Inflammatory bowel disease (IBD) is a group of disorders in which the intestines become inflamed – a prolonged inflammation of the digestive tract. It can include ulcerative colitis (UC) or Crohn’s disease. It happens when our immune system launches repeated attacks that harm our gut, or repeated and/or prolonged intestinal infection(s) and due to ascarides.
Both Crohn’s disease and ulcerative colitis involve inflammation of the gastrointestinal (GI) tract and can cause a wide range of symptoms, varying in intensity and duration. Understanding these symptoms is crucial for early diagnosis, effective treatment, and improved patient’s quality of life.
While some experts call IBD an autoimmune disorder — one in which your immune system attacks your own tissues — I (Dr Qaisar Ahmed) don’t. That’s because there’s evidence that the immune system is reacting to harmless bacteria or other microbes in our gut, rather than the gut tissue itself. In any case, the result is inflammation that injures our bowels, and we should treat inflammation.
Types of IBD
There are two major types of IBD:
Ulcerative colitis. In this disease, the inflammation causes sores and swelling in your colon (large intestine) and your rectum, the end of your digestive tract. It often starts in the rectum.
Crohn’s disease. In this disease, you can have inflammation in any part of the gastrointestinal tract from the mouth to the anus. Most commonly, though, it affects the last part of the small intestine, the colon, or both.
If not treated Homeopathically, these are both lifelong conditions, but symptoms can come and go and range from mild to severe. Allopathic treatments and lifestyle changes can only help your patients live with inflammatory bowel disease.
What’s the difference between IBD and IBS?
IBS is irritable bowel syndrome and it’s a very different condition from IBD, inflammatory bowel disease. Like IBD, IBS can cause diarrhea, bloating, and other digestive symptoms. But unlike IBD, irritable bowel syndrome doesn’t involve inflammation and doesn’t damage our gut. It also doesn’t lead to symptoms elsewhere in our body, like our eyes and joints. Irritable bowel syndrome can have a big impact on our quality of life but doesn’t threaten our health as much as inflammatory bowel disease might.
Inflammatory Bowel Disease Causes
The causes of IBD are complex and not fully understood till now. Whether the immune system’s attack on the digestive tract is autoimmune or aimed at bacteria or other microbes, it’s likely that genes also play a role. Evidence to suggest a genetic role for IBD is strong, for example:
- How our immune system reacts to threats,
- How well the protective mucus lining of our gut works,
- How our body controls bacterial growth in our intestines.
Environment
Some environmental factors may also play a role for example, smoking may double one’s risk of Crohn’s disease. And symptoms of inflammatory bowel disease are sometimes triggered by:
- Taking allopathic antibiotics,
- Taking nonsteroidal anti-inflammatory drugs (like ibuprofen, diclofenac, paracetamol, aspirin etc),
- Stress.
- Alcoholic drinks,
- Caffeinated drinks, Chocolates etc,
- Carbonated drinks,
- White sugar,
- Artificial milk and foods made with artificial milk,
- Fast foods,
- Oily foods (processed oils only),
- Taking birth control pills,
- Allopathic drugs.
Inflammatory Bowel Disease Symptoms
If you have IBD, you can expect times when the disease flares up and causes symptoms and times when your symptoms decrease or disappear for a while. Symptoms range from mild to severe and generally depend upon what part of the digestive tract is involved. They can include:
- Abdominal cramps and pain,
- Chronic diarrhea,
- Bloody stool,
- Feeling an urgent need to poop,
- Fever,
- Unintended weight loss,
- Poor appetite,
- Fatigue
- Nausea, vomiting.
IBD symptoms in women may get worse before or during menstrual periods. Also, premenstrual symptoms, like headaches and cramps, might be worse if patient has IBD. It may also be harder to get pregnant during flare-ups of IBD.
Complications
Some people with IBD have so much bloody diarrhea that they develop anemia from blood loss. That’s especially common in women. Patient also can get dehydrated from diarrhea. Because the inflamed intestines don’t absorb nutrients well, patient can get malnourished, too. If patient have IBD from childhood, it could interfere with her/his growth.
In addition, IBD can lead to several serious complications in the intestines, including:
- Heavy bleeding from ulcers,
- Holes in the bowel,
- Narrowed or blocked bowels, found in Crohn’s disease,
- Fistulae (abnormal passages) and tears around the anus, more commonly in Crohn’s disease than in ulcerative colitis,
- Toxic megacolon, which is a life-threatening widening and swelling of the colon, more often with ulcerative colitis than Crohn’s disease.
