Crohn disease is also known as Ileitis or Enteritis. In Crohn’s disease inflammation of digestive tract occurs that results in ulceration of small and large intestine.
Crohn disease is closely related to ulcerative colitis.
But the two are different in following ways:
• In Crohn’s disease inflammation occurs in colon, rectum, small intestine and occasionally stomach, mouth, and esophagus.
But in Ulcerative colitis inflammation occurs only in the colon.
• In Crohn disease, deeper layers of bowel are involved.
In Ulcerative colitis superficial layer of bowel is involved.
Crohn’s disease and Ulcerative colitis together are known as Inflammatory bowel disease.
Small erosions occur on the surface of bowel that results in deep ulcers which causes scarring and stiffness of bowel. As the disease progresses narrowing and obstruction of bowel occurs. Due to obstruction the food and fluid from the stomach cannot pass into colon resulting in severe abdominal cramps, nausea, vomiting and abdominal distention.
Deep ulcers can perforate the walls of small intestine and colon as a result bacteria from bowel spread to adjacent organs and cause infection.
The exact cause of the disease is unknown. Studies have suggested that heredity and malfunctioning immune system may be responsible for Crohn’s disease.
Risk factors include:
• Family history.
• Age below 30 years.
Sometimes the patient may remain asymptomatic. The symptoms during the active stage of disease are:
• Severe abdominal pain.
• Loss of appetite.
• Pain while passing stool.
• Diarrhea or constipation.
• Weight loss.
• Rectal fistula.
• Sore mouth because of ulcers.
• Liver function test
• Fecal occult blood test
• Flexible sigmoidoscopy
• CT scan
• Barium enema
• Capsule endoscopy.
• Double balloon endoscopy.
• Intestinal bleeding
• obstruction of the small intestine
• liver diseases: hepatitis, jaundice, cirrhosis
• abscess formation
• rupture of the intestine
• painful eye conditions
• pain and stiffness in the joints
Medicines that may be prescribed include:
Surgery: It is needed if symptoms do not respond well to medicines. In some cases surgical removal of the entire intestine is necessary.
• Eat small amounts of food throughout the day.
• Drink plenty of water.
• Avoid foods high in fiber content.
• Avoid fried foods and sauces.
• Limit your consumption of dairy products.
The patient sometimes remains asymptomatic with episodes of flare-ups. The disease is incurable, only symptomatic relief is given by medicines.
Medicines should be continued for a long time to stop symptoms from returning.
• Hyper-sensitive to all senses.
• Effects of grief and worry.
• The rapid change of mental and physical condition.
• Weakness is felt in morning in bed.
• Dry mucous membranes.
• Craving for salt.
• Over-sensitive to all sorts of influences.
• Very sensitive as to what others say about her.
• Incarcerated flatus
• Diarrhea with tenesmus after drinking cold water.
• Swollen abdomen with much flatus.
• Right hypochondrium hot and painful.
• Swelling of the epigastrium.
• Incarcerated flatus.
• Bruised soreness of abdominal walls.
• Flatulent distention.
• Colic with upward pressure, causing short breath and desire for stool.
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