IBD Treatments NYC - Dr. John Salerno

Inflammatory Bowel Disease Medical Treatments by Salerno Wellness in Manhattan, NY, and Connecticut.

Hello, I’m Dr. John Salerno. I understand how much IBD can impact your daily life, from managing unpredictable symptoms to the emotional toll it can take. My focus is on addressing the root causes of your symptoms through complementary, functional, and integrative treatments to restore balance to your body. Together, we’ll find a path forward that’s tailored to your unique health needs and offers real relief. 

-Dr. John Salerno

What is Inflammatory Bowel Disease (IBD)?

Inflammatory Bowel Disease (IBD) is a collective term for two different types of long-term inflammatory conditions of the gastrointestinal (GI) tract. They are: Crohn's disease and ulcerative colitis. IBD results from an irregular response of the immune system, where the body's defense attacks and damages normal tissues of the digestive tract. This is chronic inflammation of the GI tract that isn't well understood, but is due to some combination of genetic susceptibility and an overactive immune system.

Crohn's disease can happen in any part of the digestive system, from mouth to anus, and causes inflammation in the deep tissue layers. Ulcerative colitis, on the other hand, typically only affects the colon and rectum, and the inflammation is more superficial. Both Crohn's and ulcerative colitis are also characterized by periods of increased activity (flares) and periods of remission. Symptoms of IBD can range from mild to very debilitating. They may include severe abdominal pain and diarrhea. The long-term inflammation can cause serious problems like intestinal damage, nutrient deficiencies and a reduced quality of life.

Symptoms of Inflammatory Bowel Disease

IBD symptoms tend to vary based on the type of IBD you have, the inflammation’s location, and disease severity. These can be chronic and can make life difficult or uncomfortable. Some common symptoms experienced by individuals with IBD include:

• Diarrhea - Diarrhea that is persistent or chronic is one of the most common signs of IBD. The constant elimination of waste can cause dehydration, loss of water, and electrolyte imbalances. Diarrhea can be a nuisance that comes and goes or can be experienced several times a day over many years.

• Abdominal Pain and Cramping - Abdominal pain and cramps that are severe and occur often are another key IBD symptom. As a result of intestinal wall inflammation, there will be pain, and this will be even worse during IBD flare-ups. Some people find it difficult to eat or do daily tasks because of their abdominal discomfort.

• Fatigue - Feelings of exhaustion or fatigue and a lack of energy is another common IBD symptom. This is caused by the inflammation and the body’s efforts to heal itself. Fatigue may also be intensified by poor nutrient absorption or anemia, which can also be a side effect of IBD.

• Weight Loss and Malnutrition - IBD symptoms can include unexplained weight loss caused by the digestive system’s inability to absorb nutrients and vitamins from food properly.

• Blood in the Stool - Bloody stool or passing blood through the rectum is a sign of inflammation in the lower digestive tract for many people and is a symptom of ulcerative colitis. Rectal bleeding may worsen over time along with other IBD side effects like anemia.

• Urgent Bowel Movements - IBD sufferers experience frequent bowel movements and a need to rush to the bathroom to empty the bowel. This can cause sleep and day-to-day activities to be interrupted. The inability to fully empty the bowel is often associated with the urgent bowel movement symptom.

• Fever - IBD also can cause low-grade fevers, especially during flare-ups. Fever is one of the common signs of IBD, and although it can be severe at times, it is more common in a low-grade state.

• Joint Pain or Skin Problems - Inflammation from IBD can spread to other areas of the body beyond the GI tract, such as the joints and skin. This can lead to joint pain or stiffness and skin rashes or ulcers.

Common Causes of IBD

The primary cause of IBD is unclear but numerous known factors can contribute to this condition. Genetics are a factor in most patients as the risk of IBD is greater in individuals with family members who have the disease. Other factors include elements of an individual's environment, such as their diet, pollution, or exposure to medication (especially antibiotics), as potential triggers for IBD. Stress and lifestyle also have a proven role in the exacerbation of the disease, a complex correlation between mental and physical health. Changes in the gut microbiota, or the collective microbes that populate the digestive system, have been found to be highly related to IBD development.

