Medical Author: Charles Patrick Davis, MD, PhD
Medically Reviewed on 3/21/2019
Doctor's Notes on Crohn's Disease Early Signs, Causes, Treatments, and Life-Expectancy
Crohn's disease (also termed Crohn disease) is chronic inflammation of ant part of the digestive tract, although usually involves the terminal small bowel, cecum and anus. The most common signs and symptoms include diarrhea, cramp or steady pain in the right lower abdomen (sometimes relieved for a short time by a bowel movement), pain or bleeding with a bowel movement and, in some individuals, bloating after eating, constipation, and/or infections of the urinary tract or vagina (caused by fistula formation). The following general symptoms may occur in some patients; fatigue, weight loss and low-grade fevers.
The exact cause of Crohn's disease is unknown. Theories suggest it occurs due to a combination of genetic (familial), environment, diet, blood vessel and/or psychosocial factors cause the disease. Other researchers theorize the immune system is the cause by overreacting to a virus or bacterium.
Must Read Articles:
-
Abdominal Pain (Adults)
Abdominal pain in adults can range from a mild stomach ache to severe pain. Examples of causes of abdominal pain in adults include appendicitis, gallbladder disease, gastric ulcers, pancreatitis, heart attack, kidney stones, diverticulitis, shingles, spider bites, and more. Information about when to seek medical care for abdominal pain is also provided. -
Anal Abscess
Anal abscesses include perirectal abscess and perianal abscess. Both types of abscesses need immediate medical attention. Causes of anal abscesses include individuals with medical conditions such as diabetes, AIDS/HIV, Crohn's disease, those on immune system suppressor drugs, pregnancy, STDs, and anal fissures. Symptoms of anal abscesses include pain in the anal area, pus drainage near the anus, fever, lower abdominal pain, painful bowel movements, fatigue, and night sweats. Treatment of anal abscesses is often surgery. -
Colitis
Colitis is an inflammation of the colon. There are many cause of colitis, infectious colitis (bacterial or viral), ischemic colitis, inflammatory bowel disease (Crohn's disease, ulcerative colitis), microscopic colitis (lymphocytic and collagenous), and chemical colitis. Symptoms of colitis are generally diarrhea (may be bloody) and abdominal pain and/or cramping. Treatment of colitis depends upon the cause. -
Colon Cancer
The human colon is a muscular, tube-shaped organ measuring about 4 feet long. It extends from the end of your small bowel to your anus. Most colon cancers start as adenomatous polyps that turn into adenocarcinomas. Colon cancer (bowel cancer) is typically diagnosed through a colonoscopy or other type of endoscopic procedures. Treatment methods include surgery, radiation, and chemotherapy. -
Colonoscopy Procedure
Colonoscopy is a procedure used to view the inside of the colon. Reasons for colonoscopy is to detect or diagnose diseases of the colon, for example, Crohn’s disease, ulcerative colitis, other types of colitis, colon polyps, colon cancer, diverticulitis, and other bowel and rectal diseases. Risks for colonoscopy include colon perforation, infection, or bleeding. -
Constipation (Adults)
Constipation in adults refers to difficulty in passing stools or a decrease in the frequency of bowel movements. Causes of constipation in adults include a poor diet, excessive caffeine and alcohol consumption, inadequate fluid intake, poor bowel habits, certain medications, pregnancy, certain diseases or conditions, age, and more. Treatment for constipation include lifestyle changes, OTC remedies, and medication if necessary. -
Constipation: in Infants, Babies, Toddlers, and Children
Constipation in infants and children affects up to 10% of children at any given time. Causes of constipation in infants and children include a wilfulness to avoid the toilet, prior painful or frightening experiences that make them avoid the bathroom, a concern for lack of privacy in public restrooms, changes in diet, dehydration, and several medical disorders. Symptoms of constipation in infants and children include vague abdominal pain, vomiting, decreased appetite, urinary tract infections (UTIs), urinary incontinence, frequent urination, and bedwetting. Home remedies and self-care at home is possible with mild constipation, however, it may be necessary for the affected infant or child to see a pediatrician or other healthcare professional. -
Crohn's Disease Anatomy
Crohn's disease is an inflammatory bowel disease (IBD), and any part of the digestive tract can be involved (from the mouth to the anus). Symptoms of Crohn's disease include bloating, constipation, and pain or bleeding with a bowel movement (rectal bleeding). Crohn's disease can cause complications in the digestive system. Nutritional complications are common in people with Crohn's disease. -
Crohn's Disease Diet (Triggers and Soothing Foods)
People with Crohn's disease have many challenges, particularly their dietary and nutritional needs. Some foods may aggravate symptoms, while other foods may not cause problems. Malnutrition is a concern with people with Crohn's disease. Foods that may aggravate symptoms include high fiber foods like popcorn, nuts, and vegetables, alcohol, milk and other dairy products, spicy foods, fatty foods, and fried foods. Often, a parenteral nutrition (TPN) or elemental diet may be recommended to reduce symptoms of Crohn's disease. -
Crohn's Disease FAQs
