Does anyone here have Crohn's disease?

WA261

Diamond Member
Aug 28, 2001
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Found out today i have it....seems there is a ton of conflicting info on it
 

shiner

Lifer
Jul 18, 2000
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I've read some about it and there does seem to be a lot of conflicting info about it. I had an attack of Diverticulitus in Jan. and it really messed me up, soft food diet for a month, no spices, etc... and for a while the Dr. thought I might have Crohn's disease. It turned out that I don't but when he was thinking it was possible he gave me a lot of info to read and then I did some searching on my own. Hopefully you can get some good information and take care of your condition. If treated correctly it isn't a big deal. Not to scare you or anything but my parent's have some good friends who's son (38 yrs old) died from Crohn's because he didn't take it seriously and follow his Dr's advice.

Best of luck to you.
 

WA261

Diamond Member
Aug 28, 2001
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na...doesnt scare me....i have been reading about that already....some places say it can be dealt with....others talk of surgery/cancer/death....fun fun =P
 

shiner

Lifer
Jul 18, 2000
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From what I read surgery is only required in something like 1-5% of cases if the afflicted person acts responsibly. I'm not sure if your Dr told you anything about your diet but when I had the Diverticulitus my Doc told me "never eat anything that comes out looking like it did when it went in" In other words no corn, nuts, sesame seeds, etc....he also said to stay away from iceberg lettuce since it has zero nutritional value and is basically sandpaper to your colon.
 

WA261

Diamond Member
Aug 28, 2001
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they just called me this morning....so i have not heard what the Dr. has to say about it yet....i have read about the diet though...im gonna die without sunflower seeds!!! i also eat salad daily, but i dont eat iceberg...wonder if it matters....
 

killface

Golden Member
Aug 17, 2001
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My mom's got it. She was hospitalized in the early 80's for 3 months and had to have surgery to remove most of her large intestine. She's been seemingly doing fine with it ever since then. She does have a colostomy and can't eat nuts or anything like that for fear of an obstruction.
 

Amused

Elite Member
Apr 14, 2001
57,543
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In case anybody was curious:

Introduction to Crohn's Disease
Crohn's disease causes inflammation in the small intestine. Crohn's disease usually occurs in the lower part of the small intestine, called the ileum, but it can affect any part of the digestive tract, from the mouth to the anus. The inflammation extends deep into the lining of the affected organ. The inflammation can cause pain and can make the intestines empty frequently, resulting in diarrhea.

Crohn's disease is an inflammatory bowel disease (IBD), the general name for diseases that cause inflammation in the intestines. Crohn's disease can be difficult to diagnose because its symptoms are similar to other intestinal disorders such as irritable bowel syndrome and to another type of IBD called ulcerative colitis. Ulcerative colitis causes inflammation and ulcers in the top layer of the lining of the large intestine.

Crohn's disease affects males and females equally and seems to run in some families. About 20 percent of people with Crohn's disease have a blood relative with some form of IBD, most often a brother or sister and sometimes a parent or child.

Crohn's disease may also be called ileitis or enteritis.

What Causes Crohn's Disease?
Theories about what causes Crohn's disease abound, but none has been proven. The most popular theory is that the body's immune system reacts to a virus or a bacterium by causing ongoing inflammation in the intestine.

People with Crohn's disease tend to have abnormalities of the immune system, but doctors do not know whether these abnormalities are a cause or result of the disease. Crohn's disease is not caused by emotional distress.

What Are the Symptoms?
The most common symptoms of Crohn's disease are abdominal pain, often in the lower right area, and diarrhea. Rectal bleeding, weight loss, and fever may also occur. Bleeding may be serious and persistent, leading to anemia. Children with Crohn's disease may suffer delayed development and stunted growth.

How Is Crohn's Disease Diagnosed?
A thorough physical exam and a series of tests may be required to diagnose Crohn's disease.

