An integrative approach to prevention of IBD flares

The case of a patient who seeks non-drug options to treat her colitis — but continues to smoke

Lana is a 48-year-old woman who suffered a one-week history of abdominal cramps, diarrhoea, PR bleed and mucus.

She is otherwise well but smokes 5–10 cigarettes a day. She has a family history of bowel cancer: her grandfather died from it at the age of 60.

Lana had had no loss of weight or appetite and her BMI was within the normal range. Blood tests did not demonstrate anaemia or any other anomaly, except low serum vitamin 25(OH)D, at 20nmol/L.

She had already sought urgent referral to