...

Let’s Stay In Touch

Shopping cart

Subtotal $0.00

View cartCheckout

Does Functional Medicine Work For Ulcerative Colitis?

Imagine waking up every morning, uncertain of how your body will react to something as simple as breakfast. For Sarah, this unpredictability became her new normal. Diagnosed with ulcerative colitis in her late twenties, she grappled with the constant fear of flare-ups, the pain, and the frustration of living with an invisible illness. Across town, Jake faces a different but equally challenging battle with Crohn’s disease. They both are united in their struggle with inflammatory bowel disease (IBD), but their symptoms and experiences reveal the distinct differences between ulcerative colitis and Crohn’s disease.

Lets explore these two major types of IBD, highlighting their unique characteristics, symptoms, and treatment options to help you understand what sets them apart.

What is IBD?

IBD

Inflammatory Bowel Disease (IBD) is a chronic inflammation of the bowels, typically involving painful, relapsing symptoms. As an autoimmune condition, it results from the body’s immune system attacking the lining of the intestinal tract, often influenced by an altered gut microbiome.

Two Main Types Of IBD

1. Ulcerative Colitis

Ulcerative colitis usually presents as continuous areas of inflammation in the lining of the colon. The signs and symptoms occur due to the colon’s inability to absorb water because of severe ulceration and inflammation. This condition is characterized by:

Ulcerative colitis may also lead to systemic health complications such as

2. Crohn’s Disease

In contrast, Crohn’s disease presents as inflamed patches between healthy sections of the intestine. Symptoms can vary widely with intermittent attacks and asymptomatic periods lasting weeks to months. Common symptoms include:

  • Right Lower Abdominal Pain: A prominent symptom that often leads to diagnosis.
  • Fever: Commonly associated with active inflammation.
  • Bloody Diarrhea: Presence of blood in the stool due to intestinal inflammation.
  • Weight Loss: Due to malabsorption and reduced intake.
  • Mucus in Stool: Similar to ulcerative colitis.
Crohn’s Disease

More severe indications include:

IBD Root Causes and Contributing Factors

Environmental Triggers

Inflammatory Bowel Disease (IBD) has multiple triggers that may cause inflammation and alter the gut’s normal flora, leading to flare-ups. Some known environmental triggers include:

smoking
  • Smoking: Significantly increases the risk of Crohn’s disease.
  • Inflammatory Diet: Diets high in sugar, gluten, dairy, and processed foods can exacerbate IBD symptoms.
  • Air Pollution: Exposure to pollutants can contribute to gut inflammation.
  • Stress and Anxiety: Psychological stress can worsen IBD symptoms.
  • Medications: Certain medications like NSAIDs, antibiotics, and reflux medications can trigger or worsen IBD.
  • Oral Contraceptive Pill and Postmenopausal Hormonal Therapy: These can alter hormone levels and affect gut health.
  • Hypoxia at High Altitude: Reduced oxygen levels at high altitudes can trigger inflammation.
  • Not Being Breastfed During Infancy: Lack of breastfeeding can affect gut flora development, potentially increasing IBD risk.

Genetics

Evidence suggests a significant genetic component to IBD. Individuals with a family history of IBD have a higher risk of developing the condition

Increased Risk

People with an affected family member are 4 to 8 times more likely to develop IBD.

Identical Twins

The risk is even higher among identical twins, indicating a strong genetic predisposition.

Epithelial Defects

IBD symptoms often result from defects in the epithelial cells that line the gut, vessels, and organs. Key factors include:

Epithelial Defects

Leaky Gut Syndrome

Dysfunction of tight junction barriers increases susceptibility to IBD triggers and food intolerances.

Epithelial Cell Dysfunction

Leads to increased permeability and inflammation.

Mucosal Immune Response

The immune system plays a crucial role in IBD development:

T Helper Cells

Th17 cells are actively involved in Crohn’s disease, contributing to inflammation. Th17 cells are actively involved in Crohn’s disease, contributing to inflammation.

Autoimmune Reaction

The body’s immune system mistakenly attacks the gut lining, causing chronic inflammation.

Parasitic or Bacterial Infections

Infections can aggravate IBD by flourishing in the ulcers and pockets that form in the intestines:

Bacterial Infections

Bacterial Infections

Conditions like Small Intestinal Bacterial Overgrowth (SIBO) can exacerbate IBD.

Parasitic Infections

Parasites can drive and aggravate the inflammatory response in IBD patients.

IBD Treatment -
Conventional Treatments

Conventional treatments for Inflammatory Bowel Disease (IBD) aim to manage the condition and suppress symptoms rather than providing a cure. These treatments often come with potential side effects and varying degrees of effectiveness.