IBD also increases the risk of colon cancer. The risk rises after several years because chronic inflammation in our colon or rectum can cause abnormal cells to form.
IBD can also affect other parts of your body. For example, someone with IBD may have:
- Arthritis,
- Skin conditions,
- Eye inflammation,
- Liver disease,
- Kidney disease,
- Bone loss,
- Blood clots.
Having inflammatory bowel disease can be a mental health challenge. It’s not unusual to develop depression, anxiety, and other kinds of distress.
Diagnosis
A good doctor makes the diagnosis of inflammatory bowel disease based on patient’s symptoms and various exams and tests. Here are some of the most common.
Lab tests
Stool exam. You’ll be asked for a poop sample to send to a lab. One reason is to rule out infections that could be causing diarrhea. Also, the lab will look for traces of blood that can’t be seen with the naked eye.
Complete blood count
Other blood tests

Scoping procedures
Imaging tests
- Computed tomography (CT scan),
- Magnetic resonance imaging (MRI),
- Ultrasound,
- X-rays (barium).
Patient might swallow the barium or have it inserted through her/his rectum or a tube in her/his nose or mouth.
Treatments
Both allopathic and Homeopathic Treatment Starts from a combination of self-care and medical treatment.
Self-care for inflammatory bowel disease
Tracking symptoms – patient should pay attention to the times her/his symptoms are likely to worsen, especially during flares, so patient can plan his/her activities — and know where her/his nearest washroom/restroom will be when patient need it.
Eating carefully
Dietary changes may help manage the symptoms. For instance, suggest your patient smaller, more frequent meals or limiting certain foods that trigger symptoms. During IBD flares or after a surgery, a doctor should suggest a very restricted diet to make sure patient get enough nourishment.
Quit smoking
Having IBD is one more powerful reason to quit smoking. Smoking can make patient’s symptoms worse and medications less effective.
Managing stress
Since stress can make symptoms worse, learn what stress management techniques work for your patient. Consider meditation, exercise, deep breathing, journaling, and taking time for activities patient likes and can enjoy.
Getting mental health support
Finding support groups
Maintaining health
Allopathic treatment for irritable bowel disease
Allopathic treatment for irritable bowel disease is still under experimental stages. In mean time the goal of allopathic treatment is to stop the abnormal inflammation so intestinal tissue has a chance to heal. As it does, diarrhea and abdominal pain should ease. Once the symptoms are under control, treatment will focus on reducing flare-ups and keeping patient’s symptoms at bay for as long as possible.
Anti-inflammatory drugs
- Balsalazide (Colazal),
- Mesalamine (Asacol, Apriso, Lialda, Pentasa),
- Olsalazine (Dipentum),
- Sulfasalazine (Azulfidine).
Some of these drugs can be given as suppositories or enemas. Others are pills.
Treatment with corticosteroids quickly reduce inflammation and also dampen the immune system but they have serious long-term side effects, such as increases in infection and bone loss, so should not be advise for a long time.
Immune system suppressors
If anti-inflammatory drugs don’t work, these might be tried next. These drugs dampen the immune system activity that can damage the lining of patient’s digestive tract. They aren’t used for acute flare-ups because they may take as long as two to three months to work. They include drugs like:
- 6-mercaptopurine, or 6-MP (Purinethol),
- Azathioprine (Imuran),
- Methotrexate (Rheumatrex),
- Ozanimod (Zeposia),
- Tofacitinib (Xeljanz),
- Upadacitinib (Rinvoq).
Biologics
- Adalimumab (Humira),
- Certolizumab (Cimzia),
- Golimumab (Simponi),
- Infliximab (Remicade),
- Risankizumab (Skyrizi),
- Ustekinumab (Stelara),
- Vedolizumab (Entyvio).
Antibiotics
Antibiotics are less commonly used for ulcerative colitis, only if patient has Crohn’s disease, especially if he/she has diseased tissue around her/his anus.
Other drugs and supplements
The doctor may also recommend medicines or supplements to help with bowel movements. These might include drugs that treat diarrhea, like loperamide (Imodium A-D), or herbal fiber supplements, like psyllium powder/Ispaghul Husk (Metamucil) or methylcellulose (Citrucel) that add bulk to patient’s stool.
Advise drugs like antispasmodics that reduce muscle spasms in patient’s gut, easing pain. If patient need pain relieving drugs, recommend acetaminophen. You shouldn’t recommend drugs like aspirin, ibuprofen, or naproxen, they will increase stomach bleeding.
