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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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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Differences between Crohn's Disease and Common Colitis

The differences between Crohn's disease and common enteritis start with symptoms. Crohn's disease generally involves abdominal pain, diarrhea, and bloody stools, with symptoms recurring frequently and tending to relapse easily after medication. Common enteritis may also involve diarrhea, but it is rare for the stool to contain mucus resembling nasal discharge, and while mild abdominal pain may occur, bloody stools are uncommon. Moreover, common enteritis generally responds better to treatment, and the likelihood of relapse is lower. Under colonoscopy, Crohn's disease shows deep, longitudinal ulcers in the intestines, while common enteritis usually shows only some white mucus or mucosal hyperemia and at most mild erosion, which is much less severe compared to Crohn's disease. There are also differences in treatment. Crohn's disease requires specific medications, whereas common enteritis is generally treated with probiotics, thus the two conditions differ significantly.

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What does Crohn's disease abdominal pain feel like?

Crohn's disease is an inflammation that occurs in the intestines, most commonly found in the terminal ileum and the right half of the colon. Due to the irritation from the inflammation, there is noticeable abdominal pain, which often presents as cramping, and sometimes as dull pain. The severity of the abdominal pain varies with the intensity of the inflammation. In addition to abdominal pain, symptoms may include diarrhea or manifestations of intestinal obstruction. Due to damage to the intestinal wall, complications such as intestinal perforation or rectal bleeding can occur, as well as fever and extraintestinal manifestations like malabsorption disorders. Crohn's disease tends to recur frequently and has a protracted course. It is not easily cured, and thus, strengthening daily care is essential.

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Does Crohn's disease hurt?

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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Can a CT scan detect Crohn's disease?

Crohn's disease generally cannot be diagnosed through a CT scan. Diagnosis of Crohn's disease relies on colonoscopy. If you experience abdominal pain and diarrhea, especially if there is mucous or bloody stool, it is recommended to undergo a colonoscopy to determine whether it is Crohn's disease or ulcerative colitis. Once the disease is confirmed, it is crucial to diagnose and treat it early. The treatment of this disease can be challenging and is highly prone to recurrence. The medical community still finds this disease a difficult problem to address. In addition to Western medicine, it is also advisable to seek treatment from Traditional Chinese Medicine (TCM). Diagnosis and treatment strategies based on TCM principles can be formulated, and combining TCM with Western medicine may achieve better results than using Western medicine alone.