Can people with Crohn's disease eat fish?

Written by Ren Zheng Xin
Gastroenterology
Updated on November 02, 2024
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Patients with Crohn's disease can eat fish, as it is delicate and delicious, and contains rich protein that provides nutrition. Patients with Crohn's disease should adhere to a diet that is light, nutritious, and easy to digest, consuming more green vegetables such as cucumbers, tomatoes, broccoli, and cabbage. It is also appropriate to increase nutrition, since Crohn's disease is a consumptive disease, and insufficient nutritional supplementation can lead to further weight loss. However, it is essential to avoid overly greasy and spicy foods and to pay attention to dietary hygiene.

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Written by Ren Zheng Xin
Gastroenterology
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Early symptoms of Crohn's disease

Crohn's disease early in its onset is characterized by symptoms such as abdominal pain, diarrhea, and intestinal obstruction. As the condition progresses, it can lead to anemia, nutritional disorders, eye involvement, joint involvement, and liver involvement. It is important to maintain a reasonable daily routine, eating multiple small meals that are high in calories but low in fat, and include a variety of vegetables. During active phases, bed rest should be observed, and a diet high in nutrition but low in fat should be provided, combined with medical and surgical treatments. The symptoms of Crohn's disease are prone to recurrence, and the prognosis is not particularly good. It is essential to actively cooperate with the doctor’s treatment.

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Written by Ren Zheng Xin
Gastroenterology
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What to do if Crohn's disease causes a fever?

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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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.

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Written by Ren Zheng Xin
Gastroenterology
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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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Written by Ren Zheng Xin
Gastroenterology
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Common Complications of Crohn's Disease

Crohn's disease is an inflammatory bowel disease that commonly leads to complications such as intestinal obstruction, acute perforation, rectal bleeding, and poor absorption syndrome due to intra-abdominal abscesses. Due to inflammation, there is an increase in intestinal mucosa and narrowing of the intestinal lumen, which makes intestinal obstruction more likely. The decrease in protective barrier function of the intestinal mucosa makes it susceptible to acute perforation, which can also lead to rectal bleeding when perforated. Examinations for Crohn’s disease include colonoscopy, barium enema, CT scans, complete blood count, and intestinal absorption tests. The treatment involves a combination of medication and surgery, as the exact cause of the disease is not very clear, and it tends to have a prolonged course with recurrent flare-ups, making it difficult to cure completely.