Inflammatory Bowel Disease

Size: px
Start display at page:

Download "Inflammatory Bowel Disease"

Transcription

1 Inflammatory Bowel Disease Gastroenterology Department Patient information leaflet

2 Royal Surrey County Hospital Gastroenterology services specialises in the care and management of patients with Inflammatory Bowel Disease (IBD). The purpose of this booklet is to introduce key members of the IBD team, how you can access appropriate support, advice, and treatment following your diagnosis of Inflammatory Bowel Disease. Ulcerative colitis (UC) and Crohns Disease are the two most common forms of IBD that affect the gastrointestinal tract. Symptoms vary from mild increases in bowel motions to a more severe increase which can be accompanied by urgency as well as bleeding from the bowel, cramping and abdominal pain. Understanding your IBD Many people with IBD find that the more they learn about their condition and how to manage it, the more they feel in control of their lives. However, everyone is different and how much information you wish to have is entirely up to you. Who gets IBD? Anyone can develop IBD - and about 250,000 people in the UK have Crohn s or UC. The illnesses can occur at any age, but often begin in younger people aged There are up to 18,000 new cases a year. Both conditions are found worldwide, but are more common in developed countries. What are the main symptoms? IBD symptoms vary from person to person - and usually over time. IBD is a chronic (long term) disease and if you have IBD you will probably have periods of good health (remission) and then relapses or flare-ups when the symptoms get worse. 2

3 Symptoms may include Abdominal pain Diarrhoea (sometimes mixed with blood, especially in Ulcerative Colitis) Tiredness and fatigue Loss of appetite Weight loss Abscesses and fistulas (in Crohn s) Swollen joints, mouth ulcers and eye problems Ulcerative Colitis (UC) Ulcerative colitis causes inflammation of the large bowel, resulting in diarrhoea and rectal bleeding. Usually the rectum is affected giving the name proctitis although inflammation can extend to the splenic flexure (left side of the large bowel). This is given the name distal colitis or left sided colitis. In severe cases the whole bowel may be affected and this is called pancolitis. Inflammation is the body s reaction to injury or irritation and can also cause redness, swelling and pain. Tiny sores or ulcers develop on the bowel lining which may bleed. When inflammation occurs the bowel also can produce more mucus. The diagram below will help you understand how much of your bowel is affected. 3

4 Proctitis Inflammation is limited to the rectum only. For many people the main symptom is bleeding, bright red in colour and sometimes mixed with mucus. You may get diarrhoea, have normal stool motions or even have constipation. At times when the inflammation is severe you may also experience pain, urgency and soreness around the anus. Distal or Left sided Colitis This is colitis which starts at the rectum and continues up the left side of the colon. Symptoms include diarrhoea with blood and mucus, loss of appetite and sometimes pain or discomfort on the left side. Pan colitis or Total Colitis This is when UC affects most of the colon or the entire colon. The symptoms include frequent watery diarrhoea with blood and mucus. If inflammation is severe this can result in opening your bowels very frequent which would require medical attention. Who gets UC? UC affects about 1 in every 500 people in the UK. Equally affecting men and women. UC can be diagnosed at any age, but it is rare in children under five. Treatment for UC There are three main medications that are used to treat Ulcerative Colitis. Aminosalicylates also known as 5-ASA are the first line treatment for mild to moderate UC. They may be given in oral, enema or suppository form. 5-ASAs reduce inflammation and aim to maintain remission. During times of a flare or if your condition is not responding to the 5-ASA medications then steroids may be used. Steroids are given orally or intravenously through the vein should you be admitted to hospital with a severe flare of your colitis. Steroids work by reducing inflammation therefore reducing diarrhoea and bleeding. If your condition is not controlled with your medication or you require steroids more frequent then the next step would be to offer medications known as an immunosuppressant such as Azathioprine. 4

5 These drugs suppress inflammation over longer periods of time. All medications will be discussed with you in further detail and information provided by your Consultant or Nurse Specialist. This is just a brief introduction to the medications used. Crohns Disease Crohns Disease affects any part of the gastrointestinal tract from the mouth to the anus. It is a condition that causes inflammation of the digestive system. The inflammation extends beyond the layers of the gut and is characterised by ulcers. The most common area that are affected are the lower part of the small intestine (Terminal Ileum, the large intestine and anus. It is a condition where you will have episodes of remission and feel well and then episodes where your condition flares. It is during these flare episodes that you will need to access advice which will try to avoid an admission to hospital. It is a chronic condition as there is no cure for the illness but by using medications and sometimes surgery this can give you periods of relief from symptoms known as remission. Terminal Ileal crohns This is the most common form of crohns disease which affects the end of the small intestine and the beginning of the large bowel. Weight loss is often associated, secondary to malabsorption, and commonly deficiency of vitamin B12. You may also experience pain in your lower right side of your tummy. Colonic Crohns Crohns Colitis is when Crohns disease is only present in the large bowel. Symptoms include diarrhoea which may have blood present also. Perianal Crohns With Perianal Crohns you may develop symptoms in the anal area on its own or in combination with other sites in the body. An abscess may develop, which is a collection of pus which can cause fever, pain and lumps in the anal area. Drainage may be required or antibiotics given due to infection. Some people may develop fistulas; a fistula is a small 5

