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 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 Huang Gang
Gastroenterology
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Can Crohn's disease be inherited by the next generation?

The causes of Crohn's disease are not yet fully understood, but it is currently believed to be caused by the interaction of many factors, including environmental factors, genetic factors, infections, gut microbiota, and immune factors. The incidence of Crohn's disease in first-degree relatives of patients is significantly higher than in the general population. Therefore, it is considered that Crohn's disease is both a polygenic disease and a genetically heterogeneous disease. Individuals with genetic susceptibility may develop the disease under certain environmental influences. Thus, it appears that Crohn's disease has a certain genetic predisposition and can be inherited by the next generation. The typical symptoms of Crohn's disease include abdominal pain, diarrhea, and weight loss. Generally, the course of the disease progresses slowly, often presenting a chronic active phase alternating with remission, tends to be incurable, and has a lifelong tendency to recur. Currently, there is a lack of effective curative treatments for Crohn's disease. The primary approach is drug treatment to control the activity of the disease, maintain disease remission, prevent complications, and avoid intestinal damage.

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Written by Ren Zheng Xin
Gastroenterology
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Crohn's disease most commonly affects the area

Crohn's disease commonly occurs in the terminal ileum and the right half of the colon. It is a type of inflammatory bowel disease with unknown causes and can occur in any part of the gastrointestinal tract. Clinically, it mainly presents with symptoms such as diarrhea, abdominal pain, and intestinal obstruction. However, it may also lead to complications like intestinal perforation and bloody stools, and can affect organs like the liver, joints, and skin. The condition tends to relapse frequently and is difficult to cure completely. Current treatments combine medication and surgery. During active phases of the disease, it is important to enhance nutrition, rest in bed, consume high-nutrient, low-fat foods, and utilize supportive therapies. (Please use medication under the guidance of a professional physician.)

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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 Huang Gang
Gastroenterology
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How to gain weight with Crohn's disease

Crohn's disease is an illness of unknown cause, characterized by lesions at various, unfixed positions within the gastrointestinal tract, manifesting symptoms such as abdominal bloating and pain. It is generally linked inevitably to diet, immune factors, or genetic factors. People with Crohn's disease should maintain a light diet, avoid overeating, and moderately consume foods like millet porridge. When cooking millet porridge, it can be beneficial to add ingredients such as dates, Chinese yam, and goji berries, which are good for spleen and stomach regulation and aid digestion while also enhancing nutrition. Additionally, consuming lean meat porridge or egg yolk porridge in moderation can be beneficial.