This informational guide, part of PS’s Condition Center, lays out the realities of this health concern: what it is, what it can look like, and strategies that medical experts say are proven to help. You should always consult your doctor regarding matters pertaining to your health and before starting any course of medical treatment.
More than half a million Americans have Crohn’s disease, a chronic condition that causes inflammation in the gastrointestinal tract, according to the National Library of Medicine. “Crohn’s disease is an abnormal response of the immune system against the body’s intestines,” says Randy Meisner, MD, a gastroenterologist at Corewell Health. “It can lead to a lot of problems.” Symptoms of Crohn’s disease often show up in a person’s late teens or 20s and can be life altering. While Crohn’s isn’t as well-known to the general public as some other digestive diseases like IBS, it can be serious. That’s why being aware of Crohn’s disease, along with its symptoms and treatment options, is so important.
Experts Featured in This Article:
Randy Meisner, MD, is a gastroenterologist at Corewell Health.
Ellen Stein, MD, is a gastroenterologist and associate professor at Rutgers Robert Wood Johnson Medical School.
What Is Crohn’s Disease?
Crohn’s disease is a chronic disease that causes inflammation and irritation in your digestive tract, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Crohn’s usually impacts the small intestine and beginning of the large intestine, but it can affect any part of the digestive tract, including the mouth and anus.
“It can interfere with absorbing nutrition. It can cause bleeding and ulcers as well as low blood counts,” says Ellen Stein, MD, a gastroenterologist and associate professor at Rutgers Robert Wood Johnson Medical School. “Some people have very mild symptoms, and some people can get very, very sick.”
Crohn’s Disease Symptoms
There is a range of potential symptoms with Crohn’s disease. According to the US National Library of Medicine, these can include:
- Diarrhea
- Cramping and pain in the abdomen
- Weight loss
- Anemia (i.e., having fewer red blood cells than normal)
- Eye redness or pain
- Fatigue
- Fever
- Joint pain or soreness
- Nausea or loss of appetite
- Red, tender bumps under the skin
“Usually, a patient will have more than one symptom or laboratory abnormality, but sometimes patients with mild disease can present with just one,” Dr. Meisner says.
Some symptoms of Crohn’s disease can overlap with those of fellow inflammatory gastrointestinal disease IBS, but Dr. Stein says testing can help reveal what’s making a patient sick.
What Causes Crohn’s Disease?
Researchers aren’t entirely sure what causes Crohn’s disease, but the NIDDK says there are a few factors thought to be linked to the condition:
- An autoimmune reaction. Crohn’s disease may be the result of bacteria in the digestive tract that mistakenly trigger the immune system. This can lead to inflammation and ultimately symptoms of Crohn’s disease.
- A genetic link. Crohn’s disease can run in families, and people with a parent or sibling with the disease are more likely to develop it.
- Smoking. This may double your chances of developing the disease.
- Certain medications. Nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen, along with antibiotics and birth-control pills, may slightly increase the risk of developing Crohn’s disease.
- A high-fat diet. This may also slightly increase your risk of Crohn’s.
How Is Crohn’s Disease Diagnosed?
Doctors may use a combination of tests to confirm a Crohn’s disease diagnosis, per the Mayo Clinic. This may include:
- Blood tests
- Stool studies
- Colonoscopy
- CT scan
- MRI
- Capsule endoscopy
Treatments For Crohn’s Disease
“Crohn’s disease is treatable, but it’s not curable,” Dr. Meisner says. There’s no single treatment that works for everyone with Crohn’s disease, but there are options, he says.
There are a range of medications that can help manage Crohn’s disease. Per the NIDDK, those include:
- Aminosalicylates to help control inflammation.
- Corticosteroids to reduce activity of the immune system and decrease inflammation.
- Immunomodulators to reduce immune-system activity.
- Biologic therapies to target and neutralize certain proteins made by the immune system.
Some patients with Crohn’s disease may need to go on bowel rest for a few days to several weeks during a flare of symptoms. The NIDDK says that involves only drinking certain liquids or not eating or drinking anything.
Some patients may need surgery to help with complications of the disease, including fistulas, intestinal blockage, and severe bleeding. That can include small bowel resection, where part of the small intestine is removed; subtotal colectomy, where part of the large intestine is removed; proctocolectomy, which removes the entire colon and rectum; and ileostomy, which is an opening created in the abdomen that waste is removed from, usually via an ostomy pouch, the NIDDK says.
“Most people need medications to help manage their inflammation and their Crohn’s disease,” Dr. Stein says. “Most patients will need to continue their medication over time to maintain their remission and keep from having new flares of symptoms.”
Korin Miller is a writer specializing in general wellness, health, and lifestyle trends. Her work has appeared in Women’s Health, Self, Health, Forbes, and more
