The Connection Between IBD and the Lungs
It’s long been known that those that experience IBD (Inflammatory Bowel Disease) also report extra-intestinal dysfunction. IBD has been known to cause symptoms that impact lliver, joint, skin and eye function. Recent research is showing that a bi-directional relationship exists between IBD and obstructive lung disease.
What is IBD?
Inflammatory Bowel Disease is a group of intestinal conditions that are caused by long term inflammation. The main types are Crohn’s disease and Ulcerative Colitis.
Symptoms of IBD
- diarrhea
- abdominal pain
- rectal bleeding
- chronic fatigue
- reduced appetite and weight loss
For some individuals they experience only mild symptoms. Others however experience significant symptoms and complications that can sometimes be life-threatening.
What is Obstructive Lung Disease?
Obstructive lung disease include conditions in which the lung airways become damaged and narrow in diameter making breathing out more challenging. Individuals with obstructive lung disease often report shortness of breath due to the narrowed airways and greater difficulty exhaling air. These conditions include:
- bronchitis
- (COPD) chronic obstructive lung disease
- asthma
- bronchiectasis
A Bi-directional Relationship
Those diagnosed with IBD are at a greater risk of developing obstructive lung disease. Why? The theory is that the inflammation caused in one area influences the other. This could be due to an imbalance in the mucosal environment which negatively impact other organs. Chronic hypoxia (lack of oxygen) which is common in COPD can create a more stressful environment in other organs. Less oxygen availability means less ability for organs to perform efficiently.
This study was done in over 24,000 people. The risk of developing obstructive lung disease increased over 40% with IBD diagnosis.
What does this mean for people with IBD?
It would be beneficial to look out for signs of obstructive lung disease and inform your physician so early interventions can be considered. Early detection and intervention often leads to improved symptoms and quality of life.
Where does pelvic health physical therapy come into play?
Pelvic health physical therapists receive specialized training and treat pelvic floor dysfunction including bowel dysfunction. Pelvic health physical therapists are able to integrate proper breathing and use of the diaphragm with pelvic function. The diaphragm which is the muscle that helps us breath works in sync with the pelvic floor for:
- bladder control
- bowel function
- efficient movement and balance
- sexual function
- lymphatic function
We are also able to educate and re-teach patients how to have a proper bowel movement coordinating the movement appropriately. Our clinic sees patients for one hour sessions in private treatment rooms. We are conveniently located in downtown Manhattan near the Brooklyn Bridge and close to many subway lines. Our staff has over 30 years of experience treating patients.