6 opening which forms a passageway from the anal canal (back passage) to the skin around the anus. This is normally due to an abscess and discharge from the area may be seen. Treatment for fistulae is often with medication and surgery. Sometimes Crohns is also seen in the upper small bowel, stomach and mouth. These are much less common. Who gets Crohns Disease? There has been and still is research being carried out on Crohns disease but still the cause is not yet known. Some researchers believe that it is caused by a complex interaction of genetics, abnormalities in the immune system with certain bacteria and environmental factors. Crohns Disease affects about 1 in 1,000 people in the UK. Crohns can start at any age and is more common in people that smoke than non smokers. Other information booklets specific to your condition will be given separately by your specialist nurse. The IBD Nurse Specialist The nurse specialist provides information, advice and support to you and your family on any aspect of your condition and should be your first point of contact. The nurse is able to discuss your disease and treatment options, medications, diet and lifestyle issues and point you in the direction of any other areas where support may be needed. The nurse provides a telephone advice service and the aim of this is to provide rapid access to advice should you begin to feel unwell or have signs of a flare. The IBD nurse can assess you, give advice over the phone and as appropriate make an appointment for you to be seen in the outpatient department if necessary. This is an answer phone service as the IBD nurse also runs clinics and has other duties within the hospital but all attempts will be made to return your call as soon as possible. The answer phone does inform you of the nurse s availability and gives alternative contacts if she is not available. 6

7 If you believe your enquiry is urgent then please do not leave a message, alternative advice via your GP or local accident and emergency should be sought as it may be more than 24 hours before your call is returned. Outpatient Clinics The outpatient departments are based in outpatients department 3 Level B and Castle Outpatients Level H. It will be in your letter sent from the hospital directing you to the department which your appointment is being held. Each consultant has a team of specialist registrars who work alongside them as well as the IBD nurse so you may be seen by any member of the team during your visits. It may be necessary for further investigations to be carried out to assess your condition, if this is the case these will be discussed with you. The aim of the appointment is to review your current symptoms and gives you the opportunity to ask any questions or discuss any concerns that you may have. When you first arrive to the unit please expect to be weighed by the outpatient staff. After each consultation your GP is fully informed of the visit and any changes to medications or examinations that have been requested a letter will be sent. You may also receive a copy of your letter for your own correspondence. If you are required to have a blood test our phlebotomy service is located within Outpatients 3 and 4 on Level B and is open Monday- Friday 8.30am 16.15pm. Should you need to cancel or reschedule an appointment please contact the appointments centre on

8 Prescriptions Any new medication that is started the hospital may issue you a initial prescription but please be aware this will be for a limited time only and your GP will then be asked to kindly prescribe subsequent prescriptions. If you normally pay for your prescriptions you can obtain a prepayment certificate to help with the prescription charges. This is cost effective if you need five or more medicines within a four month period. Visit or call for further advice and information. If you need to take over-the-counter medicines, it is probably better to avoid ibuprofen and diclofenac. These are drugs known as NSAIDs or non-steroidal anti-inflammatory drugs, and research suggests they may trigger a flare-up. Some people may also be affected by aspirin, so for simple pain relief paracetamol may be a safer option. Smoking Smoking is not advised for many health reasons and in numerous studies, half or more of adults diagnosed with Crohn s Disease smoked at diagnosis. This suggests that people who smoke are more likely to get Crohn s than those who do not smoke. Research also shows that smoking can make Crohn s Disease worse. Smokers with Crohn s in their small bowel are more likely to have more severe symptoms, to require stronger immunosuppressant drugs, and have a poorer quality of life. This effect appears to be greater in women with Crohn s who smoke. Another study found that smokers were twice as likely to have a flare up of Crohn s when compared to non-smokers. Smokers with Crohn s in the small bowel have a greater chance of needing surgery than non-smokers. Also, for those who have already had surgery for Crohn s, the chances of needing another operation over the following few years is over twice as high in smokers. 8

9 If you are a smoker then it is strongly advised that you stop with appropriate and adequate support. This is one thing that you yourself can do in order to help with your disease and reduce your risk of further health conditions associated with smoking. Your nurse specialist will be able to advice you on ways to access support. Investigations During assessment and monitoring of your disease your consultant or nurse specialist may request for you to have further investigations. Listed below are the most common investigations that you may have following diagnosis. Colonoscopy A colonoscopy is a type of examination which allows a specialist doctor or nurse to look directly at the lining of the colon using a colonoscope. This is a long flexible tube, about the thickness of your little finger, with a bright light and camera at the end. You are usually given a laxative to take the day prior to the investigation in order for the bowel to be empty and allow a thorough examination. The colonoscope is inserted through the anus (back passage), and is long enough to examine the whole colon and the end of the small intestine. The specialist can check the extent and severity of any inflammation, and whether you have any narrowed areas, polyps or dysplasia. Further information on preparing for colonoscopy and what happens prior and during the examination will be given to you by the Endoscopy department. How often should I have a colonoscopy? The British Society of Gastroenterology (BSG) recommends that if you have UC or Crohn s Colitis you should have a colonoscopy about 10 years after the start of your symptoms to see whether there have been any changes in your colon. It is best to have this done when your IBD is not active. 9

