Crohn’s Disease Specialist Questions and Answers
If you are looking for a Crohn’s Disease Specialist, then please come to Vanguard Gastroenterology. Our medical professionals are ready to provide you with the best care! For more information, please call us or book an appointment online.
Table of Contents:
What Is Crohn’s Disease?
What Are The Symptoms Of Crohn’s Disease?
What Causes Crohn’s Disease?
Who Gets Crohn’s Disease?
Is Crohn’s The Same As Ulcerative Colitis?
How Is Crohn’s Different From Irritable Bowel Syndrome?
How Is Crohn’s Disease Diagnosed?
How Is Crohn’s Disease Treated?
Can You Die From Crohn’s Disease If Left Untreated?
Crohn’s disease is a chronic inflammatory bowel disease characterized by inflammation of the intestinal wall or any portion of the gastrointestinal tract (GI). Although Crohn’s can affect any portion of the GI, the disease commonly affects the lower portion of the small intestine and the rectum. Some of the symptoms with Crohn’s are abdominal pain and diarrhea, as well as general weight loss. At Vanguard Gastroenterology, we have a variety of options for treating patients suffering from Crohn’s, with the goal of alleviating symptoms and helping them live normal lives.
Crohn’s is a painful disease of the digestive tract. Classified as a chronic inflammatory bowel disease (IBD) it is characterized by inflammation of the GI tract, usually at the point where the small intestine joins the large intestine, the colon. Crohn’s is sometimes confused with ulcerative colitis, as both are IBDs, but they are not the same condition. Beyond the digestive system, Crohn’s can affect the eyes, skin, and joints. Crohn’s is not curable, but treatments can lengthen the spans of time between severe symptoms, and allow the patient to lead a basically normal life.
People with Crohn’s disease don’t usually have consistent, ongoing symptoms. The patient may have a period of severe symptoms followed by a remission that can last from weeks to even years. How a person reacts to Crohn’s depends on where in the GI the disease occurs, along with its severity. These are the general symptoms associated with Crohn’s disease:
– Chronic diarrhea that often contains blood or mucus
– Abdominal pain and tenderness
– Abdominal cramping
– Weight loss
– Feeling of low appetite
– Rectal bleeding
Complications from Crohn’s can lead to other symptoms. An abnormal passageway, called a fistula, can develop between organs or tissues, leading to leaking discharge around the rectum. Severe inflammation can create swelling and scar formation and lead to problems such as bowel perforation, fever, and abdominal distension. In these cases, Crohn’s can be life threatening.
The causes of Crohn’s are not directly attributable. The disease is not related to something the patient has done or eaten. At times, scientists have thought Crohn’s is an autoimmune disease, but research now suggests the immune system is not attacking the body itself (as in autoimmune conditions), but is attacking harmless virus, bacteria, or food in the gut. These attacks cause the inflammation and bowel injury. There seems to be a genetic influence, as roughly 20 percent of those with Crohn’s have a blood relative with an IBD.
As noted above, Crohn’s is often inherited. People primarily acquire Crohn’s disease before the age of 30, although it can occur in later years, as well. Approximately 700,000 people in the United States are affected by Crohn’s disease.
While both Crohn’s and ulcerative colitis are classified as IBDs, there are key differences.
– Inflammation develops anywhere in the GI tract
– Most common at the end of the small intestine
– May appear in patches
– May extend through entire thickness of bowel wall
– Limited to the large intestine
– Occurs in the rectum and colon
– Appears in a continuous pattern
– Inflammation occurs in innermost lining of the intestine
Crohn’s is an inflammatory bowel disease (IBD), but it is not irritable bowel syndrome (IBS). IBS involves muscle contractions of the bowel and is not characterized by intestinal inflammation. Also, IBS is a disorder, not a disease.
At Vanguard Gastroenterology, we use a variety of tests and procedures to diagnose Crohn’s. We may perform colonoscopies or sigmoidoscopies to obtain bowel tissue for testing. An upper endoscopy allows us to look at the esophagus, stomach, and the beginning of the small intestine. We also use blood tests to check for high white blood cell counts (inflammation) and low red blood cell counts (anemia from blood loss). Stool samples allow us to rule out infection as the cause of the patient’s diarrhea. We may use CT scans or MRIs of the upper and lower GI tracts.
Although there is no cure for Crohn’s disease, at Vanguard Gastroenterology, we have a variety of treatment options that can allow patients to lead normal lives. The goals for treatment are to reduce inflammation, relieve symptoms such as diarrhea, and to eliminate any nutritional deficiencies caused by the disease. It’s important to note that medications or surgery don’t cure Crohn’s disease. We primarily treat Crohn’s disease with medications.
– Immune system modifiers
– Anti-diarrhea drugs
– Biologic therapies
– Surgery For Crohn’s Disease
Up to three-quarters of people with Crohn’s disease will eventually need surgery to treat the disease. Surgery usually will remove the diseased part of the bowel. However, Crohn’s can impact another portion in the future.
Surgical patients are not responding to medications, are having extreme difficulty with medication side effects, or have developed these complications:
Formation of a scar that is narrowing the bowelExcessive bleeding in the intestineA perforation in the bowel wallFormation of a fistulaFormation of an abscessA condition known as toxic megacolon, where the colon is severely stretched out and toxins begin to spread through the blood
Although Crohn’s is thought of as a chronic, lifelong condition, it is not considered generally life threatening. People can die from complications such as infection and the development of cancer, however.
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