Patients can existing with abdominal pain, weight loss, and diarrhea. Clinically, the arthritis that accompanies inflammatory bowel ailment arises in two distinct ways. The first pattern commonly has an effect on the greater joints with the lower extremities for example the ankles and knees. The heels might also be affected. At times the fingers or toes can swell and appear like tiny sausages. This sort of "peripheral" arthritis takes place in about 20 per cent of individuals who have inflammatory bowel disease. The activity on the arthritis parallels the gut activity. In the second type, the arthritis can have an impact on the low back- the sacroiliac joints that join the pelvis on the reduced spine. This kind of arthritis comes about in about 15-20 per cent of inflammatory bowel patients. A genetic marker named HLA-B27 is present (found through a blood test) in 50 per cent of people who've inflammation of the sacroiliac joints. Stiffness in the minimal back together with restricted array of motion is seen. This form of arthritis won't parallel the gut activity.