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Overview

Crohn's Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Crohn’s disease is basically a chronic inflammation disease that occurs in the digestive tract and affects the lining. It can be extremely painful. This disease is quite rare and does not have a cure as of now. However, the treatment focusses on making the condition more manageable. Crohn’s disease can last for many years, or even your entire life. The treatment centers on the symptoms of the disease including abdominal pain, fatigue, anaemia, vomiting, and any other complications that may develop from having this disease.

There are many treatment options available for Crohn’s disease, which is fortunate because not all the options tend to be effective on everyone. The effectiveness of the treatments largely depends on your medical history and your body type. Your doctor may recommend one or more of these treatment types as time goes on. The first and main type of treatment is medication. You will be prescribed a series of drugs in dosages that are specific to your needs. Nutrition therapy is also commonly suggested for people who have Crohn’s disease. Doctors also often prescribe immune system suppressors to help with the inflammation that comes with this disease. Furthermore, a series of other, random medications can also be prescribed to help you deal with symptoms or other complications that may occur.

If none of the treatment types work, your doctor may also suggest surgery in order to reduce the impact of the disease. While the surgery will not cure the disease itself, it can help gain relief from the symptoms of the disease.

How is the treatment done?

Crohn’s disease is only diagnosed after all other possible diseases and infections are ruled out. This is because there is no specific test designed to diagnose this disease. However, once it is determined that you have this, the treatment options will be laid out in front of you. One of the most commonly used treatment methods is to prescribe anti-inflammatory drugs. Since Crohn’s disease leads to inflammation in the lining of your digestive tract, this is one of the best ways to combat it. Immune suppressants are another line of treatment. These medications target the immune system and dull the effects of the part of the system that causes inflammation to indicate that something is wrong. Often, this line of treatment works very well. Antibiotics are also another option.

As this disease affects the digestive system, nutrition therapy is one of the most important treatment types. Since the bowel is inflamed, it may not be able to absorb nutrition from food correctly. Therefore, a feeding tube is often administered, or nutrition is administered through an IV. This allows your bowel to rest and calm down, which reduces the overall inflammation as well. Furthermore, nutrition therapy is often combined with medications. You will be required to have a low fiber diet in order to allow your body more time to absorb nutrients from food. Depending on the kinds of complications you develop from this disease, you can also be prescribe anti-diarrhoea medication, pain medication, nutritional supplements, pills to help you sleep, multivitamins, and other medications. The idea is to make the disease more manageable.

If none of these work, the doctor will perform a surgery. During the procedure, the damaged parts of the digestive tract will be taken out. However, it is important to note that this only helps you maintain and control the disease, and does not fully cure it. Surgery is quite common in people suffering from Crohn’s disease.

Who is eligible for the treatment? (When is the treatment done?)

People who have been diagnosed with Crohn’s disease are eligible for seeking out any of the treatment options. You can seek medical attention the minute you feel any discomfort.

Who is not eligible for the treatment?

People who have not been diagnosed with Crohn’s disease are not eligible for seeking out the treatment for the condition. People with Crohn’s disease who have not tried other treatments are usually advised not to jump into surgery straight away.

Are there any side effects?

Since there is a wide range of treatment options, there are multiple side effects with each that you need to be vary of. If you are being treated with medications that are anti-inflammatory, you may be prescribed corticosteroids. These should not be used for a prolonged time period and are mostly used when other medicines don’t work as they can lead to weakness in the bones. If you are being treated with immune suppressants, some of the risks that can come with it are an increased vulnerability to infections in general, liver inflammation, brain disease, and weakness. With surgery, the side effects include bruising, swelling, pain, and a dependency on IV feedings if you develop a short gut. It is important to note that the medications that you may be prescribed for other complications can have side effects too. You should not take too many pain killers as they can make the disease worse after a certain point. Antibiotics naturally raise the temperature of the body and you can expect a mild fever to occur while you are taking them.

What are the post-treatment guidelines?

Since there is no cure for Crohn’s disease, all the post treatment guidelines are applicable for the rest of your life. One of the most common guidelines is to watch your diet and ensure that any inflammatory food is not taken in the system. This can include dairy products, high fiber foods, and acidic foods. Spicy food, alcohol, and caffeine will need to be avoided as well. Other lifestyle changes such as reducing stress and quitting smoking are also ones that will have to be made. Regularizing your fluid intake and eating small meals can help you manage your Crohn’s disease in a better way.