10 The BSG also recommends that you then have follow-on colonoscopies every 1, 3 or 5 years depending on your condition, what was seen at the colonoscopy and other risk factors that will be taken into consideration. How often you will need colonoscopy surveillance will be discussed with you by your consultant or specialist nurse. Flexible Sigmoidoscopy A flexible sigmoidoscopy is an examination of the lower part of the colon. The sigmoidoscope is a 35 to 60 cm long tube about the thickness of an index finger. This is inserted though the rectum and used to examine the colon up to the splenic fixture (that is, the left side of the colon only). If you are to have a flexible sigmoidoscopy you will probably be asked to use an enema to empty the bowel before you come to the clinic, or given when you arrive. The examination itself takes about five to ten minutes, and is usually done without sedation. Because air is used to expand the colon you may feel some discomfort, but this should pass once the examination is finished. A flexible sigmoidoscopy is useful for UC or Crohn s limited to the left side of the large intestine. Small Bowel MRI This is a way to examine your bowel without using x-rays, but using MRI instead. MRI uses a very strong magnet to give detailed images of your bowel. A liquid mixture is given to you to drink to fill the small bowel so that it can be seen well on the scan. Further information on preparation for the scan and what happens after will be provided by the Radiology department. 10

11 Abdominal and Chest X-rays Some ordinary or plain x-rays can be helpful in the management of IBD. For example, abdominal and chest x-rays will show the pattern of gas in the intestine which can give useful information about the extent and severity of UC or Crohn s. You may also be given an abdominal x-ray if there is a concern that you have a bowel obstruction or prior to commencing certain medications. CT Scans (Computerised Tomography) A CT scanner is a special type of x-ray machine which uses a series of x-ray beams to build up a more detailed picture of the body. The scanner looks like a Polo mint or doughnut, and you lie on a moving table which slides slowly through its centre. X-rays are taken from different angles. CT scans usually take between 20 and 45 minutes, depending on the number of angles and pictures needed. CT scans are most commonly used to investigate the extent of inflammation and to look for complications such as abscesses or strictures (narrowing) in inflammatory bowel disease. Bone Density (DEXA) Scans DEXA (duel energy x-ray absorptiometry) scanners use low dose x-rays to measure bone mineral density, particularly in the lumber (lower) spine and in the upper end of the femur (thigh bone). This is a painless test which takes about 20 minutes. It shows whether bone density is normal, or reduced to a level where fractures are more likely the condition known as osteoporosis. If you have IBD you are more at risk of developing osteoporosis, especially if you have been on steroids or have low calcium levels. 11

12 My Consultant is: Condition: Date of Diagnosis: Medications Name of Medication Dose How often I take it Date of Investigations Date of Investigation Type of Investigation Result 12

13 Notes 13

14 Inflammatory Bowel Disease Team Gastroenterologists: Dr Michelle Gallagher Ext 6990 Dr Christopher Tibbs Ext 4521 Dr Charmian Banks Ext 4521 Dr Kalliopi Alexandropoulou Ext 4933 / 4521 Professor Aftab Ala Ext 6990 Inflammatory Bowel Disease Nurse Specialist: Jenna Robinson Ext 2423 Rebecca Yeates Ext 2423 Inflammatory Bowel Disease Helpline: Ext 2423 or rsch.ibdnurses@nhs.net Dietician: Louise Cooper Medical Day Unit Ext 2424 Useful numbers Royal Surrey County Hospital Outpatient Appointments Ext 4002 Endoscopy bookings Ext 6897 /

15 Key reference sources and further information Crohns and Colitis UK Telephone: Website: core Telephone: Website: The Ileostomy & Internal Pouch Support Group Telephone: Website: Colostomy Association Telephone: Website: NHS Smoke Free helpline: Website: You can speak to an advisor online using the smoke free online chat tool. QUIT A charity to help people stop smoking. Quitline: Website: 15

16 Contact details Please see page 14 for contact details. RSCH IBD Patient Panel needs you Royal Surrey County Hospital has a dedicated patient panel committed to improving the services to all patients with Inflammatory Bowel Disease (IBD). We need new panel members to assist in achieving these vital improvements to benefit our patients. Make a difference and make your voice heard. Please contact rsch.ibdchair@gmail.com to find out more! PALS and Advocacy contact details Contact details of independent advocacy services can be provided by our Patient Advice and Liaison Service (PALS) who are located on the right hand side as you enter the main reception area. PALS are also your first point of contact for health related issues, questions or concerns surrounding RSCH patient services. Telephone: rsc-tr.pals@nhs.net Opening hours: 9.00am 3.00pm, Monday to Friday If you would like information documents in large print, on tape or in another language or form please contact PALS. Past review date: April 2017 Future review date: April 2020 Author: Samantha Summers & Jenna Robinson PIN Royal Surrey County Hospital NHS Foundation Trust 2017

Polyps in the bowel. Endoscopy Department. Patient information leaflet

Polyps in the bowel. Endoscopy Department. Patient information leaflet Polyps in the bowel Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with polyps in the bowel. The information below outlines the condition,

More information

Diverticulosis / Diverticulitis

Diverticulosis / Diverticulitis Diverticulosis / Diverticulitis Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with Diverticulosis and / or Diverticulitis. The information

More information

The London Gastroenterology Partnership CROHN S DISEASE

The London Gastroenterology Partnership CROHN S DISEASE CROHN S DISEASE What is Crohn s disease? Crohn s disease is a condition, in which inflammation develops in parts of the gut leading to symptoms such as diarrhoea, abdominal pain and tiredness. The inflammation

More information

Duodenal Ulcer / Duodenitis

Duodenal Ulcer / Duodenitis Duodenal Ulcer / Duodenitis Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with duodenitis and/or a duodenal ulcer. The information below

More information

Gastric Ulcer / Gastritis

Gastric Ulcer / Gastritis Gastric Ulcer / Gastritis Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with gastritis and/or a gastric ulcer. The information below outlines

More information

Certain genes passed on from parent to child increase the risk of developing Crohn's disease, if the right trigger occurs.