Immunomodulators

  • Purpose: Prevent the immune system from activating and causing inflammation.
  • Common Medications: Azathioprine, Methotrexate, and 6-Mercaptopurine.
  • Side Effects: Increased risk of infections, liver toxicity, and potential malignancies.

Corticosteroids

  • Purpose: Reduce inflammation by suppressing the immune system.
  • Common Medications: Prednisone and Budesonide.
  • Side Effects: Bone density loss, weight gain, high blood pressure, diabetes, and increased infection risk.

Aminosalicylates

  • Purpose: Reduce intestinal inflammation and irritation.
  • Common Medications: Sulfasalazine, Mesalamine, and Balsalazide.
  • Side Effects: Nausea, headache, rash, and in rare cases, kidney or liver issues.

Antibiotics

  • Purpose: Treat bacterial overgrowth and secondary infections.
  • Common Medications: Metronidazole and Ciprofloxacin.
  • Side Effects: Gastrointestinal upset, potential for antibiotic resistance, and increased risk of Clostridium difficile infection.

Despite the range of conventional treatment options, many people experience significant side effects and find that these treatments have a high failure rate. This often results in increased disease incidence and severity, leading patients to seek alternative approaches for more sustainable relief.

Functional Testing Considerations
for IBD

Functional testing is crucial in identifying the root causes and triggers of IBD symptoms, providing a detailed understanding of each individual’s condition. These tests help tailor personalized treatment plans that address specific needs.

Specific Blood Tests

Blood Tests

Purpose

Identify inflammatory markers, nutrient deficiencies, and autoimmune responses.

Common Tests

C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and complete blood count (CBC).

Microbiome & Stool Testing

Purpose

Assess the balance of gut microbiota and identify pathogenic organisms.

Common Tests

Comprehensive stool analysis and microbiome sequencing.

Digestive Function and Nutrient Absorption

Digestive Function and Nutrient Absorption

Purpose

Evaluate the efficiency of digestion and absorption of nutrients.

Common Tests

Pancreatic elastase, fecal fat analysis, and breath tests for carbohydrate malabsorption.

Markers of Inflammation, IBD, SIBO, or Leaky Gut

Purpose

Detect specific conditions associated with IBD and other gastrointestinal issues.

Common Tests

Lactulose/mannitol test for leaky gut, calprotectin, and lactoferrin for inflammation.

Pathogenic Parasites

Pathogenic Parasites

Purpose

Identify parasitic infections that may exacerbate IBD symptoms.

Common Tests

Ova and parasite examination, Giardia antigen test.

Food Sensitivities

Purpose

Detect specific food intolerances that may trigger or worsen IBD symptoms.

Common Tests

IgG food sensitivity testing, elimination diets with reintroduction phases.

Functional testing provides a comprehensive view of an individual’s health status, allowing for a targeted and effective natural treatment approach.

IBD Natural Treatment - The Functional Medicine Approach

At Holistic Medical Wellness, practitioners focus on identifying and addressing the individual factors contributing to each person’s inflammatory bowel disease (IBD) diagnosis. A natural treatment for IBD is tailored to the person, rather than the symptoms, using the latest scientific research.

Maintenance of Intestinal Lining Integrity

Intestinal Lining Integrity
  • Goal: Preserve and restore the health of the gut lining to prevent and reduce inflammation.
  • Methods: Use of specific nutrients and supplements such as glutamine, zinc, and fish oils to support intestinal health.

Regulation of the Immune System

  • Goal: Modulate the immune response to reduce inflammation and prevent autoimmune attacks.
  • Methods: Incorporating anti-inflammatory diets, stress reduction techniques, and supplements like Vitamin D and omega-3 fatty acids.

Modulation of Immune Responses

Immune Responses
  • Goal: Balance the body’s immune responses to reduce the chronic inflammation characteristic of IBD.
  • Methods: Herbal remedies and natural products such as turmeric (curcumin), which have been shown to help modulate the immune system.

Potential for Wider Acceptance and Integration

  • Goal: Reduce the activity of TNF-a, a protein that triggers inflammation.
  • Methods: Natural anti-inflammatory agents such as Boswellia serrata, which can inhibit TNF-a and improve gut health.

Proven Natural Remedies

Curcumin

Extract of turmeric known for its anti-inflammatory properties. Studies demonstrate its effectiveness in maintaining remission in ulcerative colitis​ (Amy Myers MD)​​ (Home)​.

Saffron

Found to reduce the severity of ulcerative colitis and inflammation by lowering pro-inflammatory cytokines​ (Home)​.

Probiotics

Specifically, Bifidobacterium spp. shown to benefit IBD patients by restoring healthy microbiome diversity​ (Amy Myers MD)​.

Boswellia Serrata

Potent anti-inflammatory that helps restore gastrointestinal lining and improve immune response​ (Home)​.

Vagus Nerve Stimulation

Improving vagal tone has shown benefits in reducing inflammation in Crohn’s disease​ (Amy Myers MD)​.

CBD & Medicinal Cannabis

Increasingly used for their antioxidant and anti-inflammatory benefits in treating IBD​ (Home)​.

Eliminating Processed Foods

Diets high in anti-inflammatory foods and low in processed foods have been shown to reduce IBD symptoms​ (Amy Myers MD)​.

Mindfulness and Healthy Lifestyle Changes

Practices like yoga, meditation, and adequate sleep support physical and psychological well-being in IBD patients​ (Home)​.

By focusing on lifestyle changes, dietary modifications, and natural remedies, functional medicine practitioners aim to provide a holistic and effective approach to managing IBD.

FAQs

 

  • Location: Ulcerative colitis is restricted to the colon and rectum, while Crohn’s disease can occur anywhere in the gastrointestinal tract, primarily in the ileum.
  • Depth of Inflammation: Ulcerative colitis affects only the mucosa and submucosa layers of the colon, whereas Crohn’s disease can extend through all layers of the intestinal wall.

 

Management, Not Cure: While diet plays a crucial role in managing IBD symptoms and reducing inflammation, it cannot cure the disease. A combination of diet, lifestyle changes, and medical treatments is often necessary for effective management.

 

Varies by Individual: The effectiveness of natural treatments varies from person to person. Some patients experience significant relief from symptoms through natural remedies and lifestyle changes, while others may require additional medical interventions.

 

Potential Risks: While functional medicine treatments are generally considered safe, they can carry risks if not properly managed. For example, the use of certain supplements or herbal remedies without professional guidance can lead to adverse effects or interactions with other medications.

Consultation: It’s essential to consult with a healthcare provider to determine if a functional medicine approach is suitable for your condition. Functional medicine practitioners can provide personalized assessments and treatment plans tailored to your specific needs.

Holistic Wellness for IBD Relief

At Holistic Medical Wellness, our practitioners offer a personalized natural treatment for IBD that supports you holistically. By focusing on the root causes and individual triggers of your condition, we aim to help you achieve better health and well-being. Through a combination of lifestyle changes, dietary modifications, and proven natural remedies, our functional medicine approach addresses the unique needs of each patient, providing comprehensive care and lasting relief from IBD symptoms.

Are you ready for a personalized, natural functional medicine treatment?

Our unique model of care is designed with you in mind. Find out how below, then book a call today!

Legal & Medical Disclaimer

The information provided on this blog is for general informational and educational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or treatment and before undertaking a new healthcare regimen. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

The content on this blog is provided “as is” and no representations are made that the content is error-free. The website and its authors take no responsibility for errors or omissions in the content of this blog or other websites or resources that may be referenced or linked to herein. The website’s content is not intended to recommend or endorse any specific tests, physicians, procedures, opinions, or other information that may be mentioned on the site.

By using this blog, you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by this website. If you do not agree to the foregoing terms and conditions, you should not use this blog. The website and its authors shall not be liable for any damages, including without limitation, indirect or consequential damages, arising from the use or inability to use the content on this blog.

This disclaimer is governed by and construed in accordance with the laws of Florida, without regard to its conflict of law principles.
doctor koffler

Article Written By

Richard Koffler, MD

NPI Number- 1467557264
  • Dr. Koffler is a Physiatrist, specializing in Physical Medicine & Rehabilitation.
  • Graduated from the Sackler School of Medicine at Tel Aviv University in 1993 Dr. Koffler completed a one-year internship in internal medicine at Roosevelt Hospital in New York City.
  • Residency in Physical Medicine and Rehabilitation at the Rusk Institute at NYU Medical Center in New York City. Board certified in 1998.
  • Trained in acupuncture at Helms Medical Institute at UCLA His medical practice incorporates proven conventional western medicine integrating eastern alternative practices.
  • Medical Director of several medical clinics in NYC, Stamford CT, and Miami Beach, FL.
Roles and Leadership:

Leave a Comment

Your email address will not be published. Required fields are marked *

Seraphinite AcceleratorOptimized by Seraphinite Accelerator
Turns on site high speed to be attractive for people and search engines.