Crohn's Disease

Crohn’s disease is a chronic inflammatory bowel disease (IBD), which is inflammation of the digestive, or gastrointestinal (GI) tract and typically involves the small bowel in those who have the disease.

Our team offers experiences, coordinated care from providers who specialize in disorders of the digestive tract. We have an inflammatory bowel disease clinic that delivers comprehensive clinical care to those with crohn’s disease and ulcerative colitis by providing access to a highly trained team of experts in IBD management. There are personalized treatments through clinical trials  and delivering the latest IBD-related information through education.

Treatments for Crohn's Disease

Crohn’s disease will always require management. The typical treatment includes medication, but will vary based on your care needs. Treatments for Crohn’s disease will vary based on how you’re feeling; whether in remission or if the disease is progressing. Our team works with you through any transition for your continued care.

Bowel Rest
Taking a break from eating and sometimes drinking can give you a chance to heal. You’ll work with your doctor to get intravenous nutrition during bowel rest.

Diet and Nutrition Counseling
Our dietitians will work with your doctor to get your diet to cooperate with your condition. We will help identify trigger foods to avoid while helping you enjoy meals.

Infusions
Stronger medicines are delivered through a catheter or intravenously to treat Crohn's symptoms, especially when other medicines are no longer effective.

Nutritional Supplements
For some people, Crohn’s makes it difficult to get enough nutrition from diet alone. Nutritional supplements can be an important part of managing care.

Surgery
Up to 20 percent of people with Crohn's disease will need surgery. Surgeries don’t cure Crohn’s but they do fix problems like a blocked intestine, bleeding, tears or abscesses.

images
What Is Crohn’s Disease?

Crohn’s disease is a disorder that causes inflammation (swelling, irritation) of the wall of the bowel (intestines). Nutrients and vitamins in food may not be easily absorbed.

Most people have this disorder throughout life, but with treatment most people can often live a normal life. It can occur at any age but is most commonly diagnosed before age 30 and is slightly more common in whites. It is not contagious and cannot be prevented.

What Causes Crohn’s Disease?

The cause is unknown. It’s thought to be an autoimmune disease, which means that the body’s immune system reacts against its own tissues. It seems to run in families.

What Are the Symptoms of Crohn’s Disease?

Common symptoms include middle or lower abdominal (belly) pain (may be worse after eating), and diarrhea (sometimes bloody). Other possible symptoms are joint pain, eyelid redness and swelling, skin lesions, mouth sores, weight loss, tiredness, and fever.

Many complications, such as bowel blockages, can occur. Fistulas (abnormal passages) and fissures (cracks in the skin) in and around the anus and rectum can form and lead to infections.

How Is Crohn’s Disease Diagnosed?

The health care provider uses symptoms, blood tests, and abdominal CT to make a diagnosis and exclude other causes. The health care provider may suggest seeing a digestive disease specialist (gastroenterologist).

Colonoscopy is used to examine the inside of the large intestine (colon). In colonoscopy, the gastroenterologist inserts a flexible tube (which holds a scope and camera) into the rectum and then up into the intestine. During this test, the doctor takes a sample of tissue (biopsy) for study with a microscope.

images
How Is Crohn’s Disease Treated?

The goals of treatment are to relieve symptoms, control inflammation, and prevent complications. People without symptoms need no treatment. Mild diarrhea is controlled with medicine and dietary fiber. Severe symptoms need antiinflammatory drugs such as prednisone. Antibiotics may help infections when present. Pain relievers are given for abdominal pain and cramping; vitamin and mineral supplements, for malnutrition. Diet changes such as adding some fiber also help. Medications that suppress the immune system may be necessary to control symptoms. High-nutrition liquid formulas may be used during severe symptoms to rest the intestines.

About 70% of people need surgery for symptoms. During surgery, part of the intestine is removed. In some cases, intestines are temporarily connected to a pouch attached outside the body (ileostomy pouch), which allows going to the bathroom while allowing another part of the intestines to heal.

DOs and DON’Ts in Managing Crohn’s Disease:
  • DO stay active, except when you must rest because of symptoms.
  • DO take medicines as advised by your health care provider.
  • DO follow the diet plan from your health care provider and dietitian.
  • DO see your health care provider regularly.
  • DO tell your health care provider if you have medicine side effects.
  • DO call your health care provider if you have a fistula and leak stool through the skin or vagina, have increased number of bowel movements, start bleeding, or have tarrylooking stool.
  • DO call your health care provider if you get fever or chills or a swollen abdomen.
  • DO follow up with a doctor who specializes in disorders of the intestines (gastroenterologist).
  • DON’T eat a fatty diet.
  • DON’T eat foods that irritate your bowels or drink coffee and alcohol.
FOR MORE INFORMATION

Contact the following sources:

  • Crohn’s and Colitis Foundation of America
    Tel: (800) 343-3637
    Website: http://www.ccfa.org
  • National Digestive Diseases Information Clearinghouse
    Tel: (800) 891-5389
    Website: http://www.niddk.nih.gov/health/digest/nddic.htm

Copyright © 2016 by Saunders, an imprint of Elsevier, Inc.

Ferri’s Netter Patient Advisor