Crohn's Disease

Crohn’s disease is a chronic inflammatory bowel disease (IBD) that causes inflammation anywhere along the digestive tract, from the mouth to the anus. It most commonly affects the:
✔ Ileum (end of the small intestine)
✔ Colon (large intestine)

Common Symptoms

  • Abdominal pain (often lower right side)

  • Chronic diarrhea (sometimes bloody)

  • Unintentional weight loss

  • Fatigue & weakness

  • Low-grade fever

  • Loss of appetite

  • Mouth ulcers

Causes & Risk Factors

Genetic Factors

  • Family history of Crohn’s

  • Mutations in genes like NOD2/CARD15

Environmental Triggers

  • Smoking (biggest preventable risk)

  • High-fat, processed diets

  • Urban living

Immune System Dysfunction

  • Abnormal immune response to gut bacteria

Diagnosis

  1. Blood tests (check for anemia & inflammation)

  2. Stool tests (rule out infections)

  3. Colonoscopy + biopsy (gold standard)

  4. Imaging (CT/MRI enterography)

  5. Capsule endoscopy (small intestine exam)

Treatment Options

Medications

  • Corticosteroids (short-term flare control)

  • Immunosuppressants (azathioprine, methotrexate)

  • Biologics (infliximab, adalimumab)

  • Antibiotics (for infections)

Surgery

  • Removal of severely damaged bowel sections

  • Fistula/abscess treatment

  • Strictureplasty (widening narrowed areas)

Lifestyle Management

  • Low-fiber diet during flares

  • Quit smoking

  • Stress reduction

  • Vitamin supplements (D & B12 often needed)

Potential Complications

⚠ Bowel obstructions
⚠ Fistulas (abnormal organ connections)
⚠ Malnutrition
⚠ Increased colon cancer risk

Living with Crohn’s

With proper management, patients can lead active lives. Key strategies:
✔ Regular GI specialist visits
✔ Trigger avoidance
✔ Balanced nutrition
✔ Gentle exercise

Emerging Research

  • New biologic therapies

  • Fecal microbiota transplants

  • Genetic treatments

  • Improved drug safety profiles

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