felt and the disease seems to be receding. Remission lasts from 2-3 months to several years.

To improve quality of life and avoid possible complications, it is important to be able to identify the signs of the disease. To do this, it is necessary to promptly consult a doctor and undergo a comprehensive examination.

Digestive symptoms of inflammatory bowel disease include:

  • Persistent or intermittent diarrhea, sometimes with blood or mucus in the stool
  • Cramping or persistent abdominal pain
  • Intestinal bleeding (characteristic of Crohn's disease)
  • Feeling of incomplete bowel movement, false urge to defecate
  • Anal fissures (typical of ulcerative colitis)
  • External or internal fistulas (in Crohn's disease)

The main symptom of inflammatory bowel disease not related to digestion is a deterioration in general condition. The patient quickly tires and often feels sleepy. In addition, body temperature rises, appetite decreases, and weight loss occurs. Blood loss and inadequate iron absorption often lead to anemia. In some cases, joint pain, eye inflammation, and the appearance of red, painful, nodular skin rashes are also observed.

The presence of one or more of the above symptoms requires immediate consultation with a doctor. The sooner a diagnosis is made and appropriate treatment is initiated, the better the chances of maintaining good health.

Diagnostic Features

Diagnosis begins with a detailed discussion of symptoms. The doctor then considers the patient's medical history, including past illnesses, diet, and lifestyle.

Next steps in diagnosis:

  • Physical examination. The doctor palpates the abdomen and assesses the patient's appearance, including skin and mucous membrane color, tongue condition, and body composition.
  • Laboratory tests. These include a complete blood count, biochemical analysis, urine analysis, and a stool sample. If necessary, the patient may submit a stool sample for bacteriology. These tests help the doctor assess the patient's overall health and identify possible causes of the disease.
  • Instrumental diagnostics. These include endoscopic examinations (e.g., colonoscopy or upper gastrointestinal endoscopy), as well as X-rays and magnetic resonance imaging.

If necessary, the doctor refers the patient for additional consultations with other specialists.

IBD diagnosis: what is it? Inflammatory bowel disease is diagnosed based on the clinical picture, laboratory results, and instrumental tests.

Treatment of inflammatory bowel disease

How to treat inflammatory bowel disease? Treatment for these conditions requires a comprehensive approach and consists of the following stages:

  1. Induction of remission. This is aimed at suppressing active inflammatory processes. It is achieved through the use of glucocorticosteroids and immunosuppressants. In some cases, antibiotics and salicylates, as well as genetically engineered drugs (monoclonal antibodies to cytokines), are added to the treatment.
  2. Maintenance of remission. Immunosuppressants, drugs based on 5-aminosalicylic acid, and monoclonal antibodies are used. The goal of this stage is to maintain remission and control symptoms without the use of hormonal therapy.
  3. Adjunctive therapy. Complications associated with IBD require additional treatment. If anemia develops, the doctor prescribes iron supplements. If osteoporosis is diagnosed, calcium supplements are required. Infusion therapy is used to correct protein and electrolyte imbalances.

How is inflammatory bowel disease treated when the disease progresses or does not respond to conservative therapy? In this case, surgery is indicated. Even with serious complications, minimally invasive procedures are used:

  • Stricturoplasty
  • Dilation of strictures
  • Endoscopic bleeding control

The goal of these procedures is to restore normal bowel function while minimizing trauma.

If there is deep damage to the intestinal wall, more serious surgeries are required, such as resection (removal) of the problematic area. Anastomosis and the creation of an artificial anus (stoma) are also practiced.

General information

Preventive Recommendations

The exact methods for preventing IBD are unknown due to the unclear causes of the disease. However, some general recommendations can help reduce the risk of developing the disease or alleviate its symptoms. These include:

  1. Proper nutrition. Patients with IBD should monitor their diet, as certain foods can exacerbate symptoms. It is recommended to avoid fatty and spicy foods, as well as foods that cause bloating and gas. More specific dietary recommendations depend on the diagnosis and should be clarified with your doctor.
  2. Regular screening. Regular medical examinations and consultations with your doctor help monitor the progress of the disease and promptly detect potential complications.
  3. Smoking cessation. Nicotine use increases the risk of developing IBD (especially Crohn's disease). If you have had IBD for a long time, you should first reduce the number of cigarettes you smoke per day and then quit completely.

Regular physical activity is also recommended. It helps reduce IBD symptoms and maintain overall health.

