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

Written by Si Li Li
Gastroenterology
Updated on December 12, 2024
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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 Ren Zheng Xin
Gastroenterology
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Does Crohn's disease cause bowel sounds?

Crohn's disease is an inflammatory bowel condition characterized by symptoms such as abdominal pain, diarrhea, intestinal obstruction, intestinal perforation, and rectal bleeding. If diarrhea occurs, there will be noticeable hyperactive bowel sounds, and under such circumstances, it is imperative to use antidiarrheal medications promptly. Dietary adjustments are also important, including eating a moderate amount of vegetables and fruits. The dietary principles should focus on eating small, frequent meals with high nutrition and low fat. During active phases, it's crucial to rest more and stay hydrated, as severe diarrhea can lead to dehydration. Crohn's disease tends to recur frequently, so it is essential to strengthen daily care.

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Written by Si Li Li
Gastroenterology
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Can people with Crohn's disease eat wontons?

Crohn's disease is a chronic inflammatory granulomatous disease of the digestive tract of unknown cause. It, along with ulcerative colitis, is classified as an inflammatory bowel disease. It can affect any part of the gastrointestinal tract from the mouth to the anus, but is most commonly found at the end of the ileum and the adjacent colon. The lesions are generally ulcers, which are typically longitudinal, large, and deep, appearing in a segmental or skipping pattern. The disease can involve all layers of the digestive tract, causing thickening of the intestinal wall, narrowing of the intestinal lumen, and bowel perforation. Additionally, this disease has a certain rate of malignant transformation. The disease is difficult to cure and has signs of lifelong recurrence. Therefore, in terms of diet, it is crucial for individuals with Crohn's disease to focus on easily digestible foods and avoid spicy, stimulating, fatty, greasy, and difficult-to-digest foods, as well as smoking and drinking alcohol. Wontons are relatively easy to digest; they should be chewed slowly and thoroughly. It is okay to eat them occasionally, but do not consume too much at one time, about 80% full is appropriate.

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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 Huang Gang
Gastroenterology
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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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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.