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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

Crohn's Disease - When Should You Go For Surgery?

Dr. Sandeep Jha 90% (309 ratings)
DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
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Crohn's Disease - When Should You Go For Surgery?
Crohn's Disease is a medical condition that falls under the category of Inflammatory Bowel Disease. Crohn's disease triggers inflammation of the digestive tract resulting in ulcerations and sores, mostly affecting people between 17-30 years (people of other age groups can also be affected). The inflammatory disease is a chronic illness that gives rise to a host of complications such as frequent and chronic diarrhea, fever, rapid weight loss, abdominal pain, to name a few. Unfortunately, there is no permanent treatment available for Crohn's Disease. However, effective remedies and treatments are available to reduce and manage the symptoms and complications associated with Crohn's Disease. Many people dealing with Crohn's Disease have benefitted immensely from surgery. When surgery is recommended for Crohn's Disease? A surgery becomes essential when the medicines and other nonsurgical treatments fail to control or manage the symptoms and complications triggered by Crohn's Disease, some of which include Severe intestinal inflammation followed by uncontrolled bleeding There is a bowel abscess or a perforation Toxic Megacolon (a fatal condition whereby the large intestine swells up and also becomes dilated due to the inflammation that affects the intestinal walls) Fistula An intestinal blockage or narrowing of the intestinal The surgery for a Crohn's Disease can be of different types depending on the part of the digestive tract affected. Colectomy: This is mainly carried out in the case of the Crohn's Disease causing such extensive damage to the colon that it needs to be surgically removed. Following the removal of the colon, the small intestine may be connected to the rectum to ensure that the bowel movement is not affected. Bowel Resection: A bowel resection is usually performed to treat a fistula or to get rid of the diseased and inflamed portion of the intestine to avoid further aggravation. Proctocolectomy (Ileostomy): This surgery is performed to get rid of both the rectum and the colon affected extensively by Crohn's Disease. Here also, post removal of the organs, the surgeon connects the small intestine (end part or the ileum) to the stroma or a small opening in the abdomen. This rearrangement is done to ensure that the wastes from the small intestine get eliminated. Stricturoplasty: This surgery goes a long way to open up the areas of the small intestine that have narrowed down due to Crohn's Disease. Risks associated with the surgery Every surgery comes with their share of side-effects and risks. In the case of Crohn's Disease, the surgeries can give rise to complications such as Pain, swelling, bruising is common. There may be Infection at the site of the incision. Scarring at the incision site. There can be a blockage of the bowel (temporary or short-term) Surgical removal of the diseased part of the small intestine can trigger inadequate absorption of the vital nutrients (Short-Gut Syndrome).
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Acupuncture And Moxibustion for Crohn's Disease

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Acupuncture And Moxibustion for Crohn's Disease
Crohn s disease is an inflammatory bowel disease (IBD) characterized by abdominal pain, diarrhea, intestinal obstructions, abdominal masses, fatigue, nausea, mouth ulcers, and many other disruptions of the gastrointestinal system. Crohn s disease often affects the colon, anus, and terminal ileum. Deep intestinal ulcerations with a patchy distribution throughout the gastrointestinal system help to distinguish Crohn s disease from ulcerative colitis.Acupuncture reduces intestinal inflammation in patients with Crohn s disease, reverses tissue damage, and improves the quality of life. Acupuncture and moxibustion have been shown to improve CDAI (Crohn s Disease Activity Index) scores in modern research. CDAI scores are a method of measuring clinical responses to medicine and medical procedures by quantifying responses and remissions of Crohn s disease. The researchers noted that studies show that acupuncture improves CDAI scores, quality of life, increases hemoglobin levels, and reduces CRP levels for Crohn s disease patients.CRP (C-reactive protein) is determined by a blood test and quantifies inflammation levels. High levels indicate inflammation, often due to infections and chronic disease. The researches demonstrates that acupuncture significantly lowers CRP levels for Crohn s disease patients.Patients with Crohn s disease are often treated with corticosteroids, immunosuppressants, aminosalicylates, and anti-TNF-alpha medications. Acupuncture is an effective treatment which can be combined with any of these.

Crohn's Disease - Causes, Types And Symptoms Of It!

