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   Crohn's Disease  
 
  Crohn's disease is a disease of the digestive system. It may affect any part of the gastrointestinal tract from mouth to anus. As a result, the symptoms of Crohn's disease vary among afflicted individuals. The main gastrointestinal symptoms are abdominal pain, diarrhea (which may be visibly bloody),
vomiting, or weight loss. Crohn's disease can also cause complications outside of the gastrointestinal tract such as skin rashes, arthritis, and inflammation of the eye.

The precise cause of Crohn's disease is not known. The disease occurs when the immune system attacks the gastrointestinal tract; for this reason, Crohn's disease is considered an autoimmune disease.

This autoimmune activity produces inflammation in the gastrointestinal tract. For this reason, Crohn's disease is classified as an inflammatory bowel disease.

Like many other autoimmune diseases, Crohn's disease is believed to be genetically linked. The highest risk occurs individuals with siblings who have the disease. Males and females are equally affected. Smokers are three times more likely to develop Crohn's disease

Symptoms:

Endoscopy image of colon showing serpiginous ulcer, a classic finding in Crohn's disease.
Many people with Crohn's disease have symptoms for years prior to the diagnosis. The usual onset is between 15 and 30 years of age but can occur at any age. Because of the patchy nature of the gastrointestinal disease and the depth of tissue involvement, initial symptoms can be more vague than with ulcerative colitis. People with Crohn's disease will go through periods of flare-ups and remission

Gastrointestinal symptoms
Abdominal pain may be the initial symptom of Crohn's disease. The pain is commonly cramp-like and may be relieved by defecation. It is often accompanied by diarrhea, which may or may not be bloody, though diarrhea is not uncommon especially in those who have had surgery. People who have had surgery or multiple surgeries often end up with short bowel syndrome of the gastrointestinal tract. The nature of the diarrhea in Crohn's disease depends on the part of the small intestine or colon that is involved. Ileitis typically results in large-volume watery feces. Colitis may result in a smaller volume of feces of higher frequency.
Fecal consistency may range from solid to watery. In severe cases, an individual may have more than 20 bowel movements per day and may need to awaken at night to defecate. Visible bleeding in the feces is less common in Crohn's disease than in ulcerative colitis, but may be seen in the setting of Crohn's colitis. Bloody bowel movements are typically intermittent, and may be bright or dark red in colour. In the setting of severe Crohn's colitis, bleeding may be copious. Flatulence and bloating may also add to the intestinal discomfort.
Symptoms caused by intestinal stenosis are also common in Crohn's disease. Abdominal pain is often most severe in areas of the bowel with stenoses. In the setting of severe stenosis, vomiting and nausea may indicate the beginnings of small bowel obstruction. Crohn's disease may also be associated with primary sclerosing cholangitis, a type of inflammation of the bile ducts.
Perianal discomfort may also be prominent in Crohn's disease. Itchiness or pain around the anus may be suggestive of inflammation, fistulization or abscess around the anal area or anal fissure. Perianal skin tags are also common in Crohn's disease. Fecal incontinence may accompany peri-anal Crohn's disease. At the opposite end of the gastrointestinal tract, the mouth may be affected by non-healing sores (aphthous ulcers). Rarely, the esophagus, and stomach may be involved in Crohn's disease. These can cause symptoms including difficulty swallowing (odynophagia), upper abdominal pain, and vomiting.
 

Systemic symptomss
Crohn's disease, like many other chronic, inflammatory diseases, can cause a variety of systemic symptoms. Among children, growth failure is common. Many children are first diagnosed with Crohn's disease based on inability to maintain growth. As Crohn's disease may manifest at the time of the growth spurt in puberty, up to 30% of children with Crohn's disease may have retardation of growth. Fever may also be present, though fevers greater than 38.5 ˚C (101.3 ˚F) are uncommon unless there is a complication such as an abscess.Among older individuals, Crohn's disease may manifest as weight loss. This is usually related to decreased food intake, since individuals with intestinal symptoms from Crohn's disease often feel better when they do not eat and might lose their appetite. People with extensive small intestine disease may also have malabsorption of carbohydrates or lipids, which can further exacerbate weight loss.

Complications
Crohn's disease can lead to several mechanical complications within the intestines, including obstruction, fistulae, and abscesses. Obstruction typically occurs from strictures or adhesions which narrow the lumen, blocking the passage of the intestinal contents. Crohn's disease also increases the risk of cancer in the area of inflammation. For example, individuals with Crohn's disease involving the small bowel are at higher risk for small intestinal cancer. Similarly, people with Crohn's colitis have a relative risk of 5.6 for developing colon cancer. Screening for colon cancer with colonoscopy is recommended for anyone who has had Crohn's colitis for eight years, or more.

Homoeopathic approach:
The Homoeopathic system offers excellent results in crohns disease. It at
Brings About Considerable Relief of Symptoms:
Homoeopathic medicines produce relief in symptomatology like diarrhoea, dysentery, vomiting, loss of appetite, fistulae and abscess.
Controlling and Curing the underlying disease process:
Carefully selected deep acting constitutional homoeopathic medicines help in controlling the disease process whereby no further deterioration can occur. In short it helps by halting the disease process and curing the
Homoeopathic treatment is strongly suggested. As timely administration of homoeopathic medicines prevents further progression of disease.
Our Team of doctors at DRSS provides special consultation services in such cases. Patients are advised to go in for consultation so as there disease state can be reviewed and the mode of treatment can be decided.

 
     
 
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