Crohn's disease

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Written by Ren Zheng Xin
Gastroenterology
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Early symptoms of Crohn's disease

Crohn's disease early in its onset is characterized by symptoms such as abdominal pain, diarrhea, and intestinal obstruction. As the condition progresses, it can lead to anemia, nutritional disorders, eye involvement, joint involvement, and liver involvement. It is important to maintain a reasonable daily routine, eating multiple small meals that are high in calories but low in fat, and include a variety of vegetables. During active phases, bed rest should be observed, and a diet high in nutrition but low in fat should be provided, combined with medical and surgical treatments. The symptoms of Crohn's disease are prone to recurrence, and the prognosis is not particularly good. It is essential to actively cooperate with the doctor’s treatment.

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Written by Ren Zheng Xin
Gastroenterology
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How serious is Crohn's disease exactly?

Crohn's disease is an inflammatory bowel disease that can cause intestinal absorption disorders, malnutrition, and decreased body resistance leading to fever. The inflammation of the intestines can trigger abdominal pain, diarrhea, or bowel obstruction, and ischemic necrosis of the intestinal wall can lead to perforation and bloody stools. It can also affect other organs such as joints, liver, and skin, causing damage. Currently, the cause of Crohn's disease is not well understood, and it tends to have a long course, with frequent relapses and is difficult to cure completely. The current treatment methods combine pharmacotherapy with surgical techniques to treat complications and minimize damage to organs.

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Written by Ren Zheng Xin
Gastroenterology
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Can people with Crohn's disease eat eggs?

Patients with Crohn's disease can eat eggs, but should focus on consuming primarily egg whites and avoid egg yolks as much as possible. The general principle for their diet should be to have smaller, more frequent meals that are high in calories and low in fat. Vegetables such as yams, carrots, and potatoes can be included, while cold, spicy, and irritating foods should be avoided. Crohn's disease is an inflammatory bowel disease of unknown cause, potentially resulting in complications like intestinal obstruction, perforation, and rectal bleeding. During active phases, it is important to rest, avoid excessive fatigue, and timely replenish needed nutrients and fluids.

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Written by Ren Zheng Xin
Gastroenterology
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Does Crohn's disease have no symptoms?

Crohn's disease typically presents with symptoms such as abdominal pain, diarrhea, intestinal obstruction, complications of nutritional disorders, iridocyclitis, oral ulcers, anemia, and liver diseases. A preliminary diagnosis can be made based on these specific clinical manifestations. X-ray enterography can reveal intestinal lesions. It is important to maintain a reasonable daily routine. During active phases, bed rest should be observed, and a diet high in energy and calories but low in fat should be provided. Treatment involves a combination of medication and surgery. Crohn's disease tends to recur and has a protracted course. (Please take medication under the guidance of a professional physician.)

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Written by Ren Zheng Xin
Gastroenterology
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What to do if Crohn's disease causes a fever?

Extraintestinal manifestations of Crohn's disease include fever or nutritional disorders. When there is a fever, symptomatic fever-reducing treatment should be applied using antipyretic medications. If the body temperature does not exceed 38°C, physical cooling methods can also be used, such as wiping the palms of the hands, soles of the feet, forehead, armpits, and groin with alcohol or a warm towel to dissipate heat physically. It is important to drink plenty of water and consume more vegetables to maintain hydration. Attention should also be given to enhancing nutrition by providing a high-nutrient, low-fat diet, which could include lean meats, eggs, and fish. Strict rest is crucial during the disease flare-ups to avoid excessive fatigue. (Please use medications under the guidance of a doctor)

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Written by Ren Zheng Xin
Gastroenterology
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Can Crohn's disease be inherited by children?

