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 Ren Zheng Xin
Gastroenterology
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Can people with Crohn's disease eat eggs?

Patients with Crohn's disease can eat eggs, but should focus on consuming primarily egg whites and avoid egg yolks as much as possible. The general principle for their diet should be to have smaller, more frequent meals that are high in calories and low in fat. Vegetables such as yams, carrots, and potatoes can be included, while cold, spicy, and irritating foods should be avoided. Crohn's disease is an inflammatory bowel disease of unknown cause, potentially resulting in complications like intestinal obstruction, perforation, and rectal bleeding. During active phases, it is important to rest, avoid excessive fatigue, and timely replenish needed nutrients and fluids.

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Written by Ren Zheng Xin
Gastroenterology
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Changes in the anus with Crohn's disease

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
48sec home-news-image

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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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.

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Written by Yang Dong
Colorectal Surgery Department
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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.