Formula feeding (enteral nutrition)
Clinical trials
If patient don’t respond to the drugs and other allopathic treatments recommended for IBD, talk with your patient about enrolling in a clinical trial (clinical trials or experimental drugs – are the way new treatments for a disease are tested to see how effective they are and how patients respond to them). You can find out about clinical trials at the Crohn’s & Colitis Foundation of America website.
Surgery for Inflammatory Bowel Disease
If allopathic medicines for IBD stop working or patient has severe complications, doctor might recommend surgery. In general, these surgeries are done to remove, widen, or repair damaged parts of intestines. The kind of surgery possible depends on what kind of IBD patient have and where the damage is, patient’s age and overall health will also be considered.
Surgery for ulcerative colitis
- Life-threatening complications like severe bleeding, toxic megacolon, or a hole in his/her large intestine,
- Colon cancer or precancerous growths,
- Severe symptoms that don’t improve with allopathic medication,
- Symptoms that only respond to corticosteroids, putting one at risk for severe side effects.
The main surgery for ulcerative colitis involves the removal of the entire colon and rectum. Once they’re removed, surgeon will perform an additional procedure or set of procedures to create a new path for the stool. The common choices are:
Proctocolectomy with ileal pouch-anal anastomosis
This is removal of the colon and rectum, followed by the creation of an internal pouch that will let patient poop through her/his anus. Patient may temporarily need an external pouch and may need several surgeries to complete the treatment.
Proctocolectomy with end ileostomy
Surgery for Crohn’s disease
- Repair fistulas, abscesses, or blockages,
- Stop bleeding,
- Remove severely inflamed tissues,
- Remove cancers or precancers and prevent future colon cancers.
Surgical procedures for Crohn’s can include:
Homeopathic treatment for irritable bowel disease
In Homeopathy, there are many best and well proven medicines for irritable bowel syndrome and its causes, which cures not only the disease and all its symptoms in just few days (or in severe or chronic cases a month or three) but co-diseases too.
The goal of Homeopathic treatment is to treat the inflammation and cure patient once and for ever from all symptoms. All Homeopathic medicines for IBD should be advised highly diluted said Dr. Qaisar Ahmed. Here are few of Homeopathic medicines for irritable bowel syndrome:
Nux Vomica
In my (Dr. Qaisar Ahmed) opinion Nux Vomica is the top medicine for IBS. The prominent symptom is frequently/urging constantly passage of a small quantity of stool with colic like abdominal pain. The abdominal pain relieved after each stool for a time. This is most of the times accompanied by a distended abdomen after eating.
Bilious attacks, Biliousness, Carriage/sea/motion-sickness, Catarrh, Clavus, Colic, Constipation, Convulsions, Cramp, Delirium, Diarrhea, Dysentery, Dyspepsia, Emissions, Erotomania, Gallstones. Gastritis, Liver disorders, Locomotor ataxia
Food that worsens the condition is spicy food, coffee, and alcoholic drinks. The worsening of condition after anger spells is also an important marker for natural Homeopathic remedy Nux Vomica.
Aloe Socotrina
Aloe Socotrina is the best choice when the urge to pass stool is soon after eating or drinking something. Irregular intestinal movements, Severe gastritis, mucus may be expelled along with stool, pain in the abdomen (colic) before and during stool which vanishes after passing stool, Tenesmus, Colin Tuberculosis.
Alumina
If IBS is with constipation (intestinal dryness), Alumina is the medicine of my choice, obstinate constipation, knotty stools, slow intestinal pace, the stool remains in the rectum for many days without any urge to pass stool. that’s why the stool expelled with much strain.
Weak peristaltic movements, dryness of mucus membrane. Sometimes the stool is soft but hard to expel (low intestinal pace, weak intestine).
Carbo Vegetables
IBS with bloated abdomen, heavy and tense abdomen soon after eating, even the simplest and softest kind of food seems to worsen the condition. The passage of gas or belching provides slight relief. Acidity accompanied by frequent loose stool of offensive odor. Cramping pain in the abdomen may also be present.
Catarrh, Chilblains, Cholera, Constipation, Debility, Diarrhea, Distension, Dysentery, Dyspepsia, Emphysema, Eructation, Flatulence, bad or low blood circulation in some part of intestine, Gangrene. Hemorrhages, Hemorrhoids, Tympanites, Typhus, Ulcers, Yellow fever
Lycopodium
Lycopodium is the medicine of choice when IBS is with heaviness in the abdomen even after eating of a small quantity food, The abdomen feels full and distended, Gas fills the abdomen, gurgling. Alteration between diarrhea and constipation.
