Inflammatory Bowel Disease (IBD)
Crohn’s Disease
What is IBD?
Inflammatory Bowel Disease (IBD) is a group of disorders that includes Ulcerative Colitis and Crohn’s disease.
Signs and Symptoms
The most common signs and symptoms of Crohn’s disease are:
- diarrhea
- abdominal cramping and pain
- weight loss
Other general signs and symptoms include:
- feeling tired
- nausea or loss of appetite
- fever
- anemia—a condition in which the body has fewer red blood cells than normal
Signs and symptoms of inflammation outside of the intestines include:
- joint pain or soreness
- eye irritation
- skin changes that involve red, tender bumps under the skin
The symptoms a person experiences can vary depending on the severity of the inflammation and where it occurs.
What is Crohn’s disease?
Crohn’s disease is a chronic, or long lasting, disease that causes inflammation—irritation or swelling—in the gastrointestinal (GI) tract. Most commonly, Crohn’s affects the small intestine and the beginning of the large intestine. However, the disease can affect any part of the GI tract, from the mouth to the anus.
Crohn’s disease is a chronic inflammatory disease of the GI tract, called inflammatory bowel disease (IBD). Ulcerative colitis and microscopic colitis are the other common IBDs. Read more in Ulcerative Colitis and Microscopic Colitis: Collagenous Colitis and Lymphocytic Colitis.
Crohn’s disease most often begins gradually and can become worse over time. Most people have periods of remission—times when symptoms disappear—that can last for weeks or years.
People with Crohn’s disease receive care from a gastroenterologist, a doctor who specializes in digestive diseases.
How is Crohn’s disease treated?
A health care provider treats Crohn’s disease with:
- medications
- bowel rest
- surgery
Which treatment a person needs depends on the severity of the disease and symptoms. Each person experiences Crohn’s disease differently, so health care providers adjust treatments to improve the person’s symptoms and induce, or bring about, remission.
Even with medication treatments, up to 20 percent of people will need surgery to treat their Crohn’s disease. Although surgery will not cure Crohn’s disease, it can treat complications and improve symptoms. Health care providers most often recommend surgery to treat
- fistulas
- bleeding that is life threatening
- bowel obstructions
- side effects from medications when they threaten a person’s health
- symptoms when medications do not improve a person’s condition
A surgeon can perform different types of operations to treat Crohn’s disease:
- small bowel resection
- subtotal colectomy
- proctocolectomy and ileostomy
Patients will receive general anesthesia. Most patients will stay in the hospital for 3 to 7 days after the surgery. Full recovery may take 4 to 6 weeks.