Crohn's disease 

Introduction 

Crohn's disease

Crohn’s disease is a chronic (long-term) condition that causes inflammation of the lining of the digestive system. In this video, an expert discusses the symptoms and treatment options for the condition.

Crohn’s disease is a chronic (long-term) condition that causes inflammation of the lining of the digestive system.

Inflammation usually occurs in the ileum (the last section of the small intestine) or the colon (the large intestine). However, inflammation can occur anywhere in the digestive system, from the mouth to the anus (back passage).

Over time, the inflammation that is caused by Crohn’s disease can damage sections of the digestive system, causing additional complications, such as narrowing of the colon.

Common symptoms of Crohn’s disease include:

The cause of Crohn’s disease is unknown. However, research suggests that a combination of environmental and genetic factors is responsible for the onset of Crohn’s disease.

How common is Crohn’s disease?

Crohn’s disease is a rare condition. In the UK it is estimated that for every 100,000 people there will be seven new cases of Crohn’s disease a year. There are currently 90,000 people living with Crohn’s disease.

Most cases of Crohn’s disease first develop in people who are between 16 and 30 years of age, although the condition can affect people of all ages, including children.

Crohn’s disease is more common in white people than in black people, or those of Asian descent. The condition is most prevalent among Jewish people of European descent.

Crohn’s disease affects slightly more women than men.

Outlook

The outlook for Crohn’s disease is highly variable. People can have long periods of remission that last for weeks or months where they have no, or very mild, symptoms, followed by periods where their symptoms flare up and are particularly troublesome.

There is currently no cure for Crohn’s disease. However, medication is available that can be used to treat the symptoms and prevent them from returning.

About 80% of people with Crohn’s disease will require surgery to relieve their symptoms, repair damage to their digestive system and treat complications of the condition.

Last reviewed: 26/08/2009

Next review due: 26/08/2011

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Comments are personal views. Any information they give has not been checked and may not be accurate.

chico12 said on 21 January 2012

Hi i'm 41 years old, I have been having lots of symptoms related to crohns now for over a year. I had my gallbladder out last dec 2010, i woke up one night doubled over in pain. I went to the hospital and they done a scan, they said it was my gallbladder. September 2011 last year i had another flare up and ended up in hospital for another 5 days, They kept asking me what the pain was like, i said the exact same as the night i went in with my gallbladder. I can't help but think its been something else all along and my gallbladder was taken away for no reason.
I'm always running to the toilet with great urgency,i have very bad mood swings , ulcers in my mouth.
Out of the seven days a week i have about two of them i feel ok. Recently i have started feeling sick alot, i got anti sickness tablets of my GP.
I am finaly getting an MRI scan next Thursday because i had a colonoscopy and it showed my intestine was inflammed.

I don't want to have crohns, i just need to know whats wrong with me as i worry about it all the time. I feel nothing is being done in a hurry to find out whats wrong with me either.

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gladys69 said on 29 December 2011

becca i had my first major flare up when having my second son in 1980, then again a brief one when having my third , i was totally unaffected with my 1st and 4th , it is a very individual disease and from my point of view there are no hard and fast rules to coping , i was in remission until 2003 when i entered the menopause , yep 23 years clear , now however it has set in with vengeance and although depression is all part and parcel of this little understood disease my outlook is take every day as it comes if you have a good day put it to good use if its a bad day just try to make the best of it , see your doctor about the depression and hopefully he will be as understanding and helful as mine , try to keep smiling it hard but it helps , i hope you start to feel better about yourself and life

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kenlog1 said on 24 December 2011

I was diagnosed in 2008 and have been through courses of steroids followed by more long term drugs (Azathioprane). I recently started to experience a worsening of my symptoms and revisited my consultant who suggested I try a Polymeric diet for 6 weeks. This diet eliminates all food and replaces it with Ensure drinks which are a kind of milkshake style full nutrition drink. I had 6 drinks a day,plus peppermint tea,bovril and lots of water.I finished the course last week and feel fantastic! My inflammation indicators are normal which means my Crohns is inactive and I have now started re-introducing basic foods (lean meat,rice,fish) to see what my triggers are and hopefully be able to continue my recovery. For anyone who is struggling or has struggled, I would recommend the Polymeric diet as a good way to get Crohns in remmission.It needs to be under medical supervision so see your GP for referral to a local NHS specialist team.

