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THE GASTRO-INTESTINAL CLINIC
Inflammatory bowel diseases (IBD) is a term encompassing several conditions involving chronic inflammation in the gastrointestinal tract with two major forms: ulcerative colitis (UC) and Crohn´s disease (CD). Environmental factors, infectious microbes, genetic susceptibility, ethnic origin and a dysregulated immune system are shown to be critical factors in the pathogenesis of IBD1. In 20 to 30% of IBD cases, patients do not meet the diagnostic criteria of UC or CD and are classified as chronic IBD (cIBD) or IBD unclassified (IBDU)2-4. The symptoms of IBD are relatively unspecific and only a few if any endoscopic or radiologic findings may unequivocally distinguish between UC and CD. The picture is further complicated by the fact that other gastrointestinal disorders like irritable bowel syndrome (IBS) can present symptoms very similar to IBD making the differentiation of IBS and IBD difficult. Moreover, some IBS cases may develop IBD or mild IBD however retain predominantly IBS-like symptoms5. Critical for making the distinction is a careful history assessment, various laboratory tests for general signs of inflammation (e.g. CRP, ESR, platelet count) and endoscopic, histological and radiological investigations. IBD serological tests and faecal markers have been intensively investigated to enhance the diagnosis of IBD. Faecal markers such as lactoferrin and calprotectin are indicative for any inflammation in the gastrointestinal tract. They can discriminate between inflammatory diseases and functional disorders without inflammation but not between UC and CD. Once your exact condition has been established by laboratory tests I use, I customised a personalised diet plan and formulate Phytomedcines, which have been proven very successful to treat IBD and IBS.
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Woman and Home Magazine 01/2009 Fiona Trimmer, 46, a housewife from Sanderstand reports about her successful eczema treatment with Claudia Louch: 'Following Claudia advise has helped clearing my eczema.'
Healthy Magazine 01/02 2009 Q&A Ask the experts: Claudia is asked by the reader Jenny Croft: 'How can I ward off chilblains this winter?'
BBC 2 Claudia Louch features as the BBC's Nutritionist in the program series 'The Supersizers'.
The
Observer
Magazine 03/08
Natural
Health
Magazine 02/08
Zest Magazine 01/08
Tatler
11 & 12/07 & 01/08 Family
Health 08/07 |