Crohn's disease (Crohn disease) is a chronic condition that is characterized by inflammation of the digestive tract. Crohn's disease is considered an inflammatory bowel disease (IBD). Symptoms of Crohn's disease include diarrhea, constipation, abdominal pain, bloating, and fever. Treatment options include diet changes, medication, and surgery. The prognosis for Crohn's disease depends on the patient and the areas affected by Crohn's disease. -
Crohn's Disease in Children and Teens
Crohn's disease is an inflammation of the small intestine. Crohn's disease is also referred to as inflammatory bowel disease. Crohn's disease in children and teens generally develop symptoms before the age of 20. Symptoms include watery diarrhea, abdominal pain, weight loss, appetite loss, and slowed growth. Management of Crohn's disease in children and teens is possible with medication and lifestyle changes. -
Crohn's Disease Treatment Medications (Side Effects, List)
Crohn's disease medications prescribed for the treatment of the disease, and symptom relief include aspirin like anti-inflammatories, for example, mesalamine (Asacol, Pentasa, Apriso, Lialda, Canasa, Rowasa), olsalazine (Dipentum), and sulfasalazine (Azulfidine, EN-Tabs). Corticosteroids, for example, budesonide (Entocort), methylprednisolone (Solu-Medrol), prednisolone (Delta-Cortef), and prednisone (Deltasone, Orasone). Immunosuppressants, for example, azathioprine (Imuran), 6-mercaptopurine (Purinethol), and methotrexate (Folex). Biologic drugs, for example, infliximab (Remicade), adalimumab (Humira), and certolimumab (Cimzia). Review the list of these drugs and their side effects. -
Crohn's Disease: Living With Crohn's Disease
Living with Crohn's disease can be stressful, depressing, and frustrating. Crohn's disease is not curable, but there are a variety of things that can improve the quality-of-life for people with the disease, for example, medications, lifestyle changes, diet, and surgery. -
Diarrhea
Diarrhea can be caused by bacterial or viral infections, parasites, intestinal diseases or conditions, reactions to medications, and food intolerance or allergies. Symptoms of diarrhea include watery stools, abdominal cramping, fever, and dehydration. Most cases of diarrhea can be treated at home. In some cases (in the elderly, small children, or those with severe or chronic medical conditions) may need to be hospitalized due to dehydration. -
Endoscopy Procedure: Diagnosing Crohn's Disease
Crohn's disease can be diagnosed by a variety of procedures and tests such as endoscopy. There are several different names for endoscopy, and it depends on what part of the digestive tract being examined. Types of endoscopy include esophagogastroduodenoscopy (EGD), colonoscopy, sigmoidoscopy, Endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound, and balloon endoscopy, or enteroscopy. Preparation for endoscopy depends on the type of test being performed. Signs and symptoms of diarrhea, weight loss, fever, anemia, decrease in appetite, nausea, and abdominal pain and cramping. -
Proctitis
Proctitis is an inflammation of the anus rectal lining. Symptoms include pain, bleeding, spasms during bowel movements, a feeling of being unable to empty the bowels completely. Treatment includes safe sex practices and antibiotics. -
Rectal Bleeding
Rectal bleeding can be mild or seriouis, evern life-threatening. Causes of rectal bleeding include trauma, inflammation of the bowel, hemorrhoids, anal fissures, polyps, and tumors. Treatment of rectal bleeding depends on the cause and may include medication or surgery. -
Rectal Pain
Rectal pain is a common problem. Some common causes of rectal pain include hemorrhoids, anal fissures, fleeting anal spasms (proctalgia fugax), and levator ani syndrome. Diagnosis of rectal pain generally require no procedures. Treatment of rectal pain depends on the cause of the pain. -
Stomach Pain (Abdominal Pain) in Children
Abdominal pain in children can range from trivial to life-threatening. Symptoms of abdominal pain range from vomiting, diarrhea, fever, groin pain, urinary problems, or skin rash. The location of the abdominal pain may be around the belly button, occurs only at night, while eating. The pain pain also may be intermittent. Treatment of abdominal pain in children is depends on the cause. Possible causes of abdominal pain in children include infections, food related (food allergy or food poisoning), poisoning from medication, food, household products, appendicitis, diabetes, or spider bites. -
Stool Color Changes
Stool color changes and textures to black, tarry, sticky, red, maroon, clay-colored, gray, pale, and yellow can have a variety of causes. Causes include hemorrhoids, pancreatitis, tumors, alcohol abuse, liver disease, cystic fibrosis, celiac disease, cancers, Crohn's disease, ulcerative colitis, diverticular bleeding due to diverticulitis, medication, changes in diet, and other conditions. Treatment of changes in stool color depend on the cause. -
Urinary Tract Infection (UTI)
Most urinary tract infections (UTIs) are caused by E. coli. Symptoms and signs of a UTI include urinary urgency, frequent urination, burning urination, and cloudy or foul-smelling urine. Treatment typically involves a course of antibiotics. -
Vaginal Yeast Infections
Vaginal yeast infections (vaginal candidiasis, genital candidiasis, or vulvovaginal candidiasis) is a fungal or yeast infection. Symptoms include vaginal discharge, vaginal itching, painful or burning urination, and painful intercourse. There are a variety of causes of a vaginal yeast infection. Treatment is generally OTC vaginal yeast infection medication.
REFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.