While the exact cause of Crohn's disease is unknown, the condition is associated with the problem of immune system. Usually the immune system protects the body, but with Crohn's disease the immune system can not distinguish between healthy body tissue and foreign substances. As a result of overactive immune response that leads to chronic inflammation. This is called an autoimmune disease. People with Crohn's disease are ongoing (chronic) inflammation of the gastrointestinal tract. Crohn's disease can occur in any area of the gastrointestinal tract. There may be a healthy area of tissue between the diseased area. The inflammation causes the intestinal wall to become thick. There are different types of Crohn's disease, depending on the side of the gastrointestinal tract that are affected. Crohn's disease can cause small intestine, colon, rectum or mouth. Genes and environmental factors seem to play an important role in the development of Crohn's disease. The body may go too far in the normal bacteria in the gut. The disease can occur at any age, but usually it occurs in people aged 15 - 35. Risk factors include:
Symptoms depend on which part of the gastrointestinal tract is affected. Symptoms range from mild to severe and may come and go with periods of exacerbation. Spastic pain with passing stool (persistent, watery >> << (usually around rectal area may drain pus, mucus, or stools)
rectal bleeding and physical examination can detect or tenderness, skin rash . swollen joints or mouth ulcers tests Crohn's disease include:, including capsule endoscopy
can be done to rule out other possible causes of symptoms is no specific diet has been shown to improve or worsen the symptoms Crohn's .. Specific food problems may vary from person to person. You should eat well-balanced, healthy diet. This is important for you to get enough calories, protein and nutrients from different food groups. Some products may worsen. . diarrhea and gas symptoms of the problem, most likely during periods when the symptoms appear to change you make to your diet include:
Eat small meals throughout the day Drink plenty of water (to drink small amounts frequently throughout. in day). Avoid high fiber (bran, beans, nuts, seeds and popcorn). Avoid oily, fatty or fried foods and sauces (butter, margarine and cream). If your body can not digest milk and milk products beyond . try low-lactose cheeses such as cheddar and Swiss, and enzyme products such as Lactaid, to help break down lactose. Avoid foods you know cause gas, such as beans, spicy food, cabbage, broccoli, cauliflower, raw fruit juices and fruits -. especially citrus People who have a blockage of the intestine may need to avoid raw fruits and vegetables and other high fiber foods you may feel worried, confused or even sad and depressed. about bowel accidents. other stressful events in your life such as traffic, job loss, or loss of a loved one can cause digestive problems. Ask your doctor or nurse advice on how to manage your stress. You can take medicine to treat diarrhea is very bad. Loperamide (imodium ) can be bought without prescription. Always talk to your doctor or nurse before using these drugs. Fiber supplements may help your symptoms. You can buy powder plantain seed (Metamucil) or methylcellulose (Citrucel) without prescription. Ask your doctor about these products. Always talk to your doctor before using any laxative medications. You can use acetaminophen (Tylenol) for mild pain cheap lasix. These medications like aspirin, ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn) can make your symptoms your doctor may also give you a prescription for strong painkillers Aminosalitsilaty (5-AAC) drugs that help control mild to moderate symptoms of some forms of drug taking in, and ... others must be given rectally. corticosteroids (prednisone and methylprednisolone) are used to treat moderate-severe Crohn's disease . They can be taken in the mouth or injected into the rectum. Drugs such as azathioprine or 6-mercaptopurine quiet the immune response. Antibiotics may be prescribed for abscesses and fistulas. biological therapy used to treat patients with severe Crohn's disease who do not respond to any other treatment. Drugs in this group include Ynflyksymab (Remykeyd) and adalimumab (Humira), certolizumab (Cimzia) and natalizumab (Tysabri). If medicines do not work, type of operation, called
may be necessary to remove damaged or ill parts of the intestine or to drain an abscess. However, removing the affected part of the colon not treat condition. Patients with Crohn's disease who do not respond to medications may need surgery, especially when there are complications, such as: .
Some patients may require surgical removal of the entire colon (large intestine), with or without rectal Crohn's and Colitis Foundation of America offers support groups throughout the United States. see http://www. CCFA. org / chapter /
There is no cure for Crohn's disease. condition characterized by periods of improvement further flare ups of symptoms. It is very important to stay on medications long-term to try to save the symptoms return. When you stop or change drugs for any reason tell your doctor immediately. Do you have an increased risk of small intestine and colon, if you have Crohn's disease. Complications of therapy with corticosteroids, such as thinning bones
nutritional deficiency (eg, you lost weight, or child is not gaining weight
You have bleeding from the rectum, drainage, or ulcers
you have high fever that lasts more than 2 or 3 days or temperature above 100 ° F without the fourth disease
Lichtenstein GR , Hanauer SB, Sandborn WJ,. .. Practice Parameters Committee of the American College of Gastroenterology Management of Crohn's disease in adults Am J Gastroenterol 2009; ... 104 (2) :465-483 Fry R. Mahmoud N, maroon DJ Ross HM , Rombeau J. Colon cancer and rectal cancer in Townsend CM, Beauchamp RD, Evers BM, Mattox KL, Sabiston Textbook of Surgery m the eighteenth edition of Philadelphia, Pa ... Saunders Elsevier, 2007: Chapter 50 Peskov B.E ., Siegel CA Crohn's disease in Feldman M, Friedman ... LS, Brandt LJ, eds gastrointestinal and liver disease Sleisenger Fordtran 9-I f Philadelphia, PA: Saunders Elsevier, 2010 ... Chapter 111 Updated : George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego. California. also discussed David Zieve, MD, Internal Affairs, Medical Director, ADAM, Inc ADAM, Inc is accredited by URAC, also known as American Accreditation Commission for Health (www. URAC. org). URAC in
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