Monthly archives: January 2023

2 posts

Gut feeling, Part 2: Butterflies in the stomach or something serious?

Picture: Pixabay

Today, more than 56 000 patients in Finland (with 2500 new cases per year) are diagnosed with the chronic inflammatory bowel diseases (IBD), Ulcerative colitis or Crohn’s disease. The IBD patient numbers in Europe and North America are reaching 4 million. These cases are now rising at a worrying speed here at home especially in youth, and overall in the developing countries. 

How do we as individuals and the clinicians then know if something serious is going on in the gut, or, if we are in an unusually stressful or exciting period with “butterflies in the stomach”?  Nevertheless, the increasing prevalence of various gut disorders requires a major attention from both the healthcare and research communities.

To differentiate between the many gut ailments, robust, specific, easy to perform and preferably inexpensive and non-invasive biomarkers are needed. Disease modeling and defining the cellular and molecular biology behind the diseases, are necessary to understand disease development and to identify better biomarkers.

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Gut Feeling, Part 1: The complex gut and its superheroes

Picture by Public Domain Pictures.net

Inflammatory bowel disease, ulcerative colitis, Crohn’s disease, microscopic colitis, lymphocytic colitis, collagenous colitis, leaky gut, irritable bowel syndrome, celiac disease  – a long list of some of the different ailments and diseases that can occur in the intestine. Complications in diagnosing and treating these conditions, that often have a chronic inflammatory component, is due to that:

a) the underlying cellular and molecular mechanisms are poorly known,
b) several unknown sub-diseases or disease variants likely exist,
c) the causes can be multifactorial, and,
d) the diagnostic methods are often invasive and not always diseases-specific.

So, there is a lot for us scientists to do, even if we know that the old saying “An apple a day keeps the doctor away” holds a lot of truth.

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