IBD — Inflammatory Bowel Disease

Inflammatory bowel disease is a term used to refer to any condition that involves ongoing inflammation of the digestive tract. Ulcerative colitis and Crohn’s disease are examples of inflammatory bowel disease.

Inflammatory bowel disease can interfere with daily functioning, and in some cases, it can cause life-threatening symptoms. It is considered a chronic condition.

What causes inflammatory bowel disease?

The exact cause of inflammatory bowel disease is uncertain. While stress and diet may make symptoms worse, they do not cause inflammatory bowel disease. Inflammatory bowel disease may be due to genetics. Another potential cause is an immune system response. When the body’s immune system attacks a virus, it may inadvertently attack cells in the digestive tract, causing inflammatory bowel symptoms.

What are the complications of inflammatory bowel disease?

Inflammatory bowel disease can increase the risk of colon cancer. People with inflammatory bowel disease are also more susceptible to arthritis as well as skin and eye inflammation. Other complications include blood clots, liver damage, and serious side effects from medications used to treat inflammatory bowel disease, such as high blood pressure and increased risk of cancer. Someone with inflammatory bowel disease may also be susceptible to issues like bowel obstruction, anal fissures, malnutrition, severe dehydration, and perforated colon.

How is inflammatory bowel disease usually treated?

Medications and surgery are the common treatments for inflammatory bowel disease, and the ultimate goal is to reduce the inflammation that triggers symptoms. With reduced inflammation, people with inflammatory bowel disease can experience relief, as well as remission and a reduction in the risk of complications. Specific anti-inflammatory drugs, as well as immune system suppressors, can be effective for treating inflammatory bowel disease. Doctors may also prescribe antibiotics or a class of drugs called biologics. Some people may also take pain relievers, anti-diarrheal medications, or vitamins and supplements to manage symptoms. Surgery may be necessary to remove the colon and rectum in the case of ulcerative colitis, or to remove damaged parts of the digestive tract in the case of Crohn’s disease.

Common Symptoms

  • “I have a limited appetite, and I have started to lose weight without trying.”
  • “I struggle with ongoing stomach pain and cramping, as well as diarrhea.”
  • “I have significant fatigue throughout the day, and when symptoms are flaring up, I have blood in my stool.”

Sources:

https://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/symptoms-causes/syc-20353315

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What They Are Saying

Judith P.
Everyone was most friendly. helpful, and knowledgeable.
Tom F.
Dr. Sante Bologna, this guy is professional and personable, anesthesiologist, comforting, Informative front desk, staff, professional, and friendly to make me feel welcome and comfortable , I don't think I I was in the waiting room five minutes Before the young and energetic staff asked me to go with them. This is the place to be if this is a place you've got to go lol
cindy M.
The staff were very friendly and kind. Private bathroom needed in waiting area.
Gino L.
Excellent facility and staff. They are on top of the patients needs and concerns. A little overkill on the pre test/op communications and early communication. 2 weeks would be plenty of notice and 2 times during those 2 weeks. Dr Bologna is excellent and thorough in his work. Definitely recommend this medical office!
Frank S.
Colonoscopy prep information, guidance, supplies and follow up texts during prep time were a nice touch. Very efficient visit for the procedure. Was out 1 hour and 5 minutes past my appt.
Kevin
Very knowledgeable and professional and willing to take as much time with you as needed.
F S.
The staff kept checking to make sure I was comfortable. After the procedure Dr. Quallick took the time to thoroughly explain what he had done. Great experience once again.
Yvonne Q.
Dr. Weber and all his staff were very professional and caring.
Joann K.
excellent experience with PA Noelle. very thorough andd good advice.
candace
Everyone was very sweet,nice and understanding. I really can't think of anything I was disappointed in my morning I spent there during my procedure. THANK YOU DOCTOR AND STAFF
Lori M.
Friendly and knowledgeable staff.
Jay 1.
Ruth had an endoscopy done recently. All was professional, efficient, with summary by Dr Nandi before leaving. Always have a good experience at this office.d
K T.
Everyone was very kind, professional and caring. Dr. Bologna is the best! Very clean facility. I highly recommend.
George K.
I had a procedure this morning with Dr. Nandi at the Surgical Centers of Michigan located on Investment Drive. Dr. Nandi as always was the most professional and caring doctor that I have encountered. But, what impressed me was the staff in the office. The TEAM (receptionist, the nurse who checked me and made me ready for the procedure, Anesthesiologist and nurse in the procedure room, the recovery room nurse, the PA who called me later in the day to check-up on me) showed me such care and compassion. It made me feel as if I was the most important patient that they would encounter. It is obvious that these professionals love what they are doing. They love helping others. That made all the difference to me. Thank you.
Anna M.
The staff and doctors are courteous and caring from check in to the time of check out. I have recommended the Romeo Plank office to my family and friends.
Tracey V.
Caring Staff, clean facility, organized and efficient all around. Dr. Bakken was soft spoken, caring and very thorough.
Pamela R.
They are professional but a family atmosphere. Very caring, explain things thoroughly and makes one comfortable. Dr Quallick is a wonderful doctor and professionally knowledgeable with his patients. We live 2 hours away from Troy and drive the distance for their care!
Madhavan D.
Clear instructions, frequent reminders and professional and friendly service
LiAnne E.
I've been in desperate search for a new GI for quite some time now after not experiencing much with my last one. I got in to see Dr. Khan a week after calling due to a cancellation, while other places were booked out months ahead. The Macomb office was clean and her medical assistant Margaret is so sweet, empathetic, and easy to talk to. Dr. Khan was very honest, efficient, and clear in explaining every option. So far, since my first appointment, I've already done three different tests and am super impressed with the very active follow-up and helping me hopefully (finally) resolve my ongoing stomach issues!! I have already recommended them to all my other friends who also experience similar GI related issues.
Michael W.
The staff, from doctor to receptionist were very personable, professional and caring for my needs. It isn't my first interaction and I expect follow up interactions to be likewise. Thanks and praise to all.
Steve C.
The staff was extremely professional, knowledgeable and patient during my entire visit. They did an awesome job reassuring me and answering all my questions.
Traci A.
Everything about my visit for my colonoscopy was great! The entire team was fantastic! Love Dr. Donat! Was in and out no issues at all! Thank you to the entire team who cared for me on Wednesday!
Sandra G.
Wonderful, friendly and professional staff, made me feel very comfortable. Highly recommend them!
James W.
Office was packed with patients at 7:30 am. I was 10 minutes early. Patients were called and moving. My appointment was smooth the whole time from start to finish. Extremely efficient office. I saw 6 different people and all 6 were friendly, smiling, competent, and kept me comfortable and at ease. Pre-office procedures and calls were 100% the best. I love this office!
Kay B.
I had a colonosopy that gave the doctor a diagnosis and treatment plan. I am happy with the result.
David
Very friendly made me feel comfortable and told me what they were doing step by step. Highly recommend.
Terri S.
Very nice facility with friendly, efficient staff.
Elizabeth S.
Every person on staff I interacted with was great. They were knowledgeable, friendly and kind. Made entire endo process much easier for me.
Karen M.
As much as no one looks forward to a colonoscopy, my experiences with the center and your wonderful staff makes such a huge difference!! Kind, caring and especially getting the 2nd warm blanket!!

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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