What are the treatments for inflammatory bowel disease?
To learn more about IBD medications, please visit the Crohn’s and Colitis Foundation of America website.
Medical treatments
Currently there is no cure for inflammatory bowel disease. Most patients require medications to get their disease under control and prevent flares of symptoms or other complications. There are multiple types of medications than can be used for disease control. Some people will need minimal medications, while others will need more than one medication at a time. Our specialists will work closely with you to determine the safest, optimal medical approach to control your inflammatory bowel disease.
Common classes of medications include:
- Mesalamine based medications
- Steroids
- Immunomodulators
- Biologics
- Clinical trials for new medical therapies
Endoscopic treatments
Beyond the standard endoscopies and colonoscopies used to diagnose inflammatory bowel disease, we work in collaboration with the advanced endoscopy team at the University of Minnesota, we offer the potential for non-surgical options in special cases. This includes chromoendoscopy to detect and resect precancerous lesions in the colon associated with colitis and dilating (stretching out) scar tissue that can form from long standing inflammation.
Surgical treatments
While medications can often control inflammatory bowel disease, some people will need surgery. Sometimes surgery is urgent for acute complications, but more often it can be planned for instances where medical treatment is no longer effective. Our collaborative multidisciplinary approach ensures that surgery is performed only when it is the best option.
The colorectal surgical team specializes in surgery for people with Crohn’s disease and ulcerative colitis. Using minimally invasive therapies, our surgeons have expertise in bowel-sparing procedures such as strictureplasty for Crohn's disease. In addition, we have a large experience with ileoanal reservoirs (J-pouches), which creates a new rectum from small intestine and avoids the need for a permanent stoma (bag). Our doctors and surgeons work closely to coordinate the timing of your surgery as well as managing your medications around the time of surgery.
Alternative and complementary medical therapies
Complementary and alternative medicines are unlikely to be the sole treatment for your IBD; however they can help to work with your other medications to get your disease under control. Examples of some therapies your provider may recommend in addition to standard treatments include:
- Acupuncture
- Curcumin
- Mind-body techniques
- Probiotics
- Nutrition for inflammatory bowel disease
Currently there is no known diet that causes inflammatory bowel disease, nor is there any one diet than can cure inflammatory bowel disease. We generally recommend patients eat a well balanced healthy diet. Nutritional deficiencies are common and supplementing your diet with a multivitamin can be beneficial. Your doctor will routinely test for certain nutritional deficiencies such as iron, vitamin B-12 and vitamin D and recommend supplementation if needed. Please consult our inflammatory bowel disease physician team before altering your diet.
The microbiome and inflammatory bowel disease
Recently, a substantial amount of research has been devoted to understanding the role of the microbiome (the bacteria in your intestine) in inflammatory bowel disease. Many diets and pre/pro-biotics may have their beneficial effect based on changing the intestinal microbiome. Currently fecal transplantation is not approved. You can talk to your IBD provider to see if there are any clinical trials that you might be appropriate for. To learn more, please visit the University of Minnesota's Microbiota Therapeutics Program.
Lifestyle modification
While there is no single cause for inflammatory bowel disease, and thus no single cure, there are many lifestyle modifications that can help reduce and control the symptoms of inflammatory bowel disease. Often your doctor will recommend these changes in conjunction with a more standard medical therapy. Lifestyle modifications can include:
- Alternative and complementary therapies
- Stress reduction
- Regular exercise
- A balanced, healthy diet
- Smoking cessation