The gastrointestinal immune system may become over sensitized and attack healthy tissue as a result. Autoimmune dysfunction is a well-known cause of IBD, with the immune system misidentifying normal cells in the body as threats. The bacteria that line the intestines, known as the epithelial barrier, may be changed and can add to intestinal inflammation. Exposure to antibiotics and/or infection in early childhood has also been linked to developing IBD in the future. These causes are numerous and varied, which makes a personalized approach to treatment crucial.

Associated Conditions Treated at Salerno Wellness

IBD is commonly found along with a number of associated conditions. These should be addressed to give a patient the best chance at a complete recovery:

• Irritable Bowel Syndrome (IBS) - This is a non-inflammatory condition that mimics IBD symptoms and responds to many of the same treatments. The key is to get the underlying gut health issues that are causing symptoms resolved.

• Celiac Disease - Gluten sensitivity can worsen many GI symptoms and should be identified early.

• Malnutrition - Inflammation and damaged tissue can result in deficiencies in everything from B12 to iron.

• Arthritis - Inflammation can result in joint pain and requires management in tandem with the intestinal issues.

• Psoriasis - An inflammatory skin condition that should be addressed as part of a patient's care.

• Gallstones - Chronic inflammation can lead to gallbladder issues.

• Kidney Stones - Imbalances of various minerals can increase the risk of kidney stones.

• Liver Disorders - Conditions such as primary sclerosing cholangitis can arise due to chronic inflammation.

Those seeking restorative rather than purely symptomatic care, incorporating holistic alternatives, align well with Dr. Salerno's approach. Similarly, individuals suffering from coexisting immune, skin, or joint conditions may find relief through functional interventions. If you're concerned about the long-term side effects of pharmaceuticals, you may be an ideal candidate for Dr. Salerno's evidence-supported treatments. Finally, those desiring a partnership in personal health decisions can thrive under his patient-centered care model.

The Approach to Treating IBD by Conventional Medicine

Approaches in conventional medicine focus on relieving symptoms but they may not address the root causes. Treatment for IBD often starts with the use of anti-inflammatory drugs like aminosalicylates and corticosteroids. They work by reducing the inflammation in the gut during a flare-up. Doctors also commonly prescribe immunosuppressants like azathioprine and methotrexate to suppress the immune system and help reduce the overactive response that leads to chronic intestinal damage. Biologic therapies are becoming a popular treatment option for moderate to severe IBD. These are medications that block the proteins causing inflammation in IBD.

For example, TNF inhibitors like infliximab help reduce inflammation and healing of the intestinal lining. In some cases, your doctor may recommend antibiotics for infections that are complicating IBD symptoms. In more extreme cases, surgery is an option, if other treatments have failed or there is a great risk. This may be the case if your intestine is severely damaged or at risk of becoming irreversibly blocked. Surgery aims to remove sections of the diseased intestine while preserving as much healthy tissue as possible. A colectomy or bowel resection are two common examples.

Inflammatory Bowel Disease (IBD) Treatments by Dr. John Salerno

When treating IBD, Dr. John Salerno’s primary goal is to identify and address the underlying cause of symptoms while promoting long-term gut health. He typically begins by conducting thorough diagnostic testing to identify possible triggers such as food sensitivities, microbiome imbalances, or nutrient deficiencies. Personalized dietary recommendations are often a cornerstone of his approach, focusing on an anti-inflammatory diet that minimizes digestive system strain.

He incorporates scientifically validated supplements, such as probiotics and omega-3 fatty acids, to aid in gut healing and immune balance. Intravenous (IV) nutrient therapy may be employed, depending on the patient’s needs, to bypass digestive issues and deliver essential vitamins directly to cells. Stress management strategies are also implemented, recognizing the impact of emotional well-being on gut health. Functional and integrative therapies are combined with conventional medicine only when necessary, providing a well-rounded and practical treatment approach. His commitment is to help patients regain control over their lives, reduce flare-ups, and support long-term remission.

Side Effects of Treatment

Although treatment by Dr. John Salerno is designed to be as gentle as possible, there are some side effects that can be experienced. Minor digestive disturbances are sometimes reported by patients who modify their diets as the digestive system adapts to different types of food. Supplementing with certain nutrients such as probiotics can result in temporary bloating or gas as the gut bacteria rebalance. IV nutrient therapy is very safe, but in some cases, there can be a little swelling or bruising at the injection site. In rare cases, some patients may have a sensitivity or mild allergic reaction to a particular supplement and feel a little itchy. There can also be some emotional releases as the stress management part of the treatment program works to uncover and resolve underlying mental health issues. Side effects will be monitored and the treatment plan adjusted to ensure the patient is always comfortable.

