Why managing IBD inflammation may save your life

Over two million U.S. adults live with an inflammatory bowel disease (IBD), such as Crohn’s disease or ulcerative colitis, which can cause symptoms like belly pain, diarrhea, rectal bleeding and fatigue. People with an IBD also face an increased risk of developing colorectal cancer.

“The link between inflammatory bowel diseases and colorectal cancer is chronic, uncontrolled inflammation,” explains Dr. Ahmad Hassan, a gastroenterologist at Advocate Health Care. “We’re learning that chronic inflammation can lead to scarring but can also result in dysplasia — the abnormal growth of cells that can be precancerous. If the inflammation persists, it can increase the likelihood dysplastic tissue will turn into cancer.”

The good news is colorectal cancer is one of the most preventable types of cancer, with regular screenings playing a key role in reducing the risk.

“We typically initiate screening for dysplasia in certain IBD patients eight years after their diagnosis,” Dr. Hassan shares. “Those who have an extensive amount of colon inflammation fall into a high-risk group and will be screened more frequently, about every three years.”

Unlike other screening methods, a colorectal cancer screening, also referred to as a colonoscopy, not only detects cancer but also helps prevent it. During the procedure, your gastroenterologist can remove any polyps or lesions that could eventually develop into cancer if not removed.

“The screening protocol for those with an IBD is more thorough than a standard colonoscopy,” Dr. Hassan says. “Your gastroenterologist may perform random biopsies throughout the colon or use a special technique called chromoendoscopy, which employs a dye to provide a closer look at the colon’s tissue.”

Managing your IBD is a crucial step in lowering your risk of colorectal cancer. You can do this by following the treatment plan and screening recommendations provided by your gastroenterologist. You can also make healthy lifestyle changes, such as following an anti-inflammatory diet.

Want to learn more about your risk for colorectal cancer? Take a free online quiz.