Treatment of occasional fever in Crohn's disease

Written by Huang Gang
Gastroenterology
Updated on March 16, 2025
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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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Crohn's disease affected areas

Crohn's disease is an inflammatory bowel disease that can occur in any part of the gastrointestinal tract, primarily affecting the right half of the colon and the terminal ileum. Typical clinical manifestations include abdominal pain, intestinal obstruction, diarrhea, and some extraintestinal manifestations such as nutritional disorders or fever. Complications can include intra-abdominal abscesses, acute intestinal perforation, significant intestinal bleeding, malabsorption syndrome, and can also involve the liver, skin, joints, and other areas. The course of the disease is relatively long and prone to recurrent episodes. Treatment primarily targets complications, focusing on pharmacological and surgical interventions. It is important to enhance nutritional support by providing high-nutrition, low-fat foods.

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Can people with Crohn's disease eat eggs?

Crohn's disease is an inflammatory bowel disease, and patients can eat eggs. The principle of the diet is to eat small meals frequently and keep it low in fat, eating more vegetables such as carrots, potatoes, and yams. Avoid cold, spicy, and gas-producing foods such as chili peppers, radishes, leeks, and soy products. Crohn's disease can easily affect joints, skin, and other organs, and the course of the disease tends to be recurrent and is not easy to cure completely. The current treatment principle primarily involves medication combined with surgical treatment to prevent complications, with a focus on rest, a high-nutrition, low-fat diet, and correcting electrolyte imbalances.

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

Patients with Crohn's disease can drink milk. Crohn's disease is an inflammatory lesion that occurs in the intestines, where the absorption and digestion functions are impaired. Drinking some yogurt appropriately can help the intestinal absorption function and assist in digestion. Due to the impaired absorption function of the intestines, symptoms such as fever and lowered immune function may occur. At this time, patients need to enhance their nutrition. The dietary principle should focus on eating smaller, more frequent meals that are high in nutrition and low in fat, such as lean meats, egg products, meat products, milk, and fish. It is also important to consume more vegetables to supplement vitamins, such as Chinese yam, carrots, and fresh green vegetables, and to ensure plenty of rest.

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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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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.