Dr. Chalapathi Rao Achanta 88% (26 ratings)
MBBS, MD-General Medicine, DM-Gastroenterology, Advanced endoscopy fellowship
Gastroenterologist, Visakhapatnam
Crohn's Disease - Causes, Types And Symptoms Of It!
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: Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps. 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 weigh loss. Crohn's colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas, Ileitis - This type affects the ileum and the symptoms are identical to those of ileocolitis. 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: Immune system problems Genetic disorders Environmental factors, such as:- Certain edibles Viruses or harmful bacteria Smoke Symptoms The primary symptoms of Crohn's disease include the following: Diarrhea: This can occur for about 10 to 20 times a day in more severe cases. In rare cases, there may be blood in your stool. In more intense cases, you may even develop a fever. Cramping and intermittent belly pain. Anemia, due to a reduction in iron levels caused by bloody stools. Weight loss. Erratic appearance of small tears in the anus, called anal fissures.
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Digestion Related Problems - 4 Ways to Treat it!

Dr. Jagdish Prasad Mehrotra 89% (1444 ratings)
General Physician, Gurgaon
Digestion Related Problems - 4 Ways to Treat it!
A number of digestion related problems plague people from time to time. Diarrhea or loose motions remains one of the most debilitating problem in this regard, with other conditions like IBS or irritable bowel syndrome and colitis, Crohn s Disease and others like pain, discomfort and related issues. If your daily schedule is hampered by constant trips to the bathroom and your eating habits show poor nutritional choices and a lack of appetite, then it may be time to do something about these digestive problems. Let us acquaint ourselves with a few measures for treatment of the same. Triggers: One of the important and primary steps in the process of treating your digestive related problem is to learn how to recognise and identify the triggers so that you may avoid the same. There are many kinds of food that may not be suitable for some people. With the help of your doctor, you can go through a food or skin test that will help in exposing you to small amounts of various ingredients. The results will help in pointing towards the food allergy or triggers that you may be suffering from. Apart from food, there may be certain kinds of medication that may be causing side effects like loose motions and other digestive problems. Also, there are certain situations and stress giving factors that may be contributing to this condition. In such cases, it is best to maintain a food dairy or event diary so that you learn your triggers and avoid the same. Hydration: One of the most important ways of treating digestive problems is to drink plenty of fluids and to keep your body well hydrated. Besides routinely flushing out the toxins that cause the condition in the first place, plenty of water intake will also help in replenishing the lost fluid reserves as the body tends to get dehydrated swiftly when it is suffering from such conditions. One should also avoid contaminated sources of water and try to drink bottled and packaged water, especially while travelling. Hygiene: It is important to eat hygienically prepared food and wash your hands before and after meals so as to remove unhygienic triggers from the list that causes digestive disorders. Using alcohol free wipes in case you are suffering from loose motions and keeping a sanitiser handy at all times will also help in treating the condition. Medicines: The doctor may prescribe various kinds of medicines in order to fight the onset of such conditions as well for treatment of related symptoms like bloating and gas. This medication must always be kept handy so that the patient can have it as soon as the earliest symptoms arise.
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Abdominal Pain - Know the Causes Behind It!

Dr. Poonam Patel Vasani 88% (891 ratings)
MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Abdominal Pain - Know the Causes Behind It!
There is hardly any individual across the world, who has not experienced abdominal pain. In most instances, these aches are not very serious and can be diagnosed and treated by addressing the underlying condition. It is very crucial to recognize the symptoms which are severe and know when an individual should seek medical assistance. Most common causes of abdominal pain: Some of the most common causes of abdominal pain include Indigestion, infection, menstrual cramps. It may also be due to food poisoning and allergies, irritable bowel syndrome, gas formation and bloating, lactose intolerance, pelvic inflammatory disease or ulcers and hernia, gallstones and kidney stones, urinary tract infection, Crohn s Disease or gastroesophageal reflux disease. Some patients have abdominal pain but the source of pain lies in the spine. These patients are often seen by multiple doctors and have undergone many tests but their diagnosis is never established. These patients should visit a pain specialist to reach a diagnosis and treatment plan. They have conditions like neuropathies or facet joint arthritis which cause abdominal pain due to a condition known as referred pain. Symptoms of abdominal pain that are cause for concern: Abdominal pain along with any sign of dehydration or fever or is unable to pass stools. Abdominal pain associated with tenderness in the abdomen, painful and frequent urinations or persistent loose motions or bloody/ tarry stools. Severe or recurrent abdominal pain. Determining the cause of abdominal pain and treating it. Detailed medical history and thorough physical examination would be performed. Further tests like USG, Endoscopy etc may be needed to reach a diagnosis. The treatment of abdominal pain is entirely dependent on the cause of the pain.
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Popular Questions & Answers

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

Dr. Sajeev Kumar 85% (22301 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician,
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.
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