Changes in the anus with Crohn's disease

Written by Ren Zheng Xin
Gastroenterology
Updated on December 09, 2024
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Crohn's disease is an inflammatory bowel disease, generally without special changes to the anus. Typical symptoms include abdominal pain, diarrhea, bowel obstruction, nutritional disorders, and fever, among others. Complications can include intra-abdominal abscesses, bowel perforation, rectal bleeding, and malabsorption syndrome. The disease course tends to be recurrent and is not easily cured. Current treatments mainly involve medication and surgery. During active phases, it is important to focus on nutrition, rest, and supplementation of fluids and electrolytes to prevent imbalance. Enteral or parenteral nutritional support can also be used, and ample rest is essential. (Medication should be administered under the guidance of a professional doctor.)

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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 Ren Zheng Xin
Gastroenterology
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Does Crohn's disease cause swelling of the feet?

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 Si Li Li
Gastroenterology
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What is the difference between Crohn's disease and colitis?

Crohn's disease is a chronic nonspecific inflammatory disease, whose cause is currently unclear but may be related to immune mechanisms. Its main symptoms include abdominal pain, diarrhea, weight loss, and poor appetite. A colonoscopy can reveal longitudinal ulcers on the mucosa, distributed in segments. This disease has signs of lifelong recurrence, and currently, there are no specific effective medications, making treatment very challenging. The lesions can develop throughout the entire digestive tract. Chronic colitis primarily presents symptoms such as abdominal pain and diarrhea. A colonoscopy can show intestinal mucosal redness, swelling, and erosion. The condition generally responds well to treatment and is relatively milder compared to others.

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Written by Si Li Li
Gastroenterology
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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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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.