Crohn’s disease or IBD (Inflammatory Bowel Disease) represents an unceasing transmural inflammatory disease. It tends to affect the distal ileum and may also affect gastrointestinal tract of the body. Normally, it affects 1 out of the 1000 people and is not contagious. However, medical is still unable to provide a proper explanation regarding the subject but people are more likely to get affected due to a reaction between certain bowel bacteria and body’s immune system.
Symptoms of Crohn’s Disease
Crohn’s disease can affect anywhere in the digestive system beginning from the mouth to stomach to bowel to anus. More commonly, it is evidently found in the former portion of the large bowel and small bowel. It does not affect all the regions and can leave unaffected portion between two highly affected parts.
Crohn’s disease instigates with crypt abscesses and inflammation while moving ahead to the tiny focal aphthoid sores. Further, it can create distinguishing cobblestoned facade to the bowel by developing these mucosal lesions into deeper transverse and longitudinal sores with adjudicating mucosal edema. This transmural multiplication can lead to lymphedema as well the congealment of mesentery and bowel wall.
Biological Symptoms of Crohn’s Disease
Most frequent out of all the Crohn’s disease symptoms victim is the initial materialization of unremitting diarrhea. As an addendum, victim can come across fever, weight loss, anorexia and abdominal pain. Abdominal region is quite tender and there can be a palpable fullness of abdomen in the victim. Like ulcerative colitis isolated colonic disease can lead to gross rectal bleeding which is unusual in other circumstances.
With this chronic disease, there are specific variations in Chron’s disease symptoms. There is a usual pain occurring with both plain abscess and recurrence formation. There is an increased tendency of guarding, marked tenderness, usual toxic appearance and rebound if patients are already suffering from severe abscess and flare-up. There are stenotic segments causing bowel obstructions along with obstipation, colicky pain, vomiting and distention.
Previous surgical adhesions can also prove to be the reason for bowel obstruction. It initiates speedily without any prodrome of malaise, pain and fever which is typical in bowel obstruction caused due to flare-up caused by Crohn’s disease. Moreover, there can be pneumaturia causing urinal air bubbles due to the direct effect of enterovesical fistula. Patients can also come across draining of cutaneous fistula with unusual and free perforation into peritoneal cavity.
Common symptoms of Crohn’s disease
In usual life, Crohn’s disease hardly shows any symptoms with sometimes, no exhibition of symptoms at all. However, if one comes across a flare-up due to the active disease; there can be Chron’s disease symptoms like:-
- Painful abdomen
- Rectum bleeding
- Diarrhea with mucus or blood in the faeces
- Weight loss
- Abscesses, tears or ulcers around anus
There can be other painful problems like joint pain, rashes, mouth ulcers and soreness in eyes.
What to do?
After specific diagnosis with Crohn’s disease, patients are supposed to visit the doctor immediately. If not Crohn’s disease, these can be the symptoms of Toxic megacolon which requires immediate medical consultation. For diagnosis, people should visit family medicine doctor or internist. For managing it, people can visit a gastroenterologist and for surgical procedures, people can either visit colorectal or general surgeon.
Prevention and Treatment
However, it is impossible to prevent Crohn’s disease due to its unknown causes but people regular intake of medicines can reduce the occurrence of sudden attacks. There are certain recommended drugs like acetaminophen for mild pain relief. Patients are advised to quit smoking as it can worsen the situation.
Treatment can be done in two ways namely initial and ongoing treatment. During initial treatment, doctors can diagnose the patients for finding the severity of the disease. For mild symptoms, doctors can refer certain drugs in the form of antibiotics, corticosteroids, immunomodulator medicines and biologics. For treating severe symptoms, patients can be recommended corticosteroids through veins or biologics. On the other hand, ongoing treatment demands for aminosalicylates and immunomodulators for a varying period from 2 to 6 months.