What should be noted daily for Crohn's disease?

Written by Wu Hai Wu
Gastroenterology
Updated on March 12, 2025
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People with Crohn's disease should avoid strenuous exercise in daily life and instead engage in moderate physical activities within their capabilities. They should not overeat but eat small, frequent meals of easily digestible food. Avoid spicy and irritating foods such as strong tea, spirits, coffee, chili peppers, mustard, etc., and try to eliminate them from the diet. Additionally, avoid staying up late and eating overly coarse foods. It is beneficial to consume more fresh vegetables and fruits that are rich in vitamins, such as apples, bananas, and watermelons.

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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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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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Early symptoms of Crohn's disease

Early symptoms of Crohn's disease include abdominal pain and diarrhea, abdominal masses, and may also be accompanied by fever, anemia, and digestive nutritional disorders, and can affect joints, eyes, skin, and other organs. Some patients may have iritis, clubbed finger arthritis, oral ulcers, and chronic hepatitis. Crohn's disease is an inflammatory bowel disease of unknown cause, commonly occurring in the ileum and right half of the colon, with a tendency to be prolonged and recurrent, and is not easy to cure completely. Currently, treatment mainly involves medication combined with surgery to prevent complications. It is important to rest adequately and maintain a reasonable diet. (Please use medication under the guidance of a professional physician.)

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Can Crohn's disease be detected with an enhanced CT of the small intestine?

Crohn's disease cannot be accurately diagnosed through a CT scan of the small intestine; it only shows a general overview of the condition. To accurately diagnose specific conditions of Crohn's disease, it is necessary to perform a colonoscopy, combined with blood tests, routine stool tests, and pathological examinations for a definitive diagnosis. Then, further diagnoses can be made based on individual clinical symptoms. This disease generally has a definite connection with genetic and immune factors. If the condition is severe, surgery may be considered to remove the affected intestines.

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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.