Monday, April 24, 2017

CROHN'S DISEASE : understanding, symptom, Cause, diagnosis, Treatment and complication

Understanding Crohn's Disease

Crohn's Disease or Crohn's disease is one of the inflammatory bowel diseases and is a long-term condition in which inflammation can occur in all layers of the walls of the digestive system, from the mouth to the anus. But this condition is more common in the end of the small intestine (ileum) or colon.
This condition can be painful, make the body feel weak, and can sometimes cause life-threatening complications of the sufferer.
CROHN'S DISEASE : understanding, symptom, Cause, diagnosis, Treatment and complication
Crohn's sufferers have a remission period that has no symptoms or only mild symptoms. This remission period will be followed by recurrence and sometimes complicate the sufferer.

Symptoms-g nets in Crohn's Disease

The signs and symptoms that occur in Crohn's disease or Crohn's disease vary from mild to very severe, and may affect any part of your body's digestive system.
Here are the common symptoms that can arise from Crohn's disease, you can experience all these symptoms at once or just one of them.
  • Feeling very tired.
  • Abdominal pain and cramps.
  • Diarrhea.
  • Stool mixed with mucus and blood.
  • Decreased appetite.
  • Extreme weight loss.
  • Fever.
Inflammation that occurs in the digestive system of children can inhibit the absorption of nutrients from the food they consume. Therefore, cases of Crohn's disease that occur in children will lead to their growth slower than healthy children.
The following are some of the conditions and symptoms that should immediately get treatment from doctors, namely:
  • The appearance of blood in the stool.
  • Diarrhea that does not heal.
  • Weight loss for no apparent reason.
  • Abdominal pain and abdominal cramps that do not heal.

Things That May Increase Risk of Crohn's Disease

The real cause of Crohn's disease or Crohn's disease is still unknown. Although there are conditions that can be associated with Crohn's disease, namely:
  • Hereditary factors . There is evidence that Crohn's disease is a hereditary disease in the family. Moreover, Crohn's disease tends to occur only in some ethnic nationalities, also proving that this is a hereditary condition.
  • Immune system . In people with Crohn's disease, the immune system that is supposed to protect the intestines from harmful bacteria entering the digestive system is impaired. As a result, the immune system will attack both harmful bacteria and "good bacteria" (bacteria that aid in digestion). This condition is suspected to cause Crohn's disease.
  • Age factor . Although Crohn's disease can occur at any time, it is more common in young people. Most Crohn's disease is diagnosed under the age of 30 years.
  • Smoking . The highest risk in causing Crohn's disease is smoking, in addition to family history and ethnic background. People who smoke double the risk of people who do not smoke. The symptoms of Crohn's disease in people who smoke are usually more severe and tend to require surgery for treatment.
  • Infection . Infection that occurs in childhood can lead to the emergence of abnormal reactions of the immune system. This condition is finally suspected to cause the emergence of symptoms of Crohn's disease.

Steps in Diagnosing Crohn's Disease

Diagnosis in Crohn's disease or Crohn's disease itself usually occurs in several stages, because the symptoms that appear in Crohn's disease can also be caused by other diseases. The following are the steps taken before establishing a diagnosis of Crohn's disease.
  • Initial Examination The doctor will inquire about the pattern of symptoms experienced. In addition, the doctor will check whether there are any specific causes for the symptoms. Food, history of drug use, family health history, and recent trips can cause diarrhea symptoms ( travelers' diarrhea ) .
  • Examination of pulse rate, body temperature, blood pressure, and abdominal examination, will also be performed by a doctor to check your general health.
  • Blood tests Blood tests need to be done to determine the level of inflammation that occurs in your body. In addition, with this procedure you will know if an infection occurs. If it is proven from your blood test that you have anemia, then you may experience malanutrisi or bleeding in the gastrointestinal tract.
  • Fecal samples Fecal samples will be checked for blood and mucus. From this procedure, your doctor can tell if your symptoms are caused by a parasitic roundworm or other condition.
  • Colonoscopy This is a procedure performed to examine the inside of the colon. This procedure is done by inserting a flexible tube with a camera and light into the colon through the rectum (the end of the gastrointestinal tract). Doctors can see the severity and extent of inflammation that occurs in the colon. This procedure can also be used for biopsy (tissue sampling) in any part of the gastrointestinal tract. Biopsy is useful to see changes in gastrointestinal wall cells that are characteristic of Crohn's disease.
  • Wireless endoscopic capsule This is a procedure that requires you to swallow capsules that will enter the small intestine. The capsule will send the image to the tape recorder. After a few days, the capsule will come out of the body through the dirt. This is a disposable capsule. Not all hospitals have this very new procedure.

Treat Crohn's Disease

Treatment performed on Crohn's disease or Crohn's disease is only to relieve the symptoms experienced and also keep the remission period. Until now, there has been no treatment or medication that can cure Crohn's disease completely. Especially handling in children, Crohn's disease treatment also aims to improve the growth and development of children.
Here are some treatments that are performed to reduce the symptoms that appear, namely:
  • Corticosteroid Administration of corticosteroid drugs (eg prednisolone and hydrocortisone) to treat inflammation. To avoid the side effects of this drug, you are advised to reduce the dose slowly before it finally stops when the symptoms have improved.
  • Immunosuppressants . This drug also works to reduce inflammation, but the target of this drug is the producer of substances that cause inflammation, which is part of the immune system. Usually, this drug will be combined with corticosteroids to give a better effect. This drug is not suitable for everyone, and you should do regular blood tests during taking this drug to know the side effects of this drug. Talk to your doctor before you take this medication, especially if you are planning a pregnancy or are pregnant while taking this drug.
  • Operation . This procedure is performed if the benefits are greater than the risks. This procedure involves removing the inflamed portion of the intestine and connecting the healthy parts.
Remission period can be lived by taking certain drugs or not. If you choose to continue taking the drug, corticosteroids are not recommended for use in remission.
Some foods are thought to increase the symptoms experienced by Crohn's disease patients, although to date there is no clear evidence of a link to food with Crohn's disease. You can make notes about the food you consume and the impact it has on your body.
If any food is suspected to aggravate your symptoms, you can avoid the food. But it is not advisable to completely eliminate certain types of foods with certain nutrients, such as whole grains or sugar.
For people who smoke, quitting smoking will alleviate symptoms and help keep them in remission.

Complications Due to Crohn's Disease

The following are some of the possible complications of Crohn's disease or Crohn's disease.
  • Fistula . Fistula is a channel formed from ulcers in the gastrointestinal wall, which penetrate other parts of the gastrointestinal tract or even through the bladder, vagina, anus, or skin. As a result can cause constant pain, fever, dirt that contains blood or pus, even leakage of dirt in underwear.
  • Osteoporosis . Conditions at a time when the quality of bone density decreases as a result of the intestines that do not absorb nutrients of food and because of the side effects of steroid drugs.
  • Iron deficiency anemia . Bleeding that occurs in the digestive tract due to Crohn's disease can lead to iron deficiency anemia. Symptoms of this most common complication are shortness of breath, fatigue, and pallor.
  • Anemia deficiency of vitamin B12 or folate . Disruption of vitamin B12 or folate absorption caused by Crohn's disease. The most common symptoms of this condition are fatigue and lack of energy. Failure absorption of vitamins and minerals by the body will also cause malanutrisi.
  • Colon Cancer . Crohn's disease that attacks the colon will increase your risk of colon cancer. Ask your doctor if you need a colon cancer screening test.

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