How long does it take to recover?

Crohn’s disease can last for years, or even an entire lifetime. Therefore, there is no set recovery period for the same. Often, the disease goes into remission with the help of medications and a controlled diet. However, you can always expect it to eventually come back.

What is the price of the treatment in India?

Most medications in India cost anywhere between Rs. 50 – Rs 150, depending on the brand you prefer and the dosage you have been prescribed. If you have Crohn’s disease, it is advisable to see a dietician. The cost of seeing a dietician in India can range from Rs. 3000 – Rs. 5000 per month. Finally, surgery can be quite expensive. It can cost anywhere between Rs. 1,50,000 to Rs. 4,00,000, depending on where you are getting the surgery and the city you live in. Hospitalization rates also differ largely from city to city.

Are the results of the treatment permanent?

The results of any treatment, including surgery, are not permanent when it comes to Crohn’s disease. This is because there is no cure for the disease. You can only hope to suppress the symptoms for as long as possible, or to make the disease a bit more bearable for yourself.

What are the alternatives to the treatment?

There are certain home remedies and alternative treatments that you can look into to make the disease more manageable. Herbal and nutritional supplements can help, however it is advised to consult with your doctor before adding them to your diet. Some studies have found that adding probiotics to your diet can help with keeping the Crohn’s disease in remission. To manage pain, some people resort to acupuncture.

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: High Price Range: Rs. 50 - Rs. 150

Popular Health Tips

Complications Arising Out of Crohn's Disease in Child

MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Child Health (DCH)
Pediatrician, Delhi
Complications Arising Out of Crohn's Disease in Child

If you are finding certain symptoms like stomach paincramping, frequent diarrhoeaweight loss of your child or fever, then there are chances that he is suffering from Crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease: It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:

  1. Immunity system of the child,
  2. Genetics, and
  3. Environment.

The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing Crohn's disease: If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.
For diagnosing this disease the following tests may be done

  1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
  2. X-Ray for detecting whether your child is suffering from Crohn's disease and what is the exact position of it in the digestive tract.
  3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of Crohn's disease: If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.

  1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
  2. Fissures may develop at the mucus membrane of the anus.
  3. Fistulas or ulcers can occur as they tunnel through the affeced area to the nearby tissues. All these are painful for your child to bear.
  4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3326 people found this helpful

Crohn's Disease - What All Should You Know

MBBS, MD-Medicine, DNB-Gatroenterology
Gastroenterologist, Gurgaon
Crohn's Disease - What All Should You Know

Crohn’s disease is a condition characterized by the inflammation of the digestive tract or gut. The inflammation caused by Crohn’s disease can lead to severe diarrhoea, abdominal pain, fatigue, malnutrition and weight loss. It is also known as enteritis or ileitis.

Crohn's disease is a form of Inflammatory Bowel Disease (IBD) out of the two main forms. The other form is known as Ulcerative Colitis.

Causes-
The accurate cause of Crohn's disease remains unknown even today. Formerly, stress and diet were made accountable, but now it is known that these factors aggravate it but are not responsible for causing Crohn's disease. Factors such as heredity and an abnormal reaction in the immune system play a role in the development of this disease.

A bacterium or virus may also play a role in its development. For instance, E. coli bacteria has been associated with Crohn's disease. Smoking can be another risk factor.

Symptoms
Crohn’s Disease is known to be a very individual condition. It can effect any part of the gut, starting from the mouth and down to the anus. In the most common cases, however, the ileum (the lower part of the small intestine) or colon (part of the large intestine) is majorly affected.

Its symptoms may vary from person to person, and depend on the location of the disease in the gut. Crohn’s disease develops gradually, but sometimes it comes suddenly, without any warning. Symptoms exhibited change over time, with intervals of good health when your body shows no symptoms (remission) and periods of bad health when your symptoms are more vigorous (‘flare-ups’ or relapses).

