Hidden Ways IBD Affects You Over a Lifetime With Puja Khanna, MD

The truth about inflammatory bowel disease (IBD) is that it goes beyond the gut. In this first ever live recording of About IBD, Amber talks with Dr. Puja Khanna from Cedars-Sinai to explore the extra-intestinal impacts of IBD, from skin conditions and eye inflammation to debilitating fatigue. Learn how sex-specific factors affect women and why building a multi-disciplinary care team is the best strategy for long-term health.

Episode transcript and more information at: https://bit.ly/AIBD206

Chapters:

• (00:01): Amber introduces the first-ever live recording of the "About IBD" podcast, recorded at an event in Los Angeles.
• (01:31): Amber and guest expert Dr. Puja Khanna are introduced, detailing their backgrounds and expertise in the IBD space.
• (03:26): Dr. Khanna discusses common extra-intestinal manifestations of IBD, including issues with the eyes, liver, skin, and joints.
• (05:45): A discussion on how women are uniquely affected by IBD, including hormonal influences during puberty, pregnancy, and menopause.
• (06:30): Dr. Khanna explains the importance of a multidisciplinary care team and open communication with your gastroenterologist about all symptoms.
• (08:00): The importance of discussing reproductive health early, even in adolescence, to gather information and make informed decisions later.
• (10:18): Dr. Khanna offers advice on managing fatigue by addressing sleep, mood, nutrition, and energy conservation, even when labs are normal.
• (14:23): Amber and Dr. Khanna discuss the fine line between pushing through illness and recognizing one's capacity to avoid overexertion.
• (15:47): Dr. Khanna advises focusing on trends rather than daily details to avoid anxiety while still providing useful data to doctors.
• (20:04): Guidance on when to send a portal message versus seeking immediate care, emphasizing that patients should not hesitate to reach out.
• (22:41): How patients can understand that issues like joint pain or eye problems can be connected to their IBD.
• (26:01): Dr. Khanna explains the detective work involved in distinguishing between medication side effects and extra-intestinal manifestations of IBD.
• (30:00): Dr. Khanna discusses a multidisciplinary treatment approach that incorporates nutrition, mental health, and physical therapy alongside medication.
• (32:27): A discussion on the long-term safety of modern IBD medications and the genetic risk of passing Crohn's to children.
• (35:34): Dr. Khanna explains the role of diet, the microbiome, and specialized nutrition in managing IBD for human patients.
• (38:31): Dr. Khanna shares personal details about her family, her life in Southern California, and her experience as a triathlete.

Concepts discussed:

• Women Experience IBD Differently Than Men: Why It Matters
• Inflammatory bowel disease's gender bias
• 5 ways inflammatory bowel disease affects women differently

Find Dr Puja Khanna at:

• Twitter: @PujaKhannaMD
• Bluesky: @pujakhannamd.bsky.social
• LinkedIn: Puja Khanna, MD
• Instagram: @pujakhannamd
• Cedars Sinai: Dr Khanna

Find Amber J Tresca at:

• AboutIBD.com: About IBD
• Verywell Health: Verywell Health
• Facebook: @aboutIBD
• Twitter: @aboutIBD
• Instagram: @about_IBD
• YouTube: @AboutIBD
• Threads: @about_ibd

Find Mac Cooney (mix, sound design, and theme music) at:

• Facebook: @maccooneycomposer
• Instagram: @maccooneycomposer
• YouTube: @MacCooneyComposer
• Web: Cooney Studio
• Theme music, IBD Dance Party, is from ©Cooney Studio.

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