Blood tests may be done to check for anemia, which could indicate bleeding in the intestines. Blood tests may also uncover a high white blood cell count, which is a sign of inflammation somewhere in the body. By testing a stool sample, the doctor can tell if there is bleeding or infection in the intestines.

The doctor may do an upper gastrointestinal (GI) series to look at the small intestine. For this test, the patient drinks barium, a chalky solution that coats the lining of the small intestine, before x-rays are taken. The barium shows up white on x-ray film, revealing inflammation or other abnormalities in the intestine.

The doctor may also do a colonoscopy. For this test, the doctor inserts an endoscope-- a long, flexible, lighted tube linked to a computer and TV monitor--into the anus to see the inside of the large intestine. The doctor will be able to see any inflammation or bleeding. During the exam, the doctor may do a biopsy, which involves taking a sample of tissue from the lining of the intestine to view with a microscope.

If these tests show Crohn's disease, more x-rays of both the upper and lower digestive tract may be necessary to see how much is affected by the disease.

What are the Complications of Crohn's Disease?
The most common complication is blockage of the intestine. Blockage occurs because the disease tends to thicken the intestinal wall with swelling and scar tissue, narrowing the passage. Crohn's disease may also cause sores, or ulcers, that tunnel through the affected area into surrounding tissues such as the bladder, vagina, or skin. The areas around the anus and rectum are often involved. The tunnels, called fistulas, are a common complication and often become infected. Sometimes fistulas can be treated with medicine, but in some cases they may require surgery.

Nutritional complications are common in Crohn's disease. Deficiencies of proteins, calories, and vitamins are well documented in Crohn's disease. These deficiencies may be caused by inadequate dietary intake, intestinal loss of protein, or poor absorption (malabsorption).

Other complications associated with Crohn's disease include arthritis, skin problems, inflammation in the eyes or mouth, kidney stones, gallstones, or other diseases of the liver and biliary system. Some of these problems resolve during treatment for disease in the digestive system, but some must be treated separately.

What Is the Treatment for Crohn's Disease?
Treatment for Crohn's disease depends on the location and severity of disease, complications, and response to previous treatment. The goals of treatment are to control inflammation, correct nutritional deficiencies, and relieve symptoms like abdominal pain, diarrhea, and rectal bleeding. Treatment may include drugs, nutrition supplements, surgery, or a combination of these options. At this time, treatment can help control the disease, but there is no cure.

Some people have long periods of remission, sometimes years, when they are free of symptoms. However, the disease usually recurs at various times over a person's lifetime. This changing pattern of the disease means one cannot always tell when a treatment has helped. Predicting when a remission may occur or when symptoms will return is not possible.

Someone with Crohn's disease may need medical care for a long time, with regular doctor visits to monitor the condition.

Drug Therapy
Most people are first treated with drugs containing mesalamine, a substance that helps control inflammation. Sulfasalazine is the most commonly used of these drugs. Patients who do not benefit from it or who cannot tolerate it may be put on other mesalamine-containing drugs, generally known as 5-ASA agents, such as Asacol, Dipentum, or Pentasa. Possible side effects of mesalamine preparations include nausea, vomiting, heartburn, diarrhea, and headache.

Some patients take corticosteroids to control inflammation. These drugs are the most effective for active Crohn's disease, but they can cause serious side effects, including greater susceptibility to infection.

Drugs that suppress the immune system are also used to treat Crohn's disease. Most commonly prescribed are 6-mercaptopurine and a related drug, azathioprine. Immunosuppressive agents work by blocking the immune reaction that contributes to inflammation. These drugs may cause side effects like nausea, vomiting, and diarrhea and may lower a person's resistance to infection. When patients are treated with a combination of corticosteroids and immunosuppressive drugs, the dose of corticosteriods can eventually be lowered. Some studies suggest that immunosuppressive drugs may enhance the effectiveness of corticosteroids.

