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Understanding Crohn's Disease

Crohn's Disease or Crohn's disease is one of the inflammatory bowel disease and a long-term condition in which inflammation can occur in all layers of the wall of the digestive tract, from the mouth to the anus. But this condition is more common in the latter part of the small intestine (ileum) or colon.

This condition can be painful, making the body feel weak, and sometimes can cause a life-threatening complication of patients.



 
Patients with Crohn's disease have remission where no symptoms whatsoever or only experiencing mild symptoms. This will be followed by remission and relapse period sometimes difficult for the sufferer.

The symptoms of Crohn's disease


The signs and symptoms in patients with Crohn's disease or Crohn's disease vary, ranging from mild to very severe and can be on any part of your body's digestive system.


The following are the common symptoms that can appear due to Crohn's disease, you could experience all these symptoms at once or just one of them.


  • Feeling very tired.

  • Abdominal pain and cramping.

  • Diarrhea.

  • Feces mixed with mucus and blood.

  • A decrease in appetite.

  • Extreme weight loss.

  • Fever.


Inflammation of the digestive systems of children can inhibit the absorption of nutrients from the food they consume.


Here are some of the conditions and symptoms should immediately get treatment from doctors, namely:


  • The appearance of blood in the stool.

  • Diarrhea that does not heal.

  • Weight loss for no apparent reason.

  • Abdominal pain and stomach cramps that do not heal.


Things that can increase the risk of emergence of Crohn's Disease


The real cause of Crohn's disease or Crohn's disease is still unknown.


  • Heredity . There is evidence of Crohn's disease is a hereditary disease in the family.Moreover, Crohn's disease tends to occur only in some ethnic nation, helped prove that this is a hereditary condition.

  • The immune system . In patients with Crohn's disease, the immune system is supposed to protect the gut of harmful bacteria that enter the digestive system disorder. As a result, the immune system will attack both harmful bacteria and "good bacteria" (bacteria that help in the digestion process). This condition is thought to cause the occurrence of Crohn's disease.

  • The age factor . Although Crohn's disease can appear at any time, the condition is more often experienced at a young age. Most Crohn's disease is diagnosed under the age of 30 years.

  • Smoking . The most high risk in causing Crohn's disease is smoking, factors other than family health history and ethnic background. People who smoke are twice as likely than those who do not smoke. Symptoms of Crohn's disease in people who smoke are usually more severe and likely to require surgery for treatment.

  • Infection . Infections that occur in childhood may result in an abnormal reaction of the immune system. This condition eventually suspected of causing the appearance of the symptoms of Crohn's disease.


Steps in Diagnosing Crohn's Disease


Diagnosis of Crohn's disease or Crohn's disease itself usually occurs in several stages, because symptoms in Crohn's disease may also be caused by other diseases.


  • Preliminary examination The doctor will ask about the pattern of symptoms experienced. In addition, the doctor will check whether there is a specific cause of the symptoms. Food, drug usage history, family medical history, as well as a recent trip that can cause symptoms of diarrhea(travelers' diarrhea).

  • Examination of pulse rate, body temperature, blood pressure, and abdominal examination, will also be performed by a doctor to check your general health.

  • Blood tests Blood tests need to be conducted to determine the level of inflammation in your body. In addition, with this procedure, you will know if an infection. If proven of blood tests you are anemic, then maybe you are experiencing malnutrition or bleeding in the gastrointestinal tract.

  • Stool sample stool sample will be examined whether there is the content of blood and mucus. From this procedure, the doctor can find out if your symptoms are caused by a parasitic roundworm or other conditions.

  • Colonoscopy This is a procedure performed to examine the inside of the colon. This procedure is done by inserting a flexible hose that accompanied the camera and lights into the colon via the rectum (the last part of the digestive tract). Doctors can look at the severity and extent of the inflammation that occurs in the colon. This procedure can also be used to biopsy (tissue sampling) in any part of the gastrointestinal tract. A biopsy is useful to see changes in the cells lining the gastrointestinal tract that are characteristic of Crohn's disease.

  • Wireless capsule endoscopy This is a procedure that requires you swallow a capsule that will fit into the small intestine. The capsule will transmit images to a recorder.After a few days, the capsule will come out of the body through feces. This is a disposable capsule.not all hospitals have a procedure that is still very new.


Treating Crohn's Disease


Treatment performed on Crohn's disease or Crohn's disease just to ease the symptoms experienced and also maintain remission.


Here are some medications used to reduce symptoms, namely:


  • Kortikosteroid. Giving corticosteroids (such as prednisone and hydrocortisone) to treat inflammation that occurs. To avoid the side effects of this medication, you are advised to reduce the dose gradually before stopping when symptoms are already improving.



  • Immunosuppressants . It also serves to reduce inflammation, but the target of these drugs is producing substances that cause inflammation, which is part of the immune system. Usually, this medicine will be combined with a corticosteroid to give a better effect. This drug is not suitable for everyone and you should do regular blood tests while taking this medication to determine the side effects of these drugs. Talk with your doctor before taking this medication, especially if you are planning a pregnancy or are pregnant while taking this drug.

  • Operation . This procedure is done if the benefits more than the risk. This procedure involves the removal of the inflamed intestine and connecting the healthy part.


Remission can be lived by taking certain medications or not.


Some of the suspected food could improve the symptoms experienced by patients with Crohn's disease, although to date there is no clear evidence on the relationship of food with Crohn's disease. You can make notes about the food you eat and its impact on your body.

If there is a suspected food aggravate your symptoms, you can avoid these foods. But it is not advisable to completely eliminate certain types of foods with nutrients, such as grains or sugar.

For people who smoke, quitting smoking will relieve the symptoms experienced and helps keep the remains in remission.

Due to the complications of Crohn's Disease


Here are some of the complications that may occur as a result of Crohn's disease or Crohn's disease.


  • Fistula . Fistulas are channels that form of ulcers on the walls of the gastrointestinal tract, which penetrate other parts of the gastrointestinal tract or even penetrate the bladder, vagina, anus, or skin. The result can cause constant pain, fever, feces containing blood or pus, feces leakage even in their underwear.

  • Osteoporosis . The conditions at the time of the quality of bone density decrease due to bowel absorbing nutrients from food, and because of the side effects of drug use steroids.

  • Iron deficiency anemia . Bleeding that occurs in the digestive tract due to Crohn's disease can result in iron deficiency anemia. Symptoms of these complications are the most common are shortness of breath, fatigue, and pale.

  • Anemia of vitamin B12 or folate deficiency . Disruption of the absorption of vitamin B12 or folate, which occurs due to Crohn's disease. The most common symptoms of this condition are due to fatigue and lack of energy. Failure of the absorption of vitamins and minerals by the body will also lead to malnutrition.

  • Colon Cancer . Crohn's disease that attacks the colon will increase your risk of developing colon cancer. Ask your doctor whether you need a screening test for colon cancer.

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