Certain genes passed on from parent to child increase the risk of developing Crohn's disease, if the right trigger occurs. Topic Page: Crohn's disease Definition: Crohn's disease from Benders' Dictionary of Nutrition and Food Technology Chronic inflammatory disease of the bowel, commonly the terminal ileum, of unknown aetiology,

More information

Piles / Sclerosing. Endoscopy Department. Patient information leaflet

Piles / Sclerosing. Endoscopy Department. Patient information leaflet Piles / Sclerosing Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with piles / sclerosing. The information below outlines the condition,

More information

Leaving Hospital with a Stoma

Leaving Hospital with a Stoma Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Leaving Hospital with a Stoma General Surgery Contents What is this leaflet all about? 3 What stoma equipment am I using? 3-4

More information

ULCERATIVE COLITIS FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS

ULCERATIVE COLITIS FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS ALL YOU NEED TO KNOW ABOUT ULCERATIVE COLITIS FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS THIS FACTSHEET IS ABOUT ULCERATIVE COLITIS. Ulcerative colitis (UC) is a disease of the rectum

More information

What is ulcerative colitis?

What is ulcerative colitis? What is ulcerative colitis? Ulcerative colitis is a disease that causes inflammation and sores, called ulcers, in the lining of the rectum and colon. Ulcers form where inflammation has killed the cells

More information

ULCERATIVE COLITIS FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS

ULCERATIVE COLITIS FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS ALL YOU NEED TO KNOW ABOUT ULCERATIVE COLITIS FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS THIS FACTSHEET IS ABOUT ULCERATIVE COLITIS. Ulcerative colitis (UC) is a disease of the rectum

More information

This information explains the advice about Crohn's disease that is set out in NICE guideline CG152.

This information explains the advice about Crohn's disease that is set out in NICE guideline CG152. Information for the public Published: 1 October 2012 nice.org.uk About this information NICE guidelines provide advice on the care and support that should be offered to people who use health and care services.

More information

WHAT IS ULCERATIVE COLITIS?

WHAT IS ULCERATIVE COLITIS? 235 60th Street, West New York, NJ 07093 T: (201) 854-4646 F: (201) 854-4647 810 Main Street, Hackensack, NJ 07601 T: (201) 488-0095 Ulcerative Colitis WHAT IS ULCERATIVE COLITIS? Ulcerative colitis is

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Barrett s Oesophagus. Endoscopy Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Barrett s Oesophagus. Endoscopy Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Barrett s Oesophagus Endoscopy Department You will only be given this leaflet if you are suspected of having or you have been

More information

CROHN S & COLITIS UK SUPPORTING YOU

CROHN S & COLITIS UK SUPPORTING YOU INTRODUCTION ABOUT THIS BOOKLET If you have recently been diagnosed with Ulcerative Colitis, Crohn s Disease or another form of Inflammatory Bowel Disease (IBD), you may now be feeling a sense of relief

More information

Computerised Tomography Pulmonary Angiography (CTPA)

Computerised Tomography Pulmonary Angiography (CTPA) Computerised Tomography Pulmonary Angiography (CTPA) Radiology Department Patient information leaflet This leaflet tells you about having a CT Pulmonary Angiography (CTPA) scan. If you have any questions

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Haemorrhoids. Day Surgery Unit

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Haemorrhoids. Day Surgery Unit Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Haemorrhoids Day Surgery Unit What are haemorrhoids? The anal canal (back passage) contains cushions of tissue at the top of

More information

Bowel health and screening: carers guide. A booklet for carers of people who use easy read materials

Bowel health and screening: carers guide. A booklet for carers of people who use easy read materials Bowel health and screening: carers guide A booklet for carers of people who use easy read materials Contents About this booklet Page 3: Page 4: Page 5: Page 6: Page 6: Page 7: Page 8: Page 10: Page 10:

More information

Hiatus Hernia. Endoscopy Department. Patient information leaflet

Hiatus Hernia. Endoscopy Department. Patient information leaflet Hiatus Hernia Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with a hiatus hernia. The information below outlines normal anatomy, conditions,

More information

Listed below are some of the words that you might come across concerning diseases and conditions of the bowels.

Listed below are some of the words that you might come across concerning diseases and conditions of the bowels. Listed below are some of the words that you might come across concerning diseases and conditions of the bowels. Abscess A localised collection of pus in a cavity that is formed by the decay of diseased

More information

Computerised Tomography (CT) Coronary Angiogram

Computerised Tomography (CT) Coronary Angiogram Computerised Tomography (CT) Coronary Angiogram Radiology Department Patient information leaflet This leaflet tells you about having a CT Coronary Angiogram (CTCA) scan. It explains what is involved and

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Barium meal. Radiology Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Barium meal. Radiology Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Barium meal Radiology Department The Barium meal examination You have been referred by your Doctor for a Barium meal examination

More information

Crohn's Disease. What causes Crohn s disease? What are the symptoms?

