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Crohn's Disease

Food and Nutrition Pres.
by

Amanda Lam

on 20 September 2012

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Transcript of Crohn's Disease

Crohn's Disease Abdominal Pain (lower right area)
Diarrhea
Rectal Bleeding
Weight Loss
Fever
Eye Inflammation
Fatigue
Joint Pain
Mouth ulcers
Swollen Gums Crohn's disease is a form of inflammatory disease
It usually causes inflammation, swelling, irritation of any part of the GIT
It usually affects the intestines, but may occur anywhere from the mouth to the end of the rectum
Crohn's Disease is related to another chronic disease condition called Ulcerative colitis What is Crohn's Disease? Your genes (having a family history of Crohn's Disease)
Environmental factors
The body over-reacts to normal bacteria in the intestines (may occur at any age, usually between 15-35)
If you are from a Jewish family
If you are smoke on a regular basis What causes Crohn's Disease? May feel :
worried
Embarrassed
Sad and depressed about having a bowel accident Physiological Effects Psychological Effects Bowel Obstructions
Thinning of bones
impaired growth
Inflammation of Joints
Nutritional deficiency
Fistulas in Bladder, Skin, and Vagina No cure for Crohn's Disease
Very important to stay on medication (long term) to prevent disease symptoms from returning Prognosis FOR MILD :
Loperamide (Imodium) can be bought without a prescription
Fiber supplements
Acetaminophen (Tylenol) for mild pain
Drugs such as aspirin, ibuprofen (Advil, Motrin)
FOR STRONG:
Aminosalicylates
Corticosteroids
Azathiprine or 6 mercaptopurine Medications Eat a well balanced healthy diet
drink lots of water
avoid high fiber and fatty foods
limiting dairy products
iron supplements
calcium and vitamin D supplements
Vitamin B12 to prevent anemia Treatment Abdominal pain or discomfort
Anemia caused by severe bleeding
Bloody diarrhea
Dehydration
Fatigue
Fever
Joint pain
Loss of appetite
Malabsorption
Rectal bleeding
Urgent bowel movements
Weight loss Symptoms of Ulcerative Colitis Ulcerative colitis is an IBD that affects the lining of large intestine and rectum. What is Ulcerative Colitis? Causes, Risk factors and incidents - exact cause of this disease is unknown, though people having this disease have immune system problems.
- may effect any age group, peak ages are 15-30 and then 50-70
- risk factors include family history of ulcerative colitis - abdominal pain
- fever
-headache
- stress
-tiredness Psychological and Physiological Effects -the rate of colectomy is low, and most patients achieve remission.
-The course of ulcerative colitis tends to go between periods of active disease and periods of remission
-Some people with ulcerative colitis will not experience remission, but instead will have continuous, active disease.
-About 10% of people have serious complications after their first flare-up
-Approximately 10% of people never have another flare-up after their first one, which is potentially because the diagnosis of ulcerative colitis was incorrect. Prognosis Medication Medications that may be used to decrease the number of attacks include:

5-aminosalicylates such as mesalamine or sulfazine, which can help control moderate symptoms

Immunomodulators such as azathioprine and 6-mercaptopurine

Corticosteroids (prednisone and methylprednisolone) taken by mouth during a flare-up or as a rectal suppository, foam, or enema

Infliximab (Remicade) or other biological treatments, if you do not respond to other medications -Surgery
Surgery to remove the colon will cure ulcerative colitis and removes the threat of colon cancer. Surgery is usually recommended for patients who have:

Colitis that does not respond to complete medical therapy
Changes in the lining of the colon that are thought to be precancerous
Serious complications such as rupture (perforation) of the colon, severe bleeding (hemorrhage), or toxic megacolon Treatment Abdominal pain or discomfort
Anemia caused by severe bleeding
Bloody diarrhea
Dehydration
Fatigue
Fever
Joint pain
Loss of appetite
Malabsorption
Rectal bleeding
Urgent bowel movements
Weight loss Ulcerative Colitis WHAT IS THE DIFFERENCE BETWEEN CROHN'S AND ULCERATIVE COLITIS? http://www.columbia-stmarys.org/Crohn_vs_Ulcerative_Colitis COMPARING BOTH DISEASES http://digestive.niddk.nih.gov/DDISEASES/pubs/crohns/
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001295/
http://www.columbia-stmarys.org/Crohn_vs_Ulcerative_Colitis

http://www.med.umich.edu/ibd/ BIBLIOGRAPHY
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