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Crohn s Disease

  1. The causes of Crohn’s disease
  2. The symptoms of Crohn’s disease
  3. Diagnosis of Crohn’s disease
  4. The treatment of Crohn’s disease

Crohn’s Disease

heavy recurrent inflammation of the digestive tract, which can affect any part of the digestive system. In this disease destroyed all layers of the intestinal wall.

Crohn’s disease is considered a rare disease, so it is quite difficult to diagnose, doctors often take it for ulcerative colitis. Crohn’s disease affects the large and small intestine, and other digestive system. When this diagnosis occurs acute inflammation of the tissue in the cavity of the intestines, and ulceration, scarring and other damages.

According to statistics, Crohn’s disease more often affects men than women. The first symptoms can be observed at the age from 20 to 40 years. But in children there are cases of Crohn’s disease. The acute phase of Crohn’s disease in the period of conception or during pregnancy can lead to miscarriage or the birth of a child early. Doctors do not recommend to plan pregnancy in the period of exacerbation of the disease, as it may adversely affect fetal development. In chronic course of the disease, pregnancy is possible.

The causes of Crohn’s disease

Scientists still have not established the causes of Crohn’s disease, there are several assumptions in this regard. This phenomenon can be caused by infections, as antibacterial treatment helps with the diagnosis. Another version suggests that Crohn’s disease develops due to improper work of immune system. Occur autoimmune processes that trigger the production of antibodies against the tissues of the digestive system, violated the protective mechanisms of the immune system, resulting in the development of Crohn’s disease. Plays an important role hereditary factor. In a family where there were cases of this disease, the probability of its occurrence in the direct and distant relatives.

Among the indirect causes of Crohn’s disease secrete

  • chronic diseases of the digestive system
  • viral infectious diseases
  • allergic to food
  • constant stress and mental stress
  • the regular Smoking.

The symptoms of Crohn’s disease

The symptoms of Crohn’s disease in adults and in childhood can manifest itself in different ways depending on the development of the disease. These include stomach pain, diarrhea, bleeding. Often arise anal and perianal fissures, strictures of the intestine, internal and external fistula, abscesses in the abdominal cavity. The disease can lead to complications due to lesions of the intestinal canal, which include the destruction of the tissues of the colon, large bleeding bowel.

At the initial stage the symptoms of Crohn’s disease secrete increased temperature, weakness, rapid weight loss, because the gut is inflammation and disturbed immune system. The first sign of Crohn’s disease is increase in body temperature, it is observed in one third of patients during the examination. Fever occurs in the background of purulent processes or allergic reactions.

In Crohn’s disease the person is much thinner, as reduced appetite, abdominal pain, impaired absorption of nutrients and their processing. This may occur for various violations of metabolism in the form of anemia, the increased discharge of fat in the natural process of vitamin deficiency, hypocalcemia, lack of other trace elements.

A common symptom of Crohn’s disease is abdominal pain and occurs in 85-90% of cases. Inflammation when the disease occurs in the terminal part of ileum, so the person has regular pain in lower right abdomen, it is therefore often similar to acute appendicitis or bowel obstruction. In some patients pain may manifest moderately, while there is a discomfort, heaviness and bloating, mild pain in the form of contractions, increasing in the wrong.

No less important symptom of Crohn’s disease acts as diarrhea, occurring in 90% of cases. It manifests itself not as pronounced as during ulcerative colitis. The chair can be observed 5 times during the day, colitis it comes to 10 times a day. The stool can be mushy. If inflammatory processes occur only in the small intestine, the stool is liquid and watery. In more severe inflammation and lesions severe diarrhea occurs.

For Crohn’s disease characterized by the formation of anal fissures and fistulas. Ulcers and fissures of the anal canal can occur by itself or together with the defeat of the intestine, especially the colon. Anal fissure during this disease slowly and painfully heal. Fistulas are formed in the rectum due to the opening of perianal or ileorectal purulent processes.

