Crohn’s disease typical symptoms and treatment focus arztsuche

How to recognize the symptoms of Crohn's disease, what the optimal treatment looks like and what to watch out for in the diet.

What is Crohn's disease?

Crohn's disease, together with ulcerative colitis, is one of the
chronic inflammatory intestinal diseases (CED). The disease is a permanent, i.e. chronic, inflammation of the intestines, which usually occurs in episodes. In patients with Crohn's disease, the mucous membrane of the entire digestive tract from the mouth to the anus can become inflamed.

However, the small intestine is particularly frequently affected. The intestinal disease is not contagious. It is not curable, but in the meantime the symptoms of the inflammation in the intestine can be treated well. Why Crohn's disease develops is not completely clear.

The bowel disease progresses with all Patients differently – Sometimes only mild symptoms, sometimes severe. In Germany, 120 to 200 out of 100.000 people are affected by Crohn's disease. Most of those who newly develop the disease are between 20 and 30 years old.

Difference between Crohn's disease and ulcerative colitis

The protective mucosa is damaged. Disease germs invade, the immune system reacts with inflammation. In Crohn's disease, these inflammations spread. Ulcerative colitis different.

Crohn's disease typical symptoms and treatment focus arztsuche

Crohn's disease: The disease can extend from the mouth to the anus. The
Inflammation foci occur sporadically at

crohn's disease typical symptoms and treatment focus doctor search

ulcerative colitis: Inflammation affects
mainly the colon. Area-like ulcers develop on the uppermost layer of the mucous membrane

Crohn's disease: The symptoms

The first signs of Crohn's disease include abdominal pain, which is often crampy and often initially suggests appendicitis. The following symptoms are typical of Crohn's disease:

– Pain in the right lower abdomen – Loss of appetite and general feeling of illness – Weight loss

In the long term, Crohn's disease can lead to the following symptoms and complications:

– Nutrient deficiencies leading to such things as changes in the skin – Fatigue and exhaustion – Abscesses (collections of pus) on the intestine – Fistulas (passages between the intestine and the skin) – Ruptures of the anus (anal fires) (ileus) – Scarring of the intestine – Ruptures of the intestine (perforation) – Cancer of the colon (colon carcinoma)

Crohn's disease usually progresses episodic. This means that the symptoms completely subside for some time, but intensify in phases. The first signs of an attack are, for example, right-sided abdominal pain. Doctors consider the disease to be "chronic" if symptoms persist for more than six months.

Not all sufferers experience all symptoms. The course of Crohn's disease varies greatly. There are patients without diarrhea who are more likely to have abdominal pain, or those who suffer from diarrhea more often. The disease may affect the mouth in some (6 to 10 percent), where a furrowed tongue is noticeable, for example, or an ulceration of the mucous membrane. Sometimes the gums are inflamed (gingivitis) or the lip is swollen. In most people with Crohn's disease (45 percent), however, the disease takes place in the last section of the small intestine and in the large intestine. Only the small intestine is affected in one in three sufferers.

In general, people with Crohn's disease are more prone than others to inflammation, for example of the Liver, joints, or eyes. Sometimes, however, the disease remains undetected for a long time and progresses without Associated symptoms. Because of the nutrient deficiencies that many patients experience due to persistent diarrhea, after years of Crohn's disease, patients often develop concomitant diseases such as osteoporosis (due to calcium deficiency) or mouth ulcers (due to zinc deficiency). Many patients also have food intolerances such as lactose intolerance.

Crohn's disease: The causes

Why Crohn's disease develops is unclear. Several causes probably lead to the onset of the intestinal disease, which usually becomes noticeable for the first time between the ages of 20 and 30. Directly hereditary the disease is probably not, however scientists suspect that genes play a role: One in two patients has mutations in a particular gene. Probably in many affected individuals disrupts the barrier function of the intestinal wall, so that pathogens can penetrate more easily. It is amed that this triggers the immune system and causes the inflammation. Immune system overreacts. It is directed against the body's own tie. Studies show that lifestyle has a significant influence on the course of Crohn's disease and probably also on its development. Smokers, for example, are affected by Crohn's disease more often than other people. People with Paget's disease who continue to smoke despite diagnosis have more frequent relapses and a more severe overall course of the disease. Stress is also considered to be a trigger for a relapse.

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