Crohn's Disease. What causes Crohn s disease? What are the symptoms? Crohn's Disease Crohn s disease is an ongoing disorder that causes inflammation of the digestive tract, also referred to as the gastrointestinal (GI) tract. Crohn s disease can affect any area of the GI

More information

Inflammatory Bowel Disease. Your Illness and Its Treatment

Inflammatory Bowel Disease. Your Illness and Its Treatment Inflammatory Bowel Disease Your Illness and Its Treatment What Is Inflammatory Bowel Disease? Inflammatory bowel disease (IBD) is inflammation (irritation and swelling) of the digestive tract. Your digestive

More information

Bowel health and screening: carers guide. A booklet for carers of people who use easy read materials

Bowel health and screening: carers guide. A booklet for carers of people who use easy read materials Bowel health and screening: carers guide A booklet for carers of people who use easy read materials Contents Page 3: About this booklet Page 4: What is the bowel? Page 5: Helping someone to have good bowel

More information

Crohn s Disease. Questions & Answers

Crohn s Disease. Questions & Answers Crohn s Disease Questions & Answers GLASGOW COLORECTAL CENTRE Ross Hall Hospital 221 Crookston Road Glasgow G52 3NQ e-mail: info@colorectalcentre.co.uk Ph: Main hospital switchboard - 0141 810 3151 Ph.

More information

Ileostomy and Colostomy Water Soluble Enema

Ileostomy and Colostomy Water Soluble Enema Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Ileostomy and Colostomy Water Soluble Enema Radiology This is an examination to look at the section of bowel leading to or

More information

Computed Tomography Renal Scan (Haematuria Pathway)

Computed Tomography Renal Scan (Haematuria Pathway) Computed Tomography Renal Scan (Haematuria Pathway) Radiology Department Patient information leaflet This leaflet tells you about having a CT Renal scan. This procedure is also sometimes called a Haematuria

More information

Your Bowel Operation Hartmanns Procedure

Your Bowel Operation Hartmanns Procedure Your Bowel Operation Hartmanns Procedure Introduction You are having an operation called Hartmanns Procedure and this booklet aims to help you to understand your condition and this operation. The nurses

More information

Vertebroplasty. Radiology Department. Patient information leaflet

Vertebroplasty. Radiology Department. Patient information leaflet Vertebroplasty Radiology Department Patient information leaflet This leaflet informs you about the procedure known as a vertebroplasty. It explains what is involved and the possible risks. The benefits

More information

Endobronchial Ultrasound (EBUS)

Endobronchial Ultrasound (EBUS) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Endobronchial Ultrasound (EBUS) Endoscopy department This leaflet will help you and your family to understand more about EBUS.

More information

Barium swallow for adults

Barium swallow for adults Barium swallow for adults Radiology Department Patient information leaflet This leaflet provides you with information about having a barium swallow. It explains what is involved and who you will meet.

More information

What is a Colonoscopy?

What is a Colonoscopy? What is a Colonoscopy? A colonoscopy is a test to look inside your colon. A colonoscopy is done by a gastroenterologist, a doctor trained in looking at the gastrointestinal (GI) tract. The main tool used

More information

Having a Bronchoscopy

Having a Bronchoscopy Having a Bronchoscopy Endoscopy Department Patient information leaflet You will have been given this leaflet if you are to undergo a bronchoscopy at the Royal Surrey County Hospital Endoscopy Unit. This

More information

Taking bowel preparation (Picolax/CitraFleet or Moviprep) prior to a Virtual Colonoscopy (VC)

Taking bowel preparation (Picolax/CitraFleet or Moviprep) prior to a Virtual Colonoscopy (VC) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Taking bowel preparation (Picolax/CitraFleet or Moviprep) prior to a Virtual Colonoscopy (VC) Radiology Department Information

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Bronchoscopy. Endoscopy Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Bronchoscopy. Endoscopy Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Bronchoscopy Endoscopy Department You will have been given this leaflet if you are to undergo a bronchoscopy at the Royal Surrey

More information

Ultrasound scan of the Urinary Tract (kidneys and bladder)

Ultrasound scan of the Urinary Tract (kidneys and bladder) Ultrasound scan of the Urinary Tract (kidneys and bladder) Radiology Department Patient information leaflet This leaflet has been produced in order to let you know what to expect and how to prepare for

More information

Proctogram examination

Proctogram examination Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Proctogram examination Radiology Department You have been referred by your doctor for a Proctogram examination as you may have

More information

Bowel Cancer Information Leaflet THE DIGESTIVE SYSTEM

Bowel Cancer Information Leaflet THE DIGESTIVE SYSTEM THE DIGESTIVE SYSTEM This factsheet is about bowel cancer Throughout our lives, the lining of the bowel constantly renews itself. This lining contains many millions of tiny cells, which grow, serve their

More information

Urinary tract infection

Urinary tract infection Urinary tract infection Hascombe Ward Patient information leaflet Understanding the urinary tract There are two kidneys, one on each side of the abdomen. They make urine which drains down the ureters into

More information

Inflammatory Bowel Diseases Clinic

Inflammatory Bowel Diseases Clinic UW MEDICINE PATIENT EDUCATION Inflammatory Bowel Diseases Clinic At Harborview Medical Center Welcome Thank you for choosing the Inflammatory Bowel Diseases Clinic at Harborview Medical Center (HMC) for

