Does Crohn's disease cause swelling of the feet?

Written by Ren Zheng Xin
Gastroenterology
Updated on October 28, 2024
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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 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.

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Written by Ren Zheng Xin
Gastroenterology
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Can you smoke with Crohn's disease?

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 Huang Gang
Gastroenterology
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Can Crohn's disease be seen on a CT scan?

Crohn's disease cannot be determined solely by CT scans. A CT scan can be used to assess the general situation, which should then be combined with personal clinical symptoms, routine stool tests, and ideally, colonoscopy and blood tests to make an accurate diagnosis. Crohn's disease is an idiopathic disease, currently thought to be related to genetic factors, and inevitably linked to individual immune factors and dietary habits. A definitive diagnosis can be made through colonoscopy and pathological examination. Care should be taken to avoid consuming raw, cold, hard, spicy, and irritating foods.

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Written by Chen Rong
Gastroenterology
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What are the symptoms of Crohn's disease?

Crohn's disease is a type of inflammatory bowel disease, primarily affecting the terminal ileum and adjacent colon, but can involve any digestive tract segment from mouth to anus, displaying either segmental or skip distribution. Clinically, it is characterized by abdominal pain, diarrhea, weight loss, abdominal mass, fistula formation, and intestinal obstruction. It may also present with fever and extraintestinal manifestations, including joint, skin, eye, and oral mucosa damage. This disease tends to recur throughout a person’s life, and severe cases can be prolonged and unhealing with poor prognosis. The onset age is mostly between 15-30 years, but initial attacks can occur at any age. The incidence rate is similar between genders. Abdominal pain is the most common symptom, often seen in the lower right abdomen or around the navel, presenting intermittently as cramp-like pain accompanied by bowel sounds, typically worsening after eating, and relieved by defecation or passing gas. Diarrhea is another common symptom, initially intermittent but can become persistent in later stages of the disease, with stools generally being pasty and containing mucus and pus-blood. If the lower part of the colon or anorectal area is involved, there may be mucus-bloody stools and a sensation of incomplete evacuation after bowel movements. Abdominal masses are often located in the lower right abdomen and around the navel, and fistula formation is a characteristic clinical manifestation of Crohn's disease.

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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.