 Elderly onset inflammatory bowel disease, IBD, is not uncommon in India, with a prevalence of 4.74%. This is significantly lower than the prevalence of adult onset IBD, which ranges between 5 to 10%, suggesting that elderly onset IBD may be less severe than its adult counterpart. The most common presentations of elderly onset IBD are diarrhea, blood and stool, and nocturnal frequency and pain abdomen in ulcerative colitis, UC, and pain abdomen, weight loss, and diarrhea in Crohn's disease, CD. The most common disease locations in UC are left-sided colitis, while in CD it is isolated ileal disease and inflammatory behavior. The most commonly prescribed drugs for elderly onset UC in CD are 5 amino salicylic acid derivatives, thiopurine, and biological agents. Colorectal cancer is also more common in elderly onset IBD. This article was authored by Yogesh Kumar Gupta, Arshdeep Singh, Vikram Narang, and others. We are article.tv, links in the description below.