This is referred to as "endoscopic remission. Inflammation in the digestive tract may lead to these symptoms and others, which is why is needed. Creating a treatment plan that addresses the underlying inflammation and may, therefore, reduce or eliminate some of these symptoms may help in getting back to a better quality of life. An abscess is a collection of pus that is located beneath the skin. Symptoms of an abscess can include a painful lump, fever, nausea, and warmth or tenderness in the skin over the abscess.
In some cases a perianal abscess may occur if there is a tear in the skin in the anus and then some bacteria gets inside the tear. The treatment for an abscess will depend on where it is located, how large it is, and if it is causing other complications. In others, a drain may need to be put in to allow the fluid to drain out of the abscess. A blockage is when the small or the large intestine becomes partially or totally blocked and undigested food is unable to pass through it.
Abdominal surgery such as that which is done to treat IBD could also lead to the development of adhesions, and this could also cause the intestine to become too narrow. Bowel obstructions can be serious so a suspected blockage is a reason to seek medical treatment right away. In some cases, the obstruction might clear with the use of a stool softening medication that helps to move stool along. Another treatment that might be used in the hospital is called decompression, where a nasogastric NG tube is passed through the nose and down through the esophagus and into the stomach.
The obstructed area of the intestine might