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Susan Watts/New York Daily News Drs. Adrian (l.) and Alexander Greenstein are a father-and-son Youth Blackhawks Jerseys team who are specialists in inflammatory bowel disease.Related Stories The Daily Checkup: Living with Crohn's disease The Daily Checkup: Help for chronic bowel disease Taking control of Crohn'sThe specialists:A father-and-son team in the department of surgery at Mount Sinai, Adrian and Alexander Greenstein perform 200 operations a year to treat inflammatory bowel disease (IBD). Adrian specializes in IBD surgery and Alexander specializes in minimally-invasive laparoscopic surgery.Who’s at risk:While inflammatory bowel disease is hardly a household word, almost 1.5 million Americans are currently living with the disease. “Crohn’s disease and ulcerative colitis are the two main forms of inflammatory bowel disease, a condition of the bowel that can cause disabling symptoms such as diarrhea, anemia and abdominal pain,” says Alexander Greenstein.“Crohn’s disease can involve any part of the GI tract, while ulcerative colitis is confined to the colon and rectum.” Despite the similar-sounding names, inflammatory Under Armor Football Jerseys bowel disease is completely different from irritable bowel syndrome.Doctors don’t yet know exactly what causes IBD. “While it’s a disease of unknown etiology, we think it’s due partially to genetics and partially to environmental factors,” says Alexander Greenstein. “It’s a disease that affects people from all ethnic backgrounds, but it’s most common in those of Northern European origin.” Men and women develop IBD in almost equal numbers.A family history of IBD is one significant risk factor. “People with Crohn’s have a 30% chance of having a relative with the disease, and 8% of patients with ulcerative colitis have a family history,” says Adrian Greenstein. NFL Cheerleader Uniforms “When two patients with Crohn’s marry, there’s a 40% chance that they’ll pass the disease on to their children.”Most patients develop IBD as adolescents or young adults. “These are diseases that occur in young patients,” he says. “The mean age of diagnosis for Crohn’s is 24-26, and for ulcerative colitis is 28.”Signs and symptoms:While IBD is not a rare disease, it may take months or years for patients to receive the correct diagnosis. “Both Crohn’s and ulcerative colitis can cause diarrhea, cramping abdominal pain and weight loss,” says Alexander Greenstein.“These are diseases that can impact quality of life. Patients unfortunately learn to live with abdominal pain and frequent trips to the bathroom. Obviously, this curtails everyday activity Kids Peyton Manning Jersey and patients may even Drew Brees Jersey Cheap be confined to their house.”Doctors Eagles Michael Vick Jersey use imaging studies to confirm the diagnosis of IBD. “For Crohn’s, we often use a small bowel series X-ray or a CT scan to show the narrowing of the bowel,” says Adrian Greenstein. “Ulcerative colitis is usually diagnosed with a colonoscopy, which allows the doctor to examine the lining of the bowel and identify the extent of the disease.”
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