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. CT Scanning. Radiology

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. CT Scanning. Radiology Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust CT Scanning Radiology This leaflet tells you about having a Computerised Tomography (CT) Scan. It explains what is involved

More information

Ultrasound scan of abdomen and pelvis followed by transvaginal scan

Ultrasound scan of abdomen and pelvis followed by transvaginal scan Ultrasound scan of abdomen and pelvis followed by transvaginal scan Radiology Department Patient information leaflet This leaflet has been produced in order to let you know what to expect and how to prepare

More information

Your urgent assessment in head and neck

Your urgent assessment in head and neck Your urgent assessment in head and neck This leaflet will answer some of your questions about why you have been sent to us for an urgent assessment, and what the tests might involve. If you have more questions,

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Small bowel enema. Radiology Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Small bowel enema. Radiology Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Small bowel enema Radiology Department The leaflet tells you about having a small bowel enema enteroclysis. It explains what

More information

Ultrasound scan of the abdomen and pelvis

Ultrasound scan of the abdomen and pelvis Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Ultrasound scan of the abdomen and pelvis Radiology Department This leaflet has been produced in order to let you know what

More information

Bowel scope screening

Bowel scope screening NHS Bowel Cancer Screening Programme Bowel scope screening I ve been invited for NHS bowel scope screening. This leaflet gives you information to help you choose whether to have screening. NHS bowel scope

More information

Tennis Elbow Release. Day Surgery Unit Surgical Short Stay Unit. Patient information leaflet

Tennis Elbow Release. Day Surgery Unit Surgical Short Stay Unit. Patient information leaflet Tennis Elbow Release Day Surgery Unit Surgical Short Stay Unit Patient information leaflet What is Tennis Elbow? Tennis elbow is another name for a condition called lateral epicondylitis which is inflammation

More information

If you have any questions about the risks of this procedure please ask the endoscopist doing the test or the person who has referred you.

If you have any questions about the risks of this procedure please ask the endoscopist doing the test or the person who has referred you. What is a colonoscopy? A colonoscopy is an examination of the lining of the large bowel (colon). It involves a colonoscope (a thin, flexible tube with a bright light on the end) being passed through your

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. The Herniogram. Radiology Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. The Herniogram. Radiology Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust The Herniogram Radiology Department This leaflet provides you with information about having a Herniogram. It explains what

More information

Methotrexate for inflammatory bowel disease: what you need to know

Methotrexate for inflammatory bowel disease: what you need to know Methotrexate for inflammatory bowel disease: what you need to know This leaflet aims to answer your questions about taking methotrexate for inflammatory bowel disease (IBD). If you have any questions or

More information

Barium meal and follow through

Barium meal and follow through Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Barium meal and follow through Radiology Department The leaflet tells you about having a barium meal and follow through. It

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Sialogram. Radiology Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Sialogram. Radiology Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Sialogram Radiology Department You have been referred by your doctor for a Sialogram; this is a study of the salivary glands.

More information

Stereotactic core biopsy of the breast

Stereotactic core biopsy of the breast Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Stereotactic core biopsy of the breast Radiology Department This leaflet provides you with information about our x-ray biopsy

More information

Having CT Enterography Information for Patients

Having CT Enterography Information for Patients Having CT Enterography Information for Patients In this leaflet: Introduction 2 What is CT Enterography?.....2 How does it work?. 2 Are there any risks?.3 Are there any alternatives to CT Enterography?..3

More information

BOWEL CANCER. Cancer information.

BOWEL CANCER. Cancer information. BOWEL CANCER Cancer information www.cancervic.org.au What is bowel cancer? Bowel cancer is the second most common cancer in both men and women in Australia1 and is more common in people over the age of

More information

Understanding Adalimumab

Understanding Adalimumab Understanding Adalimumab Turnberg Building Inflammatory Bowel Disease Service 0161 206 4023 All Rights Reserved 2018. Document for issue as handout. What is my treatment? Adalimumab is considered to be

More information

What is Crohn's disease?

What is Crohn's disease? What is Crohn's disease? Crohn's disease is a chronic inflammatory disorder that causes inflammation of the digestive tract. It can affect any area of the GI tract, from the mouth to the anus, but it most

More information

Vacuum-Assisted Stereotactic core biopsy of the breast

Vacuum-Assisted Stereotactic core biopsy of the breast Vacuum-Assisted Stereotactic core biopsy of the breast Radiology Department Patient information leaflet This leaflet provides you with information about our vacuum assisted stereotactic core biopsy service.

More information

1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757)

1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757) 1101 First Colonial Road, Suite 300, Virginia Beach, VA 23454 www.vbgastro.com Phone (757) 481-4817 Fax (757) 481-7138 1150 Glen Mitchell Drive, Suite 208 Virginia Beach, VA 23456 www.vbgastro.com Phone

More information

Inflectra for Crohn s disease

Inflectra for Crohn s disease Inflectra for Crohn s disease Some important information to get you started with your treatment This booklet is intended only for use by patients who have been prescribed Inflectra. Introduction When you

More information

Ultrasound scan of the Urinary Tract (kidneys and bladder)

Ultrasound scan of the Urinary Tract (kidneys and bladder) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Ultrasound scan of the Urinary Tract (kidneys and bladder) Radiology This leaflet has been produced in order to let you know

More information

Intravenous Urography (IVU)

Intravenous Urography (IVU) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Intravenous Urography (IVU) Radiology This leaflet provides you with information about an IVU. It explains what the examination

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Nephrostomy. Radiology

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Nephrostomy. Radiology Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Nephrostomy Radiology This leaflet informs you about the procedure known as a nephrostomy. It explains what is involved and

More information

A CT guided cervical nerve block (Root block)

A CT guided cervical nerve block (Root block) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust A CT guided cervical nerve block (Root block) Radiology Department The leaflet tells you about having a computerised tomography

More information

What is CT Colonography?

