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IBD in India is underdiagnosed or misdiagnosed, and is often mistaken for common conditions such as infections or irritable bowel syndrome
Digestive and bowel issues are still not openly discussed in Indian families, but breaking this silence is essential for early treatment and counselling
Inflammatory Bowel Disease (IBD), which includes ulcerative colitis and Crohn’s disease, is a chronic condition that triggers inflammation in the digestive system. It affects a person both physically and mentally. Overseas, the illness is well studied and effectively treated through collective awareness, early diagnosis, and access to medical care.
In India, however, the disease is often disregarded. Still considered rare, it is now being reported more frequently, particularly in urban centres. From a mere 0.1% in 2006 to more than 5% by 2022, the incidence rate has risen sharply. More than a doctor’s statistic, this is an alarm bell. The increase has been linked to the westernisation of eating habits, stress, sedentary lifestyles, and unrestricted antibiotic use, all of which can disrupt gut health and contribute to the disease. Despite this surge, IBD in India is underdiagnosed or misdiagnosed, and is often mistaken for common conditions such as infections or irritable bowel syndrome.
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The absence of early diagnosis exacerbates symptoms that could otherwise be managed or prevented. Gut health is not openly discussed in India due to stigma and low awareness, but rising cases and lifestyle-related risks make it more important than ever to diagnose IBD early and raise awareness to improve outcomes and provide timely treatment.
Significance of Early Diagnosis
Common signs of IBD include chronic diarrhoea, crampy abdominal pain, unexplained weight loss, fatigue, and blood in the stool. However, these symptoms are often misinterpreted as routine gastrointestinal ailments in India, where self-treatment is widespread. This causes delays in referrals to specialists.
Timely diagnosis can make a significant difference. Once patients are aware of their condition, they can seek treatment that helps manage inflammation, relieve symptoms, and avoid complications in the long run. Without proper and timely diagnosis, IBD can lead to serious health challenges such as intestinal damage, anaemia, and malnutrition.
Early diagnosis also improves the mental and emotional well-being of patients. Unexplained pain, repeated hospital visits, and uncertainty about the illness often trigger depression and anxiety. Awareness of the condition and its management empowers patients to lead more comfortable, fulfilling lives.
Countering Current Disease Ignorance
In India, IBD remains an unfamiliar ailment. This lack of awareness fuels stigma, delays treatment, and causes social isolation. Awareness campaigns can play a crucial role in changing this. Events like World IBD Day on 19 May help inform the public about the disease, its symptoms, management, and the importance of timely treatment.
Awareness also encourages patients to seek medical assistance. Digestive and bowel issues are still not openly discussed in Indian families, but breaking this silence is essential for early treatment and counselling. Awareness initiatives can also influence health policy, encouraging the government to invest in better facilities, diagnostic equipment, and specialist training.
The psychological impact of IBD is also frequently overlooked. Many patients struggle with shame, loss of employment or school days, and social withdrawal. Anxiety and depression are common. Open communication and awareness can significantly reduce this burden.
Making IBD Visible
IBD is no longer a rare disease in India. It is emerging as a community health issue due to lifestyle and dietary triggers. Yet, there is hope: effective management is possible with early detection and greater awareness.
Doctors, public health professionals, the media, and communities must work together to raise awareness, reduce stigma, and improve access to timely care. With early warning signs recognised, much of the pain and disruption caused by IBD can be prevented, allowing patients to seek care on time.
Though IBD remains a silent disorder, its impact is real. With timely medical intervention, greater awareness, and social understanding, people living with IBD can lead active and healthy lives.
About the Author

Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl…Read More
Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl… Read More
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