Is a small intestine ulcer the same as Crohn's disease?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 04, 2024
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Small intestinal ulcers and Crohn's disease are different. Crohn's disease is an inflammatory bowel disease of unknown cause, commonly occurring in the terminal ileum and right half of the colon. Small intestinal ulcers may be caused by intestinal inflammation and damage to the mucosa, making the ulcers easier to heal, whereas Crohn's disease tends to recur frequently and is not easily cured. Crohn's disease can also affect the joints, skin, liver, and other parts, and may be complicated by acute perforation, bloody stools, intra-abdominal abscesses, and malabsorption syndrome. It is advisable to consult a gastroenterologist and pay attention to adjusting the diet structure, eating meals regularly, and maintaining nutritional balance.

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Written by Ren Zheng Xin
Gastroenterology
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Does Crohn's disease cause bowel sounds?

Crohn's disease is an inflammatory bowel condition characterized by symptoms such as abdominal pain, diarrhea, intestinal obstruction, intestinal perforation, and rectal bleeding. If diarrhea occurs, there will be noticeable hyperactive bowel sounds, and under such circumstances, it is imperative to use antidiarrheal medications promptly. Dietary adjustments are also important, including eating a moderate amount of vegetables and fruits. The dietary principles should focus on eating small, frequent meals with high nutrition and low fat. During active phases, it's crucial to rest more and stay hydrated, as severe diarrhea can lead to dehydration. Crohn's disease tends to recur frequently, so it is essential to strengthen daily care.

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Written by Yang Dong
Colorectal Surgery Department
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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.

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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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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 Si Li Li
Gastroenterology
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Can people with Crohn's disease eat peanuts?

Crohn's disease is a chronic nonspecific inflammatory bowel disease of unknown cause. Its lesions can occur in any part of the digestive tract. The main symptoms include abdominal pain, diarrhea, abdominal masses, fistula formation, and weight loss. Systemic symptoms such as fever and malnutrition can also occur, and intestinal obstruction might require surgical treatment. Currently, there are no specific treatments for this disease, and it has signs of lifelong recurrence, making the treatment very challenging. It is crucial to pay attention to nutrition in the diet, consuming high-nutrition, low-residue foods, and appropriately supplementing with folic acid, vitamins, and other nutrients. The diet should primarily consist of rice and noodles, and it is advisable to consume lean meats, fish, poultry, eggs, and soy products. Peanuts can be eaten in small amounts, but it is not recommended to consume them excessively because they have a high fat content, which is not beneficial for managing Crohn's disease.