Potential Complications and Consequences

If left untreated, inflammatory bowel disease can lead to dangerous complications. Here are some:

  • Strictures. These are narrow areas in the intestines that significantly impede the passage of food and cause abdominal pain.
  • Fistulas and abscesses. With progressive Crohn's disease, fistulas—abnormal channels connecting different parts of the intestine—form.
  • Ulcers and intestinal bleeding. These complications of ulcerative colitis often cause chronic anemia.

Colorectal cancer is considered the most dangerous complication. It usually develops due to long-term inflammation in the intestines.

5

Treatment of intestinal inflammation in Moscow at the K+31 clinic

The K+31 Clinic offers high-quality diagnostics and treatment for inflammatory bowel disease.

We offer laboratory tests, endoscopy, and colonoscopy. Based on the diagnosis, our specialists prescribe medication or surgery.

Online Appointment at the K+31 Clinic

You can schedule an appointment for inflammatory bowel disease treatment in adults online on our website. To do this, please include your full name and phone number in the application.

If you require additional procedures, please let us know when you call back. If you have any questions, please call.

Our doctors

Anikina Natalya Yuryevna
Experience 24 years
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Anikina
Natalya Yuryevna
Gastroenterologist
Galimova Saida Faritovna
Experience 21 year
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Galimova
Saida Faritovna
Gastroenterologist, hepatologist
Stanke Daria Alexandrovna
Experience 17 years
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Stanke
Daria Alexandrovna
Leading gastroenterologist, hepatologist, therapist
Yuryeva Anna Evgenievna
Experience 27 years
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Yuryeva
Anna Evgenievna
Gastroenterologist, preventive medicine doctor
Lyashenko Olga Sergeevna
Experience 14 years
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Lyashenko
Olga Sergeevna
Gastroenterologist
Dvornikova Marina Victorovna
Experience 35 years
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Dvornikova
Marina Victorovna
Gastroenterologist
Komkova Inna Igorevna
Experience 12 years
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Komkova
Inna Igorevna
Gastroenterologist
Rodimova (Efremova) Irina Vyacheslavovna
Experience 8 years
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Rodimova (Efremova)
Irina Vyacheslavovna
Gastroenterologist, hepatologist
Ivanova Marina Nikolaevna
Experience 6 years
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Ivanova
Marina Nikolaevna
Leading gastroenterologist
Kolomytseva Elena Vladimirovna
Experience 18 years
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Kolomytseva
Elena Vladimirovna
Therapist, gastroenterologist, pulmonologist
Guseva Anna Konstantinovna
Experience 6 years
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Guseva
Anna Konstantinovna
Gastroenterologist
Purveeva Kermen Valerievna
Experience 27 years
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Purveeva
Kermen Valerievna
Gastroenterologist
Kazarov Aram Armenovich
Young professional
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Kazarov
Aram Armenovich
Gastroenterologist
Kondrashova Elena Alexandrovna
Experience 20 years
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Kondrashova
Elena Alexandrovna
Gastroenterologist
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An attentive and sensitive doctor. Based on the clinic visit, she explained everything clearly and prescribed treatment.
03.12.2025
K. Anastasia Anatolyevna
This is the first time I've seen doctors so involved in the process and communicating about their patients' situations via messaging apps. By the time I visit, the doctor is already aware of the results and how I've handled the procedure I just came in for. It's truly wow!
03.12.2025
S. Evgenia Dmitrievna
Attentive attitude and constructive explanations
01.12.2025
K. Antony Vladimirovich

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Lyashenko Olga Sergeevna

A wonderful doctor, very competent, thoughtful, and caring! I will definitely be returning and recommending her to others.
27.11.2025
G. Daria Alekseevna
A real doctor. You don't meet people like him very often.
25.11.2025
S. Igor Vyacheslavovich

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Yuryeva Anna Evgenievna

Wonderful doctor! A true professional in her field and simply a wonderful person! Best of luck and good health to you, doctor!
25.11.2025
S. Liviu
Everything is detailed, informative and friendly.
25.11.2025
V. Andrey Anatolyevich
Thank you for the warm welcome and knowledge of your specialty.
24.11.2025
Y. Alla Borisovna
A very competent doctor and a wonderful person!
23.11.2025
B. Ekaterina Alekseevna
Natalia Yuryevna, thank you so much for your professional approach to each patient. You are a God-given doctor.
18.11.2025
S. Natalia Vladimirovna

About doctor:

