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By Dr Pranab Gyawali, Consultant Gastroenterologist

As a consultant gastroenterologist in Dubai, with over 25 years caring for Crohn’s disease and ulcerative colitis patients, I created this VLOG after seeing a rise in flu cases this season. This article and video are here to highlight the most common infections and how to avoid them.

Flu virus can affect IBD patients on biologics, but it’s preventable with vaccines.
Flu virus can affect IBD patients on biologics, but it’s preventable with vaccines.

How common are TB, flu, and pneumonia on treatment?

TB risk: ~0.1–0.2% per year (rare).

Flu risk: ~5–10% per year (common).

Pneumonia risk: ~2–4% per year (common).

Which vaccines matter most?

  • Flu vaccine — yearly injection
  • Pneumococcal vaccines — PCV13 then PPV23
  • Shingrix — two doses (non-live shingles vaccine)

Other vaccines to discuss

Depending on age, location, and personal risk, vaccines may also include hepatitis A, hepatitis B, HPV, and COVID boosters. These should be reviewed with your gastroenterologist.

Stelara vs Skyrizi Crohn’s Study Explained

How biologics work

what can I eat if I have IBD

Dr. Pranab approach to Ulcerative Colitis

Dr. Pranab approach to Crohn's treatment

If you wish to discuss this further or would like to make an appointment, please use the booking form on this page. A member of our team will contact you within 12 business hours.

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Dr. Gyawali is exclusively available at

Mubadala Health – Jumeirah, Dubai

Sunset Mall - First Floor
Jumeirah Beach Rd Jumeirah 3
Dubai, UAE

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PATIENT REVIEWS

I recently had a microbiome test conducted by Dr. Pranab, and the experience was exceptional. Dr. Pranab is a great doctor—very professional and knowledgeable. He thoroughly explained my test results and provided detailed insights into how to care for my gut health.