What Can Happens if Inflammatory Bowel Disease is Untreated

If IBD is not treated, the inflammation of the gastrointestinal tract may continue to worsen and cause damage. There may be an increased risk of developing complications like strictures in the intestines, which are areas where the intestines have narrowed and make it painful and difficult to digest food. Fistulas may also form, which are abnormal connections between organs or between the skin and an organ, and may require surgical repair. Nutritional deficiencies from reduced nutrient absorption can make the body more vulnerable to other illnesses.

There is also the possibility that untreated inflammation can lead to precancerous changes or even colorectal cancer over time, especially in people with a long history of ulcerative colitis. The chronic pain and discomfort can have a negative effect on mental health, with a higher risk of anxiety and depression. The quality of life may also suffer as people are more likely to be disrupted by flare-ups and unable to enjoy social activities and relationships. It can also lead to financial and emotional stress due to hospitalizations and loss of work or social opportunities. Addressing the condition early is critical to avoiding these serious consequences and improving quality of life.

IBD Patient Case Study

Meet Lisa, a 38-year-old school teacher from New York City. Lisa spent several years suffering from unpredictable and debilitating symptoms before finding relief. Lisa came to see Dr. Salerno for her chronic diarrhea, severe abdominal pain, and drastic weight loss. She had been through numerous testing and treatment cycles that only provided temporary symptom relief without addressing the root causes. At her initial visit, Dr. Salerno ordered a series of functional medical tests to uncover the triggers and imbalances at play. Lisa had a significant imbalance in her gut bacteria as well as gluten and dairy sensitivities.

Dr. Salerno put Lisa on a personalized treatment protocol including an anti-inflammatory diet and targeted probiotic regimen. Lisa also began IV nutrient therapy to replace the vitamins she was deficient in and provide additional energy support. He also slowly weaned her off of previous medications as her symptoms improved. With consistent follow-up visits, Dr. Salerno also incorporated stress reduction techniques, including mindfulness and breathing practices, to help her cope with and reduce flare-ups. Within 6 months, Lisa was experiencing far fewer symptoms and regaining her strength. She had the first sense of control over her life in years. By uncovering the root causes and utilizing functional practices alongside targeted medical care, Lisa is now able to enjoy several months of remission at a time. Today, Lisa is back at work, enjoying her hobbies, and living life with new confidence and vitality.

Why Patients Choose Dr. John Salerno

Patients pick Dr. John Salerno for his patient-centered approach, focus on root-cause solutions, and unwavering commitment to restoring health and wellness. With over 30 years of experience, he skillfully integrates advanced integrative and functional medicine approaches with traditional treatment methods. Each care plan is fully personalized, taking into account the unique challenges and goals of each patient. Rather than offering cookie-cutter or quick-fix treatments, Dr. Salerno is dedicated to long-term wellness and empowering patients with the tools and resources they need for lifelong health.

His depth of knowledge extends to a full understanding of the role emotional, lifestyle, and immune system factors play in conditions such as IBD. Patients also appreciate his compassionate bedside manner, open communication, and collaborative treatment approach. He makes sure that patients fully understand their conditions and all aspects of their treatment plans so that they can make informed decisions about their care. His state-of-the-art treatment facilities located in Manhattan and Connecticut allow Dr. Salerno to offer world-class care with easy access and convenience.

By addressing both physical and emotional factors, treatments aim for lasting improvements and a better quality of life. Every step of the way, you'll have a partner in care who listens, understands, and provides solutions. Don't wait until symptoms worsen, early intervention is key to preventing complications and enjoying a healthier future. Dr. Salerno is here to guide you on this important journey. Contact Salerno Wellness today to schedule your consultation and take the first step toward a brighter, symptom-free tomorrow.

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Additional References

• Inflammatory Bowel Disease (IBD) Basics - CDC
• Inflammatory Bowel Disease - Office on Woman's Health