Can you smoke with Crohn's disease?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 05, 2024
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Patients with Crohn's disease are advised not to smoke, as smoking can cause many harms, including disturbances in intestinal blood circulation, which can exacerbate the symptoms of Crohn's disease. Typical symptoms include abdominal pain, diarrhea, and intestinal obstruction, as well as possible fever and nutritional disorders. The diet should consist of frequent small meals, low in fat and high in calories, and may include vegetables such as carrots, potatoes, and yams, while avoiding raw, spicy foods and foods that cause gas. During active phases, strict rest is recommended along with calorie supplementation and high nutritional support to actively prevent complications. Crohn's disease tends to recur frequently and can have a protracted course.

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Written by Wu Hai Wu
Gastroenterology
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What should be noted daily for Crohn's disease?

People with Crohn's disease should avoid strenuous exercise in daily life and instead engage in moderate physical activities within their capabilities. They should not overeat but eat small, frequent meals of easily digestible food. Avoid spicy and irritating foods such as strong tea, spirits, coffee, chili peppers, mustard, etc., and try to eliminate them from the diet. Additionally, avoid staying up late and eating overly coarse foods. It is beneficial to consume more fresh vegetables and fruits that are rich in vitamins, such as apples, bananas, and watermelons.

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Written by Huang Gang
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Treatment of occasional fever in Crohn's disease

If Crohn's disease presents with fever, it is generally considered possible that it is caused by a bacterial infection. The first step should be to check a stool routine to see if there is a bacterial infection, and symptomatic treatment measures need to be taken. If the body temperature is not particularly high, some antibiotics can be taken to control the progression of the disease. If the body temperature exceeds 38.5°C, an appropriate amount of antipyretics can be used to control the condition and have a fever-reducing effect. During this period, drink more warm water, avoid spicy and stimulating food, as well as raw and cold fruits, to prevent aggravating the condition.

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Written by Huang Gang
Gastroenterology
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Can Crohn's disease be detected with an enhanced CT of the small intestine?

Crohn's disease cannot be accurately diagnosed through a CT scan of the small intestine; it only shows a general overview of the condition. To accurately diagnose specific conditions of Crohn's disease, it is necessary to perform a colonoscopy, combined with blood tests, routine stool tests, and pathological examinations for a definitive diagnosis. Then, further diagnoses can be made based on individual clinical symptoms. This disease generally has a definite connection with genetic and immune factors. If the condition is severe, surgery may be considered to remove the affected intestines.

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Written by Yang Dong
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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 Si Li Li
Gastroenterology
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Can people with Crohn's disease eat wontons?

Crohn's disease is a chronic inflammatory granulomatous disease of the digestive tract of unknown cause. It, along with ulcerative colitis, is classified as an inflammatory bowel disease. It can affect any part of the gastrointestinal tract from the mouth to the anus, but is most commonly found at the end of the ileum and the adjacent colon. The lesions are generally ulcers, which are typically longitudinal, large, and deep, appearing in a segmental or skipping pattern. The disease can involve all layers of the digestive tract, causing thickening of the intestinal wall, narrowing of the intestinal lumen, and bowel perforation. Additionally, this disease has a certain rate of malignant transformation. The disease is difficult to cure and has signs of lifelong recurrence. Therefore, in terms of diet, it is crucial for individuals with Crohn's disease to focus on easily digestible foods and avoid spicy, stimulating, fatty, greasy, and difficult-to-digest foods, as well as smoking and drinking alcohol. Wontons are relatively easy to digest; they should be chewed slowly and thoroughly. It is okay to eat them occasionally, but do not consume too much at one time, about 80% full is appropriate.