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Becca93 said on 16 December 2011

I was diagnosed with Crohn's disease in December 2008, after I was experiencing abdominal pain and bloody stools for a year, I was 15 at the time I was diagnosed and I feel that it has made me severely depressed because I'm not able to live my life how I want to and it has left me too scared to leave the house in case I need to use the toilet all of a sudden and I am not able to get to one.

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aimee clair 88 said on 16 December 2011

hi im Aimee im 23 years old and i got diagnosed with chrones diease in 2010, i started getting symptoms after the birth of my second daughter in 2009 it took the hospital over a year to diagnose me with it, in 2011 march i was rushed in to hospital as i was having a flar, i couldent eat or drink i was in that much pain i was in hospital for 14days while i was there i was put thow a lot of test like catscans xrays and then it turned out that i had a narrowing of my colum and i was put on inflaximab since having that treatment for the first 4 treatments i was brillent was enjoying my life with my family then after the 4th they rejuced the time of the inflaximab to be injected to me so at first it was taking 2 hours to do it then it got rejuced to a hour and 2 weeks before i was due my next lot of inflaximab i would get pains and burning rashes, now recently on the 5th december i was due my 7th inflaximab and the docs said that they could not give it to me as i was having a reaction to the treatment so now i have stopped it im still on a lot of medication and im still in a lot of pain im starting to get bk to the stage were i dont want to eat any more cos i no im going to be in a lot of pain now im in the process of waiting for a letter from st marys whitch i have not recived yet since 5th dec, to go for a mri scan on my smaller bowel to see how serouse the dease has gone, i need some advice on how to deal with the diease becase i reali cant handle it any more i feel as im losing controle of the thing and dont no what else to do, evey time i go dos to inform them on what else is happening they just give me tablets after tablets to deal with the pain but they dont do anything for me any more.

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Nakia said on 03 November 2011

Nakia-Im 36yrs got diagnosed in 2008 with Chrons and had to have emergency operation to remove my whole colon, and was give a J-Pounch, since then my life has been a night mere. Im not able to have a full nights sleep, Im constantly up using the toilet and Im just so angry and depressed. I really need my life back its totally getting to me now I can't cope anymore I have been crying day and night. Ive lost about 4 1/2 stone my vitamins level is very low and now Ive been diagnosed with Ruhmatriod Arthritis, and my joints swell up in the cold times. Im still seeing a consultant at Guys as well as a diestician but I need some coping skills to continue living with this horrible disease.

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caz2011 said on 02 October 2011

i was diagnosed with chron's in 2000.... i was never treated for it properly or saw another consultant until i was rushed into hospital with what i thought was a u.t.i. due to kidney stones on 9th sept....i was in for 12 days and how things have changed....turned out i'd had a very serious flare up, had two lots of anti-biotics, very high dosage of steroids....clear fluids for a few days...should have been put on an elemental diet but no one knew what it was.....but saw a consultant everyday...had x-rays, ct scans, colonoscopy, dieticians, as i am coeliac as well....i left hospital feeling better than i have in years....on a low residue diet which is boring but have only had two 'not so good days' in 2 weeks....they are talking about putting me on the infusion treatment of injections and the drip which if i can avoid i will but if its as good as christian91 says it is, it may be worth it......i have since had the consultant and the dietician ring me at home to make sure i am ok...which is as rare as hen's teeth...i did slip through the net 11 yrs ago and am very angry i was let go for so long and mis-diagnosed a few times by the same hospital....but cannot complain at all this time about my treatment and look forward to feeling 'well'.....and don't forget to ask....ask...ask...i know it's not easy, especially when you feel so unwell but don't be fobbed off by anyone....because i'm gluten-free too, the food was so bad in hospital one day, i got so angry i insisted the chefs from the restaurant come up and meet me and my dietician....and they did!! you have to make yourself heard, i've learnt that now.. so good luck and better health to everyone...

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Penguin1989 said on 10 September 2011

I was 13 when I started getting ill and diagnosed right after my 14th birthday with Crohns. My first treatment was to stop eating for 2 months and drink Modulen which was this powder you mix with water and drink 2 litres everyday. I was in remission for a year or so but then relapsed and went back onto the diet. I relapsed again and moved on to steriods which worked very well but everytime they tried to get me off it I got ill again and the side effects were getting worse.They finally put me on azathioprine and regular treatment of Infliximab which is a drip that I have every 12 weeks.I was 17 when I started that treatment and it has worked very well until now 5 years later as i feel the crohns symptoms a bit before my drip and the period has been reduced to 10 weeks and now drips every 8 weeks. Really hoping I dont have to have a operations.