Constipation. Intestinal Consumption. Intestinal polypus, Cramps. Cystitis. Debility or intestinal/rectal weakness. Diphtheria. Distension. Dropsies. Dysentery, polypus of canthus. Fibroma. Flatulence. Gall-stone colic. Glands, swelling, Liver malfunctioning, liver-spots. Locomotor ataxia (intestinal/rectal), Paralysis. Paralysis agitans, Typhoid fever. Varicose that is disturbed intestinal blood circulation, CA intestine.
Croton Tiglium and Podophyllum Peltatum
In irritable bowel syndrome cases Croton Tiglium and podophyllum has same symptoms that is diarrhea with gushing stool, urging for stool soon after eating or drinking; watery stool, copious stool, weakness after passing stool, profuse and highly putrid/offensive stool, fetid flatus, diarrhea that worsens after eating fruits.
Bryonia Alba
IBS with constipation and dry, large, hard stool. The stool is excessively dry as if burnt. Rectal and anal burning on passing stool. Headache along with constipation. Intermittent fevers. Jaundice. Liver disorders/malfunctioning.
Bryonia is one of the polychrest medicines.
Colocynthis
Irritable bowel syndrome with loose stools attended with abdominal cramps. Eating or drinking in the smallest quantity leads to cramping. Bending double or pressure over abdomen may provide relief. Stools are watery, yellow and frothy and attended with the passage of flatulence.
Ciliary neuralgia. Colic. Coxalgia. Diabetes. Diarrhea. Dysentery. Colic. Neuralgia. Paraphimosis. Peritonitis. Tumors.
China Officinalis
China Officinalis is the most recommended medicine for IBS with weakness and weight loss from chronic diarrhea. The diarrhea is painless. Persons in need of China Officinalis have a chronically loose stool, marked flatus and bloated abdomen. Abdominal colic from flatus in abdomen is also present.
Bilious attack. Catarrhal affections. Constipation. Debility. Delirium. Diarrhea. Dropsy. Dyspepsia. Emissions. Hemorrhoids. Headache. Hectic fever. Ichthyosis. Intermittent fever. Jaundice. Leucorrhea. Lientery. Liver diseases, Liver cirrhosis, Spleen affections. Taste disorder. Tea effects. Thirst. Tobacco habit. Traumatic fever. Tympanites. Varicose veins, Blocked or bad blood circulation to intestines.
Pulsatilla Nigricans
Pulsatilla Nigricans is one of the top-grade medicines for irritable bowel syndrome where taking milk or milk products worsens the complaint. Symptoms include rumbling in abdomen, flatulence, bitter mouth taste, belching that tastes like ingesta and changeable stool. These symptoms worsen upon consuming milk.
In my (Dr. Qaisar Ahmed MD, DHMS, Isl. Jurisprudence) experience deficiency of some types of minerals makes changes in cylindrical shaped organs especially intestines, that’s why I tried following elements on my patients during last fifteen years and I found great results. Patients with chronic IBS (even older then 2-7 years), were treated in 20-60 days successfully. They are the following:
Argentum Nitricum
Acidity. Addison’s disease. Anemia. Chancre. Dyspepsia. Epilepsy. Eructation. Flatulence. Gastric ulcer. Gonorrhea. Impetigo. Locomotor ataxia. Neuralgia. Paralysis. Prostate, Scarlatina. Smallpox. Spinal irritation. Syphilis. Taste, altered. Throat, affections of. Tongue ulcerated. Warts. Zona.
Merc Solubulis
Appendicitis, Diarrhea, Dysentery, Dyspepsia, GIT inflammations, Fainting, Fevers, Fissures, jaundice, Liver affections, Peritonitis.
Phosphorus and Irritable Bowel Syndrome (IBS)
She is volatile emotionally and she tends to put out so much energy that she burns herself out and gets sick as a result. In other words, she can be very emotionally intense. Her emotional intensity and volatility make her unpredictable, and when someone becomes unpredictable, the people in their lives tend to keep a safe distance; therefore, she gets a sense of isolation, and a feeling that nobody truly loves her.
