What to do if Crohn's disease causes a fever?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 18, 2024
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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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Crohn's disease fasting diet

Patients with Crohn's disease have inflammatory lesions in their intestines, which decreases their digestive and absorptive functions. Special attention should be paid to their diet. Consuming cold, spicy, and irritating foods, such as peppers, mustard, alcohol, strong tea, and coffee, should be reduced. Foods that cause gas, like leeks and bean products, should also be minimized, as well as carbonated drinks like cola or coffee. It is advisable to eat more vegetables, such as carrots and yams. Nutritional intake should focus on high-nutrient, low-fat foods like lean meats, eggs, and fish. During the treatment period, ample rest is essential.

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

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 Huang Gang
Gastroenterology
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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.