Does Crohn's disease hurt?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 01, 2024
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Crohn's disease can cause abdominal pain, along with symptoms of diarrhea and intestinal obstruction. It often accompanies fever, anemia, and nutritional disorders. Crohn's disease is an inflammatory bowel disease, and its specific causes are not particularly clear. It commonly affects the terminal ileum and the right half of the colon. The disease course is prone to recurrent attacks, so dietary management is important. The principle of eating small frequent meals should be followed, with a focus on light vegetables, while also ensuring nutritional enhancement. It is advisable to avoid spicy, cold, stimulating foods, and those that cause gas, such as leeks, garlic, and bean products. Treatment involves a combination of medication and surgery.

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Written by Ren Zheng Xin
Gastroenterology
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Can people with Crohn's disease drink tea?

Crohn's disease is an inflammatory bowel condition. Patients can drink tea and should eat smaller meals more frequently. They should eat more green vegetables, such as carrots, yams, and potatoes, and eat less food high in fat, such as animal fats, fatty meats, and cheese. It is also advisable to eat less raw, cold, and spicy food and to avoid foods that are likely to cause gas, like bean products and onions. In terms of treatment, it is important to follow a regular and complete treatment course. Treatment may involve a combination of medication and surgery. Currently, there is no specific cure for Crohn's disease; treatment mainly focuses on symptomatic and supportive care, as the disease course is prone to prolonged recurrence.

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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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Written by Ren Zheng Xin
Gastroenterology
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Does Crohn's disease cause swelling of the feet?

Crohn's disease generally does not cause swelling of the feet, but if it causes nutritional disorders, there will be manifestations of swelling of the feet. This is due to hypoproteinemia, which leads to a decrease in the colloid osmotic pressure of the plasma, and the water and fluids in the blood vessels flow out into the tissue fluid, forming swelling in the feet. In addition to foot swelling, there may also be abdominal pain, diarrhea, intestinal obstruction, and fever, and some may affect the liver, joints, or skin. For more noticeable foot swelling, it is appropriate to use diuretics. There is no specific treatment for Crohn's disease; it is mainly treated with medication and surgery to manage its complications and enhance nutritional support. (The use of medication should be under the guidance of a professional doctor.)

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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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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.