Crohn's disease is an inflammatory bowel condition, and its specific causes are not yet very clear. It may be related to environmental factors, lifestyle factors, dietary factors, and genetic factors, and it occurs more often in males than in females. The prevalence of Crohn's disease is relatively low in China. Typical symptoms of Crohn's disease include abdominal pain, diarrhea, intestinal obstruction, and some patients may experience fever, oral mucosal lesions, and liver abnormalities. The current treatment is mainly medication combined with surgical intervention. During active periods, it is important to rest, consume a low-fat, high-nutrition diet, replenish water and electrolytes timely, and if anemia is present, appropriately supplement with B12 and folic acid. Patients with hypoproteinemia should be given albumin.

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Written by Ren Zheng Xin
Gastroenterology
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Crohn's disease is called for short what

Crohn's disease is abbreviated as CD in English, and it is also known as segmental enteritis, localized enteritis, or granulomatous ileocolitis. The clinical symptoms include abdominal pain, diarrhea, intestinal obstruction, fever, and nutritional disorders. It can affect organs such as the joints, skin, and liver. Complications can often include intestinal obstruction, malabsorption, acute perforation, and rectal bleeding. Clinically, it can be diagnosed through routine blood tests, blood gas analysis, colonoscopy, barium enema, CT scans, etc. Dietary guidelines generally include eating smaller, more frequent meals and a low-fat diet. The treatment principle is a combination of medication and surgery.

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Written by Ren Zheng Xin
Gastroenterology
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Is Crohn's disease contagious?

Crohn's disease is not contagious and its specific causes are not particularly clear. It is an inflammatory bowel disease and can be treated in the gastroenterology department. Typical symptoms include abdominal pain, diarrhea, accompanied by fever and nutritional disorders, among others. It may also be complicated by acute perforation, rectal bleeding, intra-abdominal abscesses, and malabsorption syndrome. The course of the disease tends to be prolonged and recurrent, making it difficult to cure. The clarity and severity of the lesion, the length of the course of the disease, and the rate of recurrence after surgery are related. Because it is not contagious, it cannot be transmitted among the population.

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Written by Ren Zheng Xin
Gastroenterology
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What does Crohn's disease abdominal pain feel like?

Crohn's disease is an inflammation that occurs in the intestines, most commonly found in the terminal ileum and the right half of the colon. Due to the irritation from the inflammation, there is noticeable abdominal pain, which often presents as cramping, and sometimes as dull pain. The severity of the abdominal pain varies with the intensity of the inflammation. In addition to abdominal pain, symptoms may include diarrhea or manifestations of intestinal obstruction. Due to damage to the intestinal wall, complications such as intestinal perforation or rectal bleeding can occur, as well as fever and extraintestinal manifestations like malabsorption disorders. Crohn's disease tends to recur frequently and has a protracted course. It is not easily cured, and thus, strengthening daily care is essential.

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Written by Chen Rong
Gastroenterology
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What are the symptoms of Crohn's disease?

Crohn's disease is a type of inflammatory bowel disease, primarily affecting the terminal ileum and adjacent colon, but can involve any digestive tract segment from mouth to anus, displaying either segmental or skip distribution. Clinically, it is characterized by abdominal pain, diarrhea, weight loss, abdominal mass, fistula formation, and intestinal obstruction. It may also present with fever and extraintestinal manifestations, including joint, skin, eye, and oral mucosa damage. This disease tends to recur throughout a person’s life, and severe cases can be prolonged and unhealing with poor prognosis. The onset age is mostly between 15-30 years, but initial attacks can occur at any age. The incidence rate is similar between genders. Abdominal pain is the most common symptom, often seen in the lower right abdomen or around the navel, presenting intermittently as cramp-like pain accompanied by bowel sounds, typically worsening after eating, and relieved by defecation or passing gas. Diarrhea is another common symptom, initially intermittent but can become persistent in later stages of the disease, with stools generally being pasty and containing mucus and pus-blood. If the lower part of the colon or anorectal area is involved, there may be mucus-bloody stools and a sensation of incomplete evacuation after bowel movements. Abdominal masses are often located in the lower right abdomen and around the navel, and fistula formation is a characteristic clinical manifestation of Crohn's disease.