Crohns disease is long term inflammation and irritation in the digestive tract. It is a type of inflammatory bowel disease. Crohns disease can affect any of the tract from mouth to anus. It is more common in the end of the small intestine or beginning of large intestine. Crohns can have flare ups and periods of no symptoms called remission.
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The risk of Crohns disease is higher in those with:
- Family members with Crohns
- Tobacco use disorder
- Low activity levels
- Stress-related disorders
- Regular use of medicine, such as antibiotics and nonsteroidal anti-inflammatory drugs
- Infections of digestive system, such as salmonella or campylobacter gastroenteritis
The doctor will ask about your symptoms and past health. A physical exam will be done. Blood and stool tests will be done to look for any problems and rule out other issues. Scopes can be done to look for areas of inflammation. This can be done with:
- Upper endoscopy
A sample of intestine may be removed with a scope for biopsy . The sample will be sent to a lab for testing.
Special dyes may also be used to help highlight the intestines in other image tests such as:
- Upper gastrointestinal series
- Lower gastrointestinal series
- CT scan
- MRI scan
There is no cure. Flare up treatment will manage symptoms and try to avoid other problems from starting. Treatment may also be used during remission to prevent flare ups. The treatment plan can vary. Some step may include:
Medicines to help:
- Reduce inflammation—may be short term for flare ups
- Lower immune system response—may be long term medicines to help prevent flare up
- Manage pain, diarrhea or nausea
- Bowel rest for severe bout of inflammation—no food, only drinking nutritious drinks for a time.
- Nutrition support—vitamins or supplements to improve nutrition during flare up.
- Surgery—to removed damaged areas, improve severe symptoms, or treat complications of Crohns.
Other treatment may be needed to treat other problems caused by Crohns.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (CD; Regional Enteritis)
Crohn's & Colitis Foundation http://www.crohnscolitisfoundation.org
National Institute of Diabetes and Digestive and Kidney Diseases https://www.niddk.nih.gov
Crohn's and Colitis Canada http://crohnsandcolitis.ca
Health Canada https://www.canada.ca
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What is Crohn's disease? Crohn's & Colitis Foundation website. Available at: http://www.crohnscolitisfoundation.org/what-are-crohns-and-colitis/what-is-crohns-disease. Accessed March 16, 2021.