Anikina Natalya Yuryevna

I express my deepest gratitude to Dr. Aram Armenovich Kazarov for his high level of professionalism and compassionate approach to his work and patients! He listened carefully to me, explained my examination results in detail, and prescribed effective treatment. He made all recommendations with sensitivity, for which I am especially grateful. After the prescribed course of treatment, I will be happy to return for a follow-up appointment. I feel much better thanks to his work. He is the best doctor!
18.11.2025
Anonymously

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Kazarov Aram Armenovich

A truly wonderful gastroenterologist. I see him regularly. He's a very tactful and attentive doctor. He always explains everything clearly and concisely.
16.11.2025
J. Ivan Ivanovich

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Lyashenko Olga Sergeevna

Excellent doctor! I recommend him as a professional in his field!
14.11.2025
D. Olga Gennadievna
A competent specialist, attentive, understands the problem!
12.11.2025
B. Larisa Nikolaevna
A very attentive doctor. Explains everything thoroughly. Thank you!
11.11.2025
K. Olga Valerievna
I respect professionals. With gratitude!
10.11.2025
S. Ilya Vladimirovich
Very professional approach to solving my problem. Great doctor.
09.11.2025
M. Alexander Vladimirovich

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Yuryeva Anna Evgenievna

Explains and motivates perfectly
07.11.2025
K. Dmitry Valerievich
The doctor explained everything clearly and understandably.
07.11.2025
G. Tatyana Nikolaevna
A wonderful doctor, a true professional. She explained everything to me clearly and informatively, answered all my questions, and ordered the necessary tests. She helped me develop a healthy diet based on my health. I also recommended my husband consult with Daria Alexandrovna, as I trust her very much. Thank you.
06.11.2025
K. Maria Gennadievna
Thank you for reaching out to me, putting me at ease, and explaining everything so well. I'm very pleased with the appointment.
30.10.2025
K. Ruslan Farmanovich

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Lyashenko Olga Sergeevna

Thank you very much, you are a godsend.
30.10.2025
K. Elena Nikolaevna

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Galimova Saida Faritovna

Natalya Yuryevna Anikin is a wonderful doctor whom I've been seeing for eight years. She's incredibly sensitive, attentive, patient, and kind! Having known her for many years, I can confidently say that Natalya Yuryevna is a highly competent and experienced physician! She helped me with the right therapy—she treated me during a difficult period when I was feeling very ill during chemotherapy—and now helps me cope with my recurring gastrointestinal issues. She doesn't prescribe anything unnecessary, promptly advising me on when and what tests are needed. I can confidently say that for me and my family, she's the best gastroenterologist! I highly recommend her. Sincerely, Tatyana Viktorovna S.
30.10.2025
S. Tatyana Viktorovna

About doctor:

Anikina Natalya Yuryevna

Marina Nikolaevna is the best gastroenterologist I have ever spoken to!
29.10.2025
K. Sergey Igorevich
I really liked the doctor and his approach to treatment, it’s nice that there are still doctors like him!
16.10.2025
N. Dmitry Vyacheslavovich
She's a very pleasant doctor; my husband and I go to her together. She's always interested in the patient's treatment and explains everything in great detail.
16.10.2025
G. Maria Stanislavovna
Very attentive doctor, thank you.
13.10.2025
M. Lyudmila Olegovna
A very competent, polite, and pleasant doctor! She answered all my questions and gave helpful recommendations!
11.10.2025
M. Tigran Ashotovich
I've known the doctor for over 5 years, as I'm a colleague. We work at K 31 Petrovskie Vorota. We previously worked together at another clinic, Aging Control. I've been meaning to leave a review for a long time, as it's crucial to provide patients with information about the work of certain doctors directly from the doctor's lips. I often work with Elena Vladimirovna in the diagnosis and treatment of interdisciplinary pathologies—rosacea, acne, perioral dermatitis, dermatitis of unknown origin, and various types of pigmentation. A patient who comes to see me, and I'm a dermatologist and cosmetologist, is looking for relief from an ailment, often unaware that the root of the problem may be due to dysfunctions and pathologies of the gastrointestinal tract. A particular challenge is conveying to the patient that skin problems are often the only marker (symptom) of these diseases. The symbiosis in the work of a gastroenterologist and a dermatologist can give A quick solution to the problem, optimized diagnosis and treatment, freeing the patient from a series of stresses and unnecessary examinations, and, finally, curing the disease and achieving remission. Since such pathologies are often chronic, patients who are "treated" and have a variety of "proven" treatments are seen. The nature of the disease allows for a referral to an experienced gastroenterologist, examination, and treatment, and my path to a dermatologist becomes short and clear. Elena Vladimirovna is also my family doctor, and her opinion has long been my expert opinion. I hope my review will help many find their doctor. I can confidently recommend Elena Vladimirovna!
11.10.2025
K. Alina Vasilievna
A very attentive and caring doctor
10.10.2025
P. Elena Ivanovna
The medical service was provided efficiently and in a timely manner. I recommend this doctor.
10.10.2025
G. Irik Azamatovich
The medical service was provided efficiently and in a timely manner. I recommend this doctor.
10.10.2025
G. Irik Azamatovich
Marina Viktorovna is not only an experienced doctor, but also a very tactful and attentive specialist. The best!!!
10.10.2025
T. Anna Vladimirovna
The doctor explained in simple, accessible language the problem in my gastrointestinal tract that was unexpectedly discovered on a CT scan with contrast, provided recommendations, explained the potential consequences of doing nothing, and explained what to do if the problem worsens. Thank you, doctor! I highly recommend her.
09.10.2025
Z. Maria Semenovna
Several doctors attributed my symptoms to psychosomatics. Thanks to Anna Yuryevna for finding the root of my problem and providing the correct diagnosis.
08.10.2025
S. Nana Nugzarovna