The U.S. Food and Drug Administration has approved the drug infliximab (brand name, Remicade) for the treatment of moderate to severe Crohn's disease that does not respond to standard therapies (mesalamine substances, corticosteroids, immunosuppressive agents) and for the treatment of open, draining fistulas. Infliximab, the first treatment approved specifically for Crohn's disease, is an anti-tumor necrosis factor (TNF) substance. TNF is a protein produced by the immune system that may cause the inflammation associated with Crohn's disease. Anti-TNF removes TNF from the bloodstream before it reaches the intestines, thereby preventing inflammation. Investigators will continue to study patients taking infliximab to determine its long-term safety and efficacy.

Antibiotics are used to treat bacterial overgrowth in the small intestine caused by stricture, fistulas, or prior surgery. For this common problem, the doctor may prescribe one or more of the following antibiotics: ampicillin, sulfonamide, cephalosporin, tetracycline, or metronidazole.

Diarrhea and crampy abdominal pain are often relieved when the inflammation subsides, but additional medication may also be necessary. Several antidiarrheal agents could be used, including diphenoxylate, loperamide, and codeine. Patients who are dehydrated because of diarrhea will be treated with fluids and electrolytes.

Nutrition Supplementation
The doctor may recommend nutritional supplements, especially for children whose growth has been slowed. Special high-calorie liquid formulas are sometimes used for this purpose. A small number of patients may need periods of feeding by vein. This can help patients who need extra nutrition temporarily, those whose intestines need to rest, or those whose intestines cannot absorb enough nutrition from food.

Surgery
Surgery to remove part of the intestine can help Crohn's disease but cannot cure it. The inflammation tends to return next to the area of intestine that has been removed. Many Crohn's disease patients require surgery, either to relieve symptoms that do not respond to medical therapy or to correct complications such as blockage, perforation, abscess, or bleeding in the intestine.

Some people who have Crohn's disease in the large intestine need to have their entire colon removed in an operation called colectomy. A small opening is made in the front of the abdominal wall, and the tip of the ileum is brought to the skin's surface. This opening, called a stoma, is where waste exits the body. The stoma is about the size of a quarter and is usually located in the right lower part of the abdomen near the beltline. A pouch is worn over the opening to collect waste, and the patient empties the pouch as needed. The majority of colectomy patients go on to live normal, active lives.

Sometimes only the diseased section of intestine is removed. In this operation, the intestine is cut above and below the diseased area and reconnected.

Because Crohn's disease often recurs after surgery, people considering surgery should carefully weigh its benefits and risks compared with other treatments. Surgery may not be appropriate for everyone. People faced with this decision should get as much information as possible from doctors, nurses who work with colon surgery patients (enterostomal therapists), and other patients. Patient advocacy organizations can suggest support groups and other information resources. (See Resources for the names of such organizations.)

People with Crohn's disease may feel well and be free of symptoms for substantial spans of time when their disease is not active. Despite the need to take medication for long periods of time and occasional hospitalizations, most people with Crohn's disease are able to hold jobs, raise families, and function successfully at home and in society.

Research on Crohn's Disease
Researchers continue to look for more effective treatments. Examples of investigational treatments include

Anti-TNF. Research has shown that cells affected by Crohn's disease contain a cytokine, a protein produced by the immune system, called tumor necrosis factor (TNF). TNF may be responsible for the inflammation of Crohn's disease. Anti-TNF is a substance that finds TNF in the bloodstream, binds to it, and removes it before it can reach the intestines and cause inflammation. In studies, anti-TNF seems particularly helpful in closing fistulas.

Interleukin 10. Interleukin 10 (IL-10) is a cytokine that suppresses inflammation. Researchers are now studying the effectiveness of manmade IL-10 in treating Crohn's disease.

Antibiotics. Antibiotics are now used to treat the bacterial infections that often accompany Crohn's disease, but some research suggests that they might also be useful as a primary treatment for active Crohn's disease.

Budesonide. Researchers recently identified a new corticosteroid called budesonide that appears to be as effective as other corticosteroids but causes fewer side effects.