What is CT Colonography? What is CT Colonography? It stands for computerized tomographic (CT) colonography. CT colonography is a test used to check your colon for colorectal cancer and other health conditions in your gastrointestinal

More information

Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet. Under review

Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet. Under review Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet What is the purpose of my appointment? Your doctor has informed us that you have an elevated Prostate Specific

More information

UNDERSTANDING CROHN S DISEASE

UNDERSTANDING CROHN S DISEASE UNDERSTANDING CROHN S DISEASE START YOUR JOURNEY TOWARD UNDERSTANDING INFLAMMATORY BOWEL DISEASE CONTENTS INTRODUCTION 4 WHAT IS CROHN S DISEASE? 6 Symptoms of Crohn s disease 6 WHAT CAUSES CROHN S DISEASE?

More information

Transjugular liver biopsy

Transjugular liver biopsy Transjugular liver biopsy Radiology Department Patient information leaflet This leaflet tells you about the procedure known as a transjugular liver biopsy. It explains what is involved and the possible

More information

Nephrostomy. Radiology Department. Patient information leaflet

Nephrostomy. Radiology Department. Patient information leaflet Nephrostomy Radiology Department Patient information leaflet This leaflet informs you about the procedure known as a nephrostomy. It explains what is involved and the possible risks. The benefits and risks

More information

Stereotactic core biopsy of the breast

Stereotactic core biopsy of the breast Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Stereotactic core biopsy of the breast Radiology Department This leaflet provides you with information about our x-ray biopsy

More information

Crohn's disease CAUSES COURSE OF CROHN'S DISEASE TREATMENT. Sulfasalazine

Crohn's disease CAUSES COURSE OF CROHN'S DISEASE TREATMENT. Sulfasalazine Crohn's disease Crohn's disease is an inflammatory condition of the digestive tract that affects children and adults. Common features of Crohn's disease include mouth sores, diarrhea, abdominal pain, weight

More information

Having MR Small Bowel (MR Enterography)

Having MR Small Bowel (MR Enterography) Having MR Small Bowel (MR Enterography) Information for Patients In this leaflet: Introduction 2 What is an MR Small Bowel?..2 What do I need to do to before my scan?....2 Where do I go when I arrive at

More information

Ulcerative Colitis. ulcerative colitis usually only affects the colon.

Ulcerative Colitis. ulcerative colitis usually only affects the colon. Ulcerative Colitis Introduction Ulcerative colitis is an inflammatory bowel disease. It is one of the 2 most common inflammatory bowel diseases. The other one is Crohn s disease. Ulcerative colitis and

More information

Hernia repair. Paediatric Day Surgery Unit. Patient information leaflet

Hernia repair. Paediatric Day Surgery Unit. Patient information leaflet Hernia repair Paediatric Day Surgery Unit Patient information leaflet 2 What is a Hernia? A hernia is where part of the bowel is pushing through the muscle wall, resulting in a swelling. This can occur

More information

Wedge incision of an ingrowing toenail

Wedge incision of an ingrowing toenail Wedge incision of an ingrowing toenail Children and young people Paediatrics Department Patient information leaflet What is an ingrowing toenail? This problem occurs when the toenail grows into the skin

More information

Investigating your suspected cancer. Having a malignancy of unknown origin (MUO)

Investigating your suspected cancer. Having a malignancy of unknown origin (MUO) Investigating your suspected cancer Having a malignancy of unknown origin (MUO) Contents 3 What is MUO? 4 What tests might you need? 6 Getting your results 6 Who can you talk to? 7 Contact details 2 What

More information

Breast ultrasound core biopsy

Breast ultrasound core biopsy Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Breast ultrasound core biopsy Radiology Department This leaflet provides you with information about our ultrasound biopsy service.

More information

CT Colonography (Virtual Colonoscopy) Patient information

CT Colonography (Virtual Colonoscopy) Patient information CT Colonography (Virtual Colonoscopy) Patient information CT colonography is a way of looking inside your bowel and abdomen. This information explains how it is done, what to expect, and the risks involved.