Some of the major symptoms of Crohn’s disease when it is active are:

  • Abdominal pain
  • Diarrhoea
  • Fever
  • Tiredness
  • Fatigue
  • Anal Fistulae
  • Mouth ulcers
  • Loss of appetite and weight loss
  • Perirectal Abscesses
  • Anaemia

Patients suffering from severe Crohn's disease also may experience:

  • Inflammation of the bile ducts or liver
  • Inflammation of eyes, joints and skin
  • Delayed sexual development or growth, in children

Diagnosis
There is no specific diagnostic test known for Crohn’s disease. Patients with fever, abdominal pain and tenderness, diarrhoea with blood, and anal diseases such as ulcers are sometimes diagnosed with Crohn’s disease. Elevated white blood cell counts and sedimentation rates are mostly demonstrated in laboratory blood tests. Both of which suggest infection or inflammation in the digestive tract. Other blood tests may reveal low blood proteins, low red blood cell counts (anaemia), and low body minerals, reflecting the loss of these minerals due to chronic diarrhoea.

Conclusion
Although many effective medications are available in the market to control the symptoms of Crohn’s disease, yet there is no cure developed for it. Surgery can extensively improve the quality of life in certain individuals, but the reappearance of this disease after surgery is familiar to many. A better insight into the role of environmental factors and genetics in causing this disease can help in improved treatments and prevention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1809 people found this helpful

Crohn's Disease - Did You Know Weight Loss Can Be A Sign?

MBBS, MD-Medicine, DNB-Gatroenterology
Gastroenterologist, Gurgaon
Crohn's Disease - Did You Know Weight Loss Can Be A Sign?

One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.

Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
4. Ileitis: This type affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
2. In rare cases, there may be blood in your stool.
3. In more intense cases, you may even develop a fever.
4. Cramping and intermittent belly pain.
5. Anemia, due to a reduction in iron levels caused by bloody stools.
6. Weight loss.
7. Erratic appearance of small tears in the anus, called anal fissures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1762 people found this helpful

Crohn's Disease - 5 Common Types!

DNB, Surgical Gastroenterology, MS(Surgery)
Gastroenterologist, Chennai
Crohn's Disease - 5 Common Types!

One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.

Types
Crohn's disease is subdivided into five types, each having its own set of symptoms:

  1. Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
  2. Gastroduodenal Crohn's disease - People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
  3. Crohn's colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
  4. Ileitis - This type affects the ileum and the symptoms are identical to those of ileocolitis.
  5. Jejunoileitis - In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:

  1. Immune system problems
  2. Genetic disorders
  3. Environmental factors, such as:-
    • Certain edibles
    • Viruses or harmful bacteria
    • Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:

  1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
  2. In rare cases, there may be blood in your stool.
  3. In more intense cases, you may even develop a fever.
  4. Cramping and intermittent belly pain.
  5. Anemia, due to a reduction in iron levels caused by bloody stools.
  6. Weight loss.
  7. Erratic appearance of small tears in the anus, called anal fissures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3771 people found this helpful

Know The Difference Between Colostomy And Ileostomy!

MBBS, DNB (General Surgery)
General Surgeon, Chennai
Know The Difference Between Colostomy And Ileostomy!

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!

On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread. In case you have a concern or query you can always consult an expert & get answers to your questions!

3014 people found this helpful

Popular Questions & Answers

Hi my daughter is having cronh diseases, she is 15 years old. She is taking MERCAPTOPUR 50 mg everyday. Can you explain me about the disease and the medication she is taking now.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
Hi Lybrate user it's very uncommon &incurable if not treated many times need surgery actually it's inflammation of small intestine mainly jejunum &duedenum ,along with abdominal pain, diarrhoea, acidity, weight loss, blood in stool genarlly found so need proper management and treatment. Its may be controlled by homoeopathic treatment if you want you can contact with me privately for better advice &also treatment best level, take care of your daughter & you, thanks.

Are the Recurrent anal abcesses or fistula and frequent burping, the signs of Chohn' disease?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Crohn's disease can sometimes cause life-threatening complications. Crohn's disease can cause abdominal pain, diarrhoea, weight loss, anaemia and fatigue. Some people may be symptom-free most of their lives, while others can have severe chronic symptoms that never go away. Crohn's disease cannot be cured. Medications such as steroids and immunosuppressants are used to slow the progression of disease. If these aren't effective, a patient may require surgery. Additionally, patients with Crohn's disease may need to receive regular screening for colorectal cancer due to increased risk.Crohn's disease can cause abdominal pain, diarrhoea, weight loss, anaemia and fatigue. Some people may be symptom-free most of their lives, while others can have severe chronic symptoms that never go away.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?