=====IBD=====
**Inflammatory Bowel Disease**

====Ulcerative Colitis====
  *a type of IBD that characteristically involves diffuse inflammation of the colonic mucosa, especially the rectum, but also variable lengths of the colon, in a relapsing, remitting course
  *considered a multifactorial polygenic disease, as the exact aetiology is still unknown but includes environmental factors, immune dysfunction, and genetic predisposition
  *common - bloody diarrhoea, chronic diarrhoea (or both), lower abdominal pain, faecal urgency, and extra-intestinal manifestations, particularly those related to activity of the colitis.
  *Diagnosis requires endoscopy with biopsy and -ve stool culture.
  *Relapses are often associated with pathogens,hence stool should be obtained for culture.


====Crohns disease====


====Coeliac disease====


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**References include:**\\ 
https://handbook.ggcmedicines.org.uk/guidelines/gastrointestinal-system/management-of-severe-exacerbation-of-inflammatory-bowel-disease/\\ 
[[https://bestpractice.bmj.com/topics/en-gb/43|BMJ best practice Ulcerative Colitis 2019]]\\