More information

Endoscopy Suite Patient Information

Endoscopy Suite Patient Information Having a gastroscopy and oesophageal dilatation Endoscopy Suite Patient Information Contents Introduction 1 What is a gastroscopy and dilatation? 2 What preparation will I need for my gastroscopy and

More information

Ultrasound breast coil insertion

Ultrasound breast coil insertion Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Ultrasound breast coil insertion Radiology Department This leaflet provides you with information about our breast ultrasound

More information

2012 update. Bowel Cancer. Information for people at increased risk of bowel cancer. Published by the New Zealand Guidelines Group

2012 update. Bowel Cancer. Information for people at increased risk of bowel cancer. Published by the New Zealand Guidelines Group 2012 update Bowel Cancer Information for people at increased risk of bowel cancer Published by the New Zealand Guidelines Group i Contents Introduction 1 The bowel 1 Bowel cancer 3 What are the symptoms

More information

Colon Investigation. Flexible Sigmoidoscopy

Colon Investigation. Flexible Sigmoidoscopy Colon Investigation Flexible Sigmoidoscopy What is a flexible sigmoidoscopy? Flexible sigmoidoscopy is a frequently performed test to investigate the lower part of the bowel. This is an endoscopic test

More information

Tonsillectomy. Day Surgery Unit Surgical Short Stay Unit. Patient information leaflet

Tonsillectomy. Day Surgery Unit Surgical Short Stay Unit. Patient information leaflet Tonsillectomy Day Surgery Unit Surgical Short Stay Unit Patient information leaflet What are tonsils? The tonsils are two oval lumps of tissue that sit at the back of the throat, behind the tongue. They

More information

Pain injections Discharge advice

Pain injections Discharge advice Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Pain injections Discharge advice Day Surgery Department This leaflet will give you a better understanding of what to expect

More information

The National Association of Crohn s and Colitis of Trinidad and Tobago CROHN S DISEASE AND ULCERATIVE COLITIS GENERAL PATIENT INFORMATION

The National Association of Crohn s and Colitis of Trinidad and Tobago CROHN S DISEASE AND ULCERATIVE COLITIS GENERAL PATIENT INFORMATION The National Association of Crohn s and Colitis of Trinidad and Tobago CROHN S DISEASE AND ULCERATIVE COLITIS GENERAL PATIENT INFORMATION You are reading this pamphlet because you or someone you known

More information

Rectal Bleeding. Exceptional healthcare, personally delivered

Rectal Bleeding. Exceptional healthcare, personally delivered Rectal Bleeding Exceptional healthcare, personally delivered Content n The surgical team has assessed you because you have had bleeding from the back passage (rectal bleeding). n But your condition needs

More information

Squint surgery in adults

Squint surgery in adults Squint surgery in adults Eye Department Patient information leaflet What is the aim of surgery? The main aim of squint surgery is to improve the alignment of the eyes so that the squint is less noticeable.

More information

Hydrocele repair. Paediatric Day Surgery Unit. Patient information leaflet

Hydrocele repair. Paediatric Day Surgery Unit. Patient information leaflet Hydrocele repair Paediatric Day Surgery Unit Patient information leaflet What is a Hydrocele Repair? This is the procedure that corrects the swelling of the scrotum that happens when you have a Hydrocele.

More information

Post-operative Internal High Dose Rate (HDR) brachytherapy for gynaecological cancers

Post-operative Internal High Dose Rate (HDR) brachytherapy for gynaecological cancers Post-operative Internal High Dose Rate (HDR) brachytherapy for gynaecological cancers In the clinic today, you and your doctor have agreed that you are going to have radiotherapy treatment for your cancer.

More information

Kent Oncology Centre

Kent Oncology Centre Kent Oncology Centre High Dose Rate Intracavitary Gynaecological Brachytherapy Information for patients We hope this leaflet will help you to understand about brachytherapy (internal radiotherapy) to the

More information

Bowel washout prior to a colonoscopy / reversal of stoma / fistula

Bowel washout prior to a colonoscopy / reversal of stoma / fistula Patient information leaflet Bowel washout prior to a colonoscopy / reversal of stoma / fistula Clinical Sciences Building Stoma Care Team 0161 206 4204 All Rights Reserved 2018. Document for issue as handout.

More information

ERCP. Patient Information

ERCP. Patient Information ERCP What is an ERCP? ERCP stands for endoscopicretrogradecholangiopancreatography. It is a test where an endoscopist looks into the upper part of your gut (the upper gastrointestinal tract) to see if

More information

Cardiac Magnetic Resonance Imaging (MRI)

Cardiac Magnetic Resonance Imaging (MRI) Cardiac Magnetic Resonance Imaging (MRI) Radiology Department Patient information leaflet This leaflet tells you about having an MRI Cardiac scan. It explains what is involved and the possible risks. It

More information

CT Colonography& Bowel Preparation

CT Colonography& Bowel Preparation Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust CT Colonography& Bowel Preparation Radiology Department This leaflet tells you about having a CT Colonography also known as

More information

Antegrade Ureteric Stent

Antegrade Ureteric Stent Antegrade Ureteric Stent Radiology Department Patient information leaflet This leaflet informs you about the procedure known as an antegrade ureteric stent. It explains what is involved and the possible

More information

CT guided facet joint injection

CT guided facet joint injection Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust CT guided facet joint injection Radiology Department The leaflet tells you about having a computerised tomography (CT) guided

More information

ULCERATIVE COLITIS. Sean Lynch, MD and Richard Bloomfeld, MD Wake Forest University School of Medicine Winston-Salem, NC

ULCERATIVE COLITIS. Sean Lynch, MD and Richard Bloomfeld, MD Wake Forest University School of Medicine Winston-Salem, NC ULCERATIVE COLITIS Sean Lynch, MD and Richard Bloomfeld, MD Wake Forest University School of Medicine Winston-Salem, NC What is Ulcerative Colitis? Ulcerative colitis (UC) is a disease marked by inflammation

More information