Methotrexate and cyclosporine. These are immunosuppressive drugs that may be useful in treating Crohn's disease. One potential benefit of methotrexate and cyclosporine is that they appear to work faster than traditional immunosuppressive drugs.

Zinc. Free radicals--molecules produced during fat metabolism, stress, and infection, among other things--may contribute to inflammation in Crohn's disease. Free radicals sometimes cause cell damage when they interact with other molecules in the body. The mineral zinc removes free radicals from the bloodstream. Studies are under way to determine whether zinc supplementation might reduce inflammation.

Can Diet Control Crohn's Disease?
No special diet has been proven effective for preventing or treating this disease. Some people find their symptoms are made worse by milk, alcohol, hot spices, or fiber. People are encouraged to follow a nutritious diet and avoid any foods that seem to worsen symptoms. But there are no consistent rules.

People should take vitamin supplements only on their doctor's advice.

Is Pregnancy Safe for Women with Crohn's Disease?
Research has shown that the course of pregnancy and delivery is usually not impaired in women with Crohn's disease. Even so, women with Crohn's disease should discuss the matter with their doctors before pregnancy. Most children born to women with Crohn's disease are unaffected. Children who do get the disease are sometimes more severely affected than adults, with slowed growth and delayed sexual development in some cases.

Resources on Crohn's Disease
Crohn's Disease Resource Center
at HealingWell.com
Home Page: http://www.healingwell.com/ibd/

Crohn's & Colitis Foundation of America, Inc.
386 Park Avenue South, 17th Floor
New York, NY 10016-8804
Tel: (800) 932-2423 or (212) 685-3440
E-mail: info@ccfa.org
Home Page: http://www.ccfa.org

Pediatric Crohn's & Colitis Association, Inc.
P.O. Box 188
Newton, MA 02168
Tel: (617) 244-6678

Reach Out for Youth with Ileitis and Colitis, Inc.
15 Chemung Place
Jericho, NY 11753
Tel: (516) 822-8010

United Ostomy Association
36 Executive Park, Suite 120
Irvine, CA 92714
Tel: (800) 826-0826 or (714) 660-8624
E-mail: uoa@deltanet.com
Home Page: http://www.uoa.org
 

FoBoT

No Lifer
Apr 30, 2001
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fobot.com
we thought my wife had it a few years back, but it turned out to be just IBS, it comes and goes
sometimes what she eats makes it flare back up
 

divinemartyr

Platinum Member
Oct 18, 2000
2,439
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My brother developed Crohn's disease back in November. He had to have surgery at the time, but the doctor told him a few things. First that he needed to pretty much give up alcohol for the rest of his life, and if he did he would probably have a 50% chance that he'd never have to worry about a flare up again. Also he had to take medication pretty much indefinitely, because there is no cure. Nuts and other hard to digest foods are not PROVEN to cause flare ups, and neither was alcohol, but the doctor pretty much said these things are known to 'possibly' cause flare ups, potentially putting you in the hospital again requiring more surgery.

I wish you luck my friend, it's not a very fun thing but thankfully, the side effects are rare.

dm
 

XZeroII

Lifer
Jun 30, 2001
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My Aunt has it. It also can flare up because of stress. She has had lots of surgury and has to take really good care of herself. She is one of the nicest people I know, so I hope they can find a way to cure it soon.
 

WA261

Diamond Member
Aug 28, 2001
4,631
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eeekkkkk....as i keep reading, i have found that 50-80% of cd patients will need surgery....highest mortality rate is during the 1st yrs of the disease, and there is a large risk of developing colon cancer later in life....this info is from an m.d. at harvard.....im not sure what info to trust though....what a sh*tty deal, literally....lol
 

shiner

Lifer
Jul 18, 2000
17,112
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50-80%? Man that's rough.....see that's exaclty the kind of mixed up and conflicting info I've seen about this disease. I read one place that said only 1-5% of people require surgery and you find a place that has it as high as 80%. You gotta love modern medicine and all it's "we don't really know what the hell we are talking about but here try this and let's see if it works" approach to some conditions.