Diagnosis of Crohn’s disease

To confirm the symptoms of Crohn’s disease and prescribe treatment, it is necessary to conduct a survey. Diagnosis of Crohn’s disease includes a variety of methods, usually x-rays and endoscopic examination with biopsy. They allow to identify inflammatory process in one or more parts of the digestive tract, which may affect all layers of the intestinal wall. Modern medicine offers testing for Crohn’s disease, representing the detection of antibodies to Saccharomycescerevisiae, confirming the diagnosis of the disease.

Patient conduct a stool test to detect the presence of leukocytes. If they are discovered, then the intestine is an inflammatory process. Diarrhea can examine the feces for the presence of intestinal infections, helminth eggs and clostridia, and protozoa. In the diagnosis of Crohn’s disease include an x-ray with contrast to accurately determine the localization of the inflammatory process. The small intestine is investigated using barium that is inserted via a tube into the duodenum.

Methods for the study of Crohn’s disease include scintigraphy with labeled leukocytes, which distinguishes inflammatory from non-inflammatory process. It applies in the case of x-rays to determine the cause of the disease. Diagnosis using endoscopy upper or lower gastrointestinal tract allows to confirm the presence of Crohn’s disease and to determine the location of the lesion. Method colonoscopy allows us to determine the patients after the operation, the state of anastomoses, the likelihood of recurrence and effectiveness of treatment. Crohn’s disease can be confirmed by biopsy, it allows you to distinguish it from ulcerative colitis, acute colitis, to identify dysplasia or cancer.

The treatment of Crohn’s disease

Special medications in Crohn’s disease to date has not been developed. The treatment of Crohn’s disease is aimed at removing the unpleasant symptoms and to prevent possible complications. Most often it is complex and can involve a variety of methods. How to treat Crohn’s disease

  • Maintaining proper nutrition. The role of diet in the treatment of the disease is large enough, as it depends on the condition of the digestive system. In Crohn’s disease there is a high intolerance to lactose, therefore patients should exclude milk and milk-sour products were consumed useful. With the defeat of the colon is assigned a diet that includes large amounts of dietary fibers (vegetables, grains). At risk of developing intestinal obstruction such food is prohibited. After the removal of the small intestine decreases the proper digestion of fats. In this case, the diet should exclude solid fats.
  • Anti-inflammatory drugs. In the treatment of Crohn’s disease widely used derivative of 5-aminosalicylic acid. This group of drugs have anti-inflammatory effect and have been successfully used to defeat the large and small intestines. To exclude recurrence of the disease used in therapy is corticosteroids. In Crohn’s disease may be treated with folk remedies. It includes herbal therapy, relieving inflammation in the intestines and stomach of chamomile, St. John’s wort, plantain, elecampane, and others.
  • The treatment of symptoms. The patient may be administered drugs from diarrhea, to improve the condition and in some cases to reduce the development of the disease. In acute diarrhoea the food should contain fiber foods, causing fermentation in the gut. Also prescribers that govern a normal chair.
  • Long-term treatment of Crohn’s disease the patient is discharged immunomodulatory agent. These drugs are needed to reduce the activity of cell immunity and inhibition of inflammation in the cavity of the intestine.
  • Complications and ineffective treatment anti-inflammatory drugs for Crohn’s disease applied surgery. With surgery removed the affected area of the bowel or a complication of the inflammatory process stenoses, fistulas, areas of accumulation of pus. After surgery it is important to adhere to a strict diet, take drugs to improve the condition to exclude disease recurrence.

Forecasts in Crohn’s disease may be different. With proper treatment and achieve long-term remission, the patient can live a normal life, a woman can get pregnant, constantly adhering to the recommendations. Crohn’s disease is not fully cured, so it is important to follow all doctor’s advices. In severe complications of the patient’s condition depends on the extensiveness of defeat of the digestive system and opportunities to cure them.

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Crohn’s disease a serious disease of the digestive tract, manifested by inflammation of one or more of its departments and which is accompanied by ulceration of the mucous membrane of the affected area.

Crohn’s disease a serious disease of the digestive tract, manifested by inflammation of one or more of its departments and which is accompanied by ulceration of the mucous membrane of the affected area.