Crohn’s disease

Crohn’s disease exists even if not well talked of.

What is Crohn’s Disease?
Named after Dr. Burrill B. Crohn, who first described the disease in 1932 along with colleagues Dr. Leon Ginzburg and Dr. Gordon D. Oppenheimer, Crohn’s disease belongs to a group of conditions known as Inflammatory Bowel Diseases (IBD). Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract.

Crohn’s most commonly affects the end of the small bowel (the ileum) and the beginning of the colon, but it may affect any part of the gastrointestinal (GI) tract, from the mouth to the anus. Ulcerative colitis is limited to the colon, also called the large intestine.

Crohn’s disease can also affect the entire thickness of the bowel wall, while ulcerative colitis only involves the innermost lining of the colon. Finally, in Crohn’s disease, the inflammation of the intestine can “skip”– leaving normal areas in between patches of diseased intestine. In ulcerative colitis this does not occur.

Recognizing the Signs and Symptoms
Crohn’s disease can affect any part of the GI tract. While symptoms vary from patient to patient and some may be more common than others, the tell-tale symptoms of Crohn’s disease include symptoms related to inflammation of the GI tract:

Persistent Diarrhea(stooling)
Rectal bleeding(bleeding from the rectum)
Abdominal cramps and pain
Sensation of incomplete evacuation
Constipation (can lead to bowel obstruction)
General symptoms that may also be associated with IBD:

Loss of appetite
Weight Loss
Night sweats
Loss of normal menstrual cycle
Even if you think you are showing signs of Crohn’s Disease symptoms, only proper testing performed by your doctor can render a diagnosis.

People suffering from Crohn’s often experience loss of appetite and may lose weight as a result. A feeling of low energy and fatigue is also common. Among younger children, Crohn’s may delay growth and development.
In more severe cases, Crohn’s can lead to tears (fissures) in the lining of the anus, which may cause pain and bleeding, especially during bowel movements. Inflammation may also cause a fistula to develop. A fistula is a tunnel that leads from one loop of intestine to another, or that connects the intestine to the bladder, vagina, or skin. This is a serious condition that requires immediate medical attention.

The symptoms you or your loved one experience may vary depending on which part of the GI tract is affected.

What are the Causes of Crohn’s Disease? Who is Affected?
Men and Women are equally likely to be affected, and while the disease can occur at any age, Crohn’s is more prevalent among adolescents and young adults between the ages of 15 and 35.

The causes of Crohn’s Disease are not well understood. Diet and stress may aggravate Crohn’s Disease, but they do not cause the disease on their own. Recent research suggests hereditary, genetics, and/or environmental factors contribute to the development of Crohn’s Disease.

The GI tract normally contains harmless bacteria, many of which aid in digestion. The immune system usually attacks and kills foreign invaders, such as bacteria, viruses, fungi, and other microorganisms. Under normal circumstances, the harmless bacteria in the intestines are protected from such an attack. In people with IBD, these bacteria are mistaken for harmful invaders and the immune system mounts a response. Cells travel out of the blood to the intestines and produce inflammation (a normal immune system response). However, the inflammation does not subside, leading to chronic inflammation, ulceration, thickening of the intestinal wall, and eventually causing patient symptoms.

Crohn’s tends to run in families, so if you or a close relative have the disease, your family members have a significantly increased chance of developing Crohn’s. Studies have shown that 5% to 20% of affected individuals have a first – degree relative (parents, child, or sibling) with one of the diseases. The risk is greater with Crohn’s disease than ulcerative colitis. The risk is also substantially higher when both parents have IBD. The disease is most common among people of eastern European backgrounds, including Jews of European descent. In recent years, an increasing number of cases have been reported among African American populations.

The environment in which you live also appears to play a role. Crohn’s is more common in developed countries rather than undeveloped countries, in urban rather than rural areas, and in northern rather than southern climates.
Diets or things to avoid
During a flare, people with Crohn’s should avoid foods that contain lots of seeds, such as strawberries, raspberries, and tomatoes. Avoid things that are rough on the digestive system
This can cause lactose intolerance which may lead to indigestion of sugar in milk. You can however try soy milk
Carbonated beverages, coffee and chocolates
Cured meat
It’s extremely important for people with Crohn’s disease to get enough protein; at least 25% of your daily calorie intake should be protein-based. Avoid eating fatty and cured meats, like bacon.
These foods offer little nutritional benefit, while their high fat content can aggravate diarrhea for some people. Instead, choose lean high-quality proteins, like fish, soy, and smooth nut butters.
Avoid tomatoes.

What can they do or eat?
There is a need for plenty of calories ( this may vary in individuals) and vitamins
1. Almond milk
Many people with Crohn’s are lactose intolerant. Luckily, there’s a great dairy alternative: almond milk.
Almond milk also has vitamin D and E, but contains no cholesterol or saturated fat, and fewer calories than cow’s milk. Many varieties contain added sweetener; choosing an unsweetened product cuts about 20 calories per serving.
2. Eggs
Scrambled, hard-boiled, soft-cooked—any way you prepare them, eggs are an inexpensive source of easily digested protein. Avoid frying.
Others are but not exclusively
3. Oatmeal
This is necessary as there is need for lots insoluble  fiber intake. Vegetables can be taken too
4. Fish and seafood. Avoid frying
5. Fruits should also be taken adequately. In summary,   Certain lifestyle changes can reduce symptoms, including dietary adjustments, elemental diet, proper hydration, and smoking cessation. Smoking may increase Crohn’s disease; stopping is recommended. Eating small meals frequently instead of big meals may also help with a low appetite. To manage symptoms have a balanced diet with proper portion control. Fatigue can be helped with regular exercise, a healthy diet, and enough sleep.
We are in a generation where people practice home medication. People feel they know symptoms to diseases, beware. Always seek a doctor’s advice. The fact that you are frequently going to the restroom doesn’t mean you have diarrhea.
I do hope we have been enlightened the more.

Please drop your views and comments. If you have any question, you can drop as well. I will answer (as much & as well as I can).
Your brother

You’re the best

Toluse Francis

Toluse Francis believes a healthy lifestyle is paramount for everyone. He is a long -time volunteer with Solid Foundation Teens and Youth Ministry. He loves to care for people. Toluse Francis is a Health Coach and author He is interested in seeing people eat healthy and get productive. He believes a healthy lifestyle is paramount for everyone.

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Leye - July 15, 2014

People Should get familiar with the common presentation of inflammatory bowel diseases (Crohn’s Disease and Ulcerative Colitis) as discussed. Also, complication of ulcerative colitis are toxic megacolon and commonly, colon cancer which is a very life threatening. Safe way of prevention in our community includes good diet such as roughages, no alcohol, no smoking (Though smoking prevents ulcerative colitis but predisposes you to other cancers of lungs, breast, etc.) Reduce fast foods @ restaurants as they make you obese and high fats predisposed to cancers. Drink adequate water.

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