Chronic inflammatory disease that can affect any part of the digestive system but most commonly affects the ileum.
Crohn's is an inherited disease that normally runs in families. It occurs at any age but its first known onset is normally in adolesense or early childhood. Crohn's occurs in 7 out of 10,000 people.
abdominal pain fever diarrhea loss of appetite weight loss abdominal mass abdominal sounds (gurgling or splashing sound) clubbing of the fingers or toes gastrointestinal bleeding foul-smelling stools painful stools (tenesmus)
bloody stools joint pain incontinence swollen gums constipation gaseous abdominal fullness
An abdominal exam may reveal a mass or tenderness. Positive stool guaiac
endoscopy along with small bowel biopsy colonoscopy along with small bowel biopsy sigmoidoscopy along with small bowel biopsy enteroclysis (small bowel follow through) barium enema upper GI Series
quantitative immunoglobulins (nephelometry) immunoelectrophoresis - serum fecal fat D-xylose absorption albumin
Medications are used to control the inflammation and antibiotics are used to treat any abscesses or fistulas.
Because of Crohn's involving problems with getting nutrition an adequate intake of calories, vitamins and protein is important. Those with diarrhea should avoid foods that they realized have caused it. Those with blockages should avoid raw fruits and vegetables. And those that are lactose intolerant from the Crohn's need to avoid milk products.
Surgery can be used as a temporary measure to stop the pain of Crohn's but Crohn's will almost always come back to a different place so surgery is used as a last measure in most cases.
Since this is a chronic disease it has periods of improvements followed by periods of or detriments. There is also an increased risk of small bowel or colorectal carcinoma in people with Crohn's.
fistulas occurring to the bladder, vagina or skin bowel obstructions nutritional deficiencies