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christian91 said on 29 July 2011

had crohn's disease for 5 years now, diagnosed at 15.

victor, understand where your coming from but yeh there is medication available. when was first diagnosed i lost hell of a lot of weight, got really weak and everything else. my gp was a useless idiot and prescribed me gaviscon! anyway went to hospital and saw some actual specialists and they started proper treatment for me...
first i was given these nutritional drinks (taste like crap) and they stopped me from eating but this didnt work, just got alot weaker.
the treatment that worked for me which i recommend to you is what i think was called an infliximab. basically its a drip that goes into your blood and it heals the inflamation. no idea how but it worked for me. nursed me straight back to health!
so yeh ask your doctor/consultant about an infliximab (probably not correct spelling)

good luck man, all the best.

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Sixupman said on 21 July 2011

76 years of age Crohn's since 14 years, two resections of small bowel at 20 & 30, first major. Has created havoc with life both physically and mentally [vitamin deficiency (?)]. Have avoided Medics for over 20 years and resort to Paracetamol when flares-up.

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victor34 said on 25 June 2011

does anybody with crohns disease agree with this comment posted under outlook

There is currently no cure for Crohn’s disease. However, medication is available that can be used to treat the symptoms and prevent them from returning

there is no medication i have been prescribed that has prevented a return of crohns.
and this is why there is no cure
it really bugs me to read comments that are not based on reality. it is hard enough to inform people who do not have any knowlege of crohns how the disease affects us but to claim medication can prevent it from returning is fiction..

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suzanne79 said on 23 November 2010

over the past 18mths i have had various symptoms pointing to different conditions and in the last few weeks my consultant is considering it is chrons disease, ive had gallstones and had my gallbladder removed had kidney infections and kidney stones at least 10 times and recently very high lft and kft results of which i ended up in hospital in 3 occasions, i now have the problem where food as is even more of a issue than it was before. Previously anytime i ate i was in chronic abdominal pain now...it doesnt matter wether i eat or not the pain is there and i have lost considerable amounts of weight...the doctor has now put me on steroids as well as morphene and i am now experiencing period like blood however i am on the depo injection and have been for over 6 months...could this be blood from elsewhere or linked? i am rather concerned, i am due to have a endoscopy capsule in 2 weeks time but can you give any guidance in the short term?

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jpfinlay said on 09 November 2010

Redanne: your husband has had a remarkable length of remission - in that respect he has been lucky, but is a little unlucky for it to have returned.

I was diagnosed with Crohn's when I was 16 and have had 2 bowel re-secions with about 10 years of good health in-between them. Firstly, let me say that I am NOT a medical doctor but I have lived with Crohn's for 20+ years so I can at least relate some of my experience in the hope it will help.

I watched the video on this page and, it seems to me, that things have moved on (technologically: e.g. keyhole surgery and CAT scans) since I last had an operation or cause to go into hospital with symptoms (around 8 years).

So, the good news is that the NHS appear much more "tooled up" to diagnose complications and then remedy them once identified. The surgeries I have had were very invasive and not a pleasant experience (although the eventual effect of them were obviously) so the news that keyhole surgery is now used is a real breakthrough in my opinion.

The doctor in the video talks about a special diet that can actually help reduce the inflammation in the bowel, so if I was in your husband's position, I would be asking to be put on that diet and maximising the amount of protein and fat I ate in order to maintain my weight. Also, when you are ill with Crohn's you feel tired most of the time, so any means of keeping energy levels up would also be advantageous - perhaps periodically taking energy gels or drinks might help?

I hope that, if he has had the x-ray by now, things are much clearer and you have had professional medical care and advice.

Good luck with the treatment and I hope your husband is back to his old self soon.

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redanne said on 10 September 2010

my husband had crones in his mid thirties
he is now 81 and it seems to have reared its ugly head and he is quite poorly with loose stools pain and great weight loss
there is a barium x ray due shortly what else can we expect to happen to him please
we are very worried?

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