Early symptoms of Crohn's disease

Written by Ren Zheng Xin
Gastroenterology
Updated on September 02, 2024
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Early symptoms of Crohn's disease include abdominal pain and diarrhea, abdominal masses, and may also be accompanied by fever, anemia, and digestive nutritional disorders, and can affect joints, eyes, skin, and other organs. Some patients may have iritis, clubbed finger arthritis, oral ulcers, and chronic hepatitis. Crohn's disease is an inflammatory bowel disease of unknown cause, commonly occurring in the ileum and right half of the colon, with a tendency to be prolonged and recurrent, and is not easy to cure completely. Currently, treatment mainly involves medication combined with surgery to prevent complications. It is important to rest adequately and maintain a reasonable diet. (Please use medication under the guidance of a professional physician.)

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Written by Si Li Li
Gastroenterology
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What to do about vomiting in Crohn's disease?

Crohn's disease is a chronic non-specific inflammatory disease of the digestive tract, primarily characterized by symptoms such as abdominal pain, diarrhea, weight loss, and abdominal masses. Sometimes, symptoms of vomiting may also occur. This disease is difficult to cure and shows signs of lifetime recurrence, making the treatment of this disease particularly challenging. In cases of vomiting associated with Crohn's disease, oral prokinetic drugs such as mosapride can be used to alleviate the symptoms. Additionally, traditional Chinese medicine can also be taken. By adopting the differential diagnosis and treatment approach of traditional Chinese medicine, oral administration of Chinese herbal medicine can also effectively relieve symptoms.

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Can Crohn's disease patients consume Ganoderma lucidum spore powder?

Crohn's disease is a chronic inflammatory granulomatous disease of the digestive tract of unknown cause, so any segment of the digestive tract from the mouth to the anus may be involved. It can present with intestinal ulcers, showing a segmental distribution longitudinally, as well as thickening of the intestinal walls, narrowing of the intestinal lumen, and intestinal perforation. This disease is difficult to cure, and currently, there are no effective medications for treatment, and it tends to recur throughout a person's life. Therefore, Ganoderma lucidum bun powder should be considered a health product. Health products often function as advertised by the merchants, so it is not recommended that patients with this disease consume them indiscriminately, as there may also be potential side effects. Patients with Crohn's disease should be sure to follow a high-nutrient, low-residue diet, abstain from smoking and alcohol, and avoid particularly fried, fatty, rich foods, and foods that are difficult to digest.

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Written by Si Li Li
Gastroenterology
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Differences between Crohn's Disease and Common Colitis

The differences between Crohn's disease and common enteritis start with symptoms. Crohn's disease generally involves abdominal pain, diarrhea, and bloody stools, with symptoms recurring frequently and tending to relapse easily after medication. Common enteritis may also involve diarrhea, but it is rare for the stool to contain mucus resembling nasal discharge, and while mild abdominal pain may occur, bloody stools are uncommon. Moreover, common enteritis generally responds better to treatment, and the likelihood of relapse is lower. Under colonoscopy, Crohn's disease shows deep, longitudinal ulcers in the intestines, while common enteritis usually shows only some white mucus or mucosal hyperemia and at most mild erosion, which is much less severe compared to Crohn's disease. There are also differences in treatment. Crohn's disease requires specific medications, whereas common enteritis is generally treated with probiotics, thus the two conditions differ significantly.

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Written by Ren Zheng Xin
Gastroenterology
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Crohn's disease affected areas

Crohn's disease is an inflammatory bowel disease that can occur in any part of the gastrointestinal tract, primarily affecting the right half of the colon and the terminal ileum. Typical clinical manifestations include abdominal pain, intestinal obstruction, diarrhea, and some extraintestinal manifestations such as nutritional disorders or fever. Complications can include intra-abdominal abscesses, acute intestinal perforation, significant intestinal bleeding, malabsorption syndrome, and can also involve the liver, skin, joints, and other areas. The course of the disease is relatively long and prone to recurrent episodes. Treatment primarily targets complications, focusing on pharmacological and surgical interventions. It is important to enhance nutritional support by providing high-nutrition, low-fat foods.

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Differential Diagnosis between Intestinal Tuberculosis and Crohn's Disease

Intestinal tuberculosis often exhibits symptoms of extraintestinal tuberculosis, whereas Crohn's disease generally does not show signs of extraintestinal tuberculosis. Recurrence of intestinal tuberculosis is not common, whereas Crohn's disease has a longer duration and alternates between remission and relapse. Fistulas, abdominal abscesses, and perianal lesions are relatively rare in intestinal tuberculosis, but Crohn's disease may involve fistulas, abdominal masses, and perianal lesions. Tuberculin skin tests may be positive in patients with intestinal tuberculosis, while in Crohn's disease patients, the test may show a weakly positive result. After antituberculosis treatment, symptoms in patients with intestinal tuberculosis can significantly improve, whereas there is no significant improvement in symptoms in Crohn's disease patients following antituberculosis treatment. Furthermore, histopathological examination in patients with intestinal tuberculosis may reveal Mycobacterium tuberculosis and caseous necrosis. In contrast, Crohn's disease patients show negative results for Mycobacterium tuberculosis in pathologic testing and do not exhibit caseous necrosis.