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Yuryeva Anna Evgenievna

I liked the doctor. All the recommendations were to the point. We learned about new (for us) types of tests from the doctor to choose from. Nothing was pushed, just detailed information. I recommend her.
06.10.2025
Z. Maria Semenovna
Polite, attentive and professional.
06.10.2025
K. Marianna Nikolaevna
Great reception, excellent doctor!
29.09.2025
P. Alexander Vladimirovich

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Lyashenko Olga Sergeevna

I've been a patient of Saida Faritovna's for a long time. She's a true professional, combining the highest level of expertise with genuine care for her patients! Her professionalism and dedication to her work are truly admirable! Thank you so much!
28.09.2025
N. Oksana Mikhailovna

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Galimova Saida Faritovna

Excellent doctor - attentive, competent.
27.09.2025
M. Tatyana Viktorovna

About doctor:

Anikina Natalya Yuryevna

A very attentive, responsible, tactful, and charming doctor! I always go to Evgenia Alexandrovna!
27.09.2025
Z. Olga Anatolyevna
Elena Vladimirovna is a true Professional (with a capital "P"). She conducted a very thorough examination, identified the cause of my physical problems, and prescribed appropriate treatment. My health improved almost immediately. She's an attentive and compassionate doctor.
26.09.2025
V. Tatyana Mikhailovna
Elena Vladimirovna is an empathetic, attentive and sensitive doctor.
18.09.2025
E. Svetlana Vasilievna
Very attentive attitude to the patient. High level of professionalism. The doctor helps (saves) to overcome the gastrointestinal disease for the second time, prescribes the correct treatment and examination. Thank you Irina Vyacheslavovna.
15.09.2025
K. Olga Ivanovna
I had an appointment with doctor Elena Vladimirovna Kolomytseva on 11.09.25 at the Petrovsky Vorota clinic. I was very pleased! Elena Vladimirovna is a model doctor: attentive, friendly, sociable, ready to help and explain in an accessible way any question that the patient may have. She promptly solved all the problems I addressed to her. She is a very empathetic person. My 100% recommendation!
12.09.2025
K. Tatyana Vladimirovna
The perfect doctor. Always finds out everything in detail, listens, asks clarifying questions to make sure we understand each other correctly. Explains clearly what is happening and tells in detail what to do after the appointment. Negotiates with the insurance company and makes an appointment for an ultrasound. Always friendly, welcoming and sincerely wants to help. Thank you!
05.09.2025
Sh. Anna Sergeevna
Excellent gastroenterologist-hematologist, I recommend it to everyone
01.09.2025
L. Margarita Yuryevna
I really liked the doctor, she listened carefully, conducted the necessary tests, and prescribed the necessary medications.
28.08.2025
A. Maria Vladimirovna
We are very grateful to Irina Vyacheslavovna, she is a great specialist who very competently solves difficult health problems. Now we go only to her with the whole family after other colleagues who were unable to create a competent treatment.
28.08.2025
N. Daria Revazovna
I liked the appointment with Natalia Yuryevna, a competent doctor, she listened to me, explained everything clearly, gave recommendations. As a result, she prescribed therapy.
25.08.2025
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About doctor:

Anikina Natalya Yuryevna

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