Bismuth
Vomits all fluids. Will eat for several days: then vomit. Slow digestion, with fetid eructation. Gastralgia; pain from stomach through to spine. Gastritis. Tongue coated white; sweetish, metallic taste. Inexpressible pain in stomach. Pressure as from a load in one spot, alternating with burning, crampy pain and pyrosis. Ulcerative colitis. Stool – painless diarrhea, with great thirst, and frequent micturition and vomiting. Pinching in lower abdomen, with rumbling. Vertigo and weakness.
Arsenicum Album
Gnawing, burning pains relieved by heat. Liver and spleen enlarged and painful. Ascites and anasarca. Abdomen swollen and painful. Ulcerative colitis. Rectum Painful, spasmodic protrusion of rectum. Tenesmus. Burning pain and pressure in rectum and anus. Stool small, offensive, dark, with much prostration. Dysentery dark, bloody, very offensive.
Natrum Carbonicum
Feels swollen and sensitive. GERD. Ulcerative colitis. Old dyspeptics, always belching, have sour stomach and rheumatism. Sudden call to stool. Escapes with haste and noise. Yellow substance like pulp of orange in discharge.
Antimonium Crudum
Loss of appetite. Thirst in evening and night. Constant belching. Gouty metastasis to stomach and bowels. Sweetish GERD. Bloating after eating. Ulcerative colitis. Anal itching. diarrhea alternates with constipation. Diarrhea after sour, baths, overeating; slimy, flatulent stools. Mucous – piles continued oozing of mucus. Hard lumps mixed with watery discharge. Catarrhal proctitis. Stools composed entirely of mucus.
Ipecac
Mouth, moist; much saliva. Constant nausea and vomiting. Ulcerative colitis. Amebic dysentery with tenesmus. Cutting, clutching; worse, around the navel. Body rigid; stretched out stiff. Stools Pitch-like green as grass, like frothy molasses, with griping at navel. Dysenteric, slimy.
Kali Bichrome
Feels as if digestion had stopped. Gastritis. Round ulcer of stomach. Stitches in region of liver and spleen and through to spine. Ulcerative colitis. Gastric symptoms are relieved after eating, and the rheumatic symptoms reappear (alternate). Vomiting of bright yellow water.
Cutting pain in abdomen. Chronic intestinal ulceration. Soreness in right hypochondrium, fatty infiltration of liver. Liver cirrhosis. Painful retraction, soreness and burning. Jelly like stool, gelatinous; worse, mornings. Dysentery: tenesmus, stools brown, frothy. Sensation of a plug-in anus. Periodic constipation, with pain across the loins.
Zingiber Officinalis
Ulcerative colitis. Pain from pit to under sternum, worse eating. Colic, diarrhea, extremely loose bowels, with much flatulence, cutting pain, relaxation of sphincter. Hot, sore, painful anus. Chronic intestinal catarrh. Anus red and inflamed. Hemorrhoids hot, painful, sore.
Graphites
Fullness and hardness in abdomen. Inguinal region sensitive, swollen. Colic pain. Ulcerative colitis. Chronic diarrhea, stools brownish, liquid, undigested, offensive. Constipation; large, difficult, knotty stools united by mucus threads. Burning hemorrhoids. Prolapse, diarrheas; stools of brown fluid, mixed with undigested substance, very fetid, sour odor. Smarting, sore anus, itching. Lump stool, conjoined with threads of mucus. Varices of the rectum. Fissure of anus.
Magnesia Carbonica
Constipation. Diarrheas, Dyspepsia. war zone remedy, Fears, Green diarrhea and the green part floats upon the watery portion of the stool, the stool is often lumpy, and liquid, the lumps lie in the bottom of the vessel, but floating upon the liquid portion of the stool is the green like the scum of the frog pond (one of the most striking features), bloody, mucous.
Diet
Probiotics for Crohn’s Disease
Patients with Crohn’s and other forms of irritable bowel disease (IBD) lack some of the gut microbes found in other people. Some of these microbes include anti-inflammatory bacteria.
Probiotics are thought to improve gut health by providing living microorganisms that can help repopulate your insides in health-promoting ways.
Supplements
P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).
For proper consultation and treatment, please visit our clinic.
None of above-mentioned medicine(s) is/are the full/complete treatment but just hints for treatment; every patient has his/her own constitutional medicine.
Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.
Senior research officer at Dnepropetrovsk state medical academy Ukraine.
Location: Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.
Find more about Dr Sayed Qaisar Ahmed at:
https://www.youtube.com/Dr Qaisar Ahmed