Crohn’s Disease: How To Tell If You Have It
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Crohn’s disease causes inflammation along the walls of the digestive system, most often in the small and large intestines. It is a chronic condition with periods of flare ups and remissions. Although the exact causes of the disease are unknown, it is thought to have some genetic factor and is found more often in women and in smokers. The symptoms of the illness can vary greatly among people, both in the frequency and severity of attacks.
The symptoms are caused by the inflammation of the wall of the affected parts of the digestive tract. When the disease flares up these become red and swollen and often cause pain. The site and severity of the pain can vary, but it is often felt in the lower right side of the abdomen and can be mistaken for appendicitis. Ulceration of the lining of the gut can occur and you will then see blood in your feces.
Diarrhea is a very common symptom of the disease and is often mixed with blood or pus. People will feel an urgency to go to the toilet, and many will also experience tenesmus, a feeling of needing to go to the toilet but having nothing to pass when you get there. General health can deteriorate as sufferers become anaemic due to heavy bleeding, or deficient in some vitamins and minerals since they are unable to absorb food properly. This causes weight loss and severe tiredness.
Diagnosis of Crohn’s disease is normally given after a number of tests and investigations have been carried out. If a patient has been showing signs of the disease such as weight loss, pain and diarrhea for three or more weeks, their doctor will normally take stool and blood samples, arrange for endoscopic examinations and barium x- rays, and may also have biopsies taken, in order to confirm the diagnosis.
Following diagnosis, there are a variety of treatment options. Medication is prescribed, depending on the extent and severity of the disease. For mild symptoms, a group of drugs called 5-aminosalicylates are used to calm the inflammation and reduce its effects. For more severe symptoms, steroids are often given and these can prove to be highly effective. However, because of their side effects, steroids are not commonly given over a long period of time. Drugs such as antibiotics are sometimes needed to fight infection, and dietary supplements,e.g. iron,may be given to people who have become debilitated through the disease.
If medication fails to alleviate the symptoms or if complications have occurred, surgery may be required to remove the affected part of the gut or other obstructions. Indeed some 80% of all sufferers with moderate symptoms will require some surgery during the course of their treatment. In addition a diet of easily digestible food may be prescribed for a few weeks during a flare up to give the body a chance to rest, after which a normal diet is slowly re-introduced.
At present there is no cure for Crohn’s disease and no known way to prevent it, but the symptoms can be treated and the periods of remission can be stretched to last several years. Most people are able to lead normal lives. The research and development of new medications for Crohn’s disease is continuing, and it seems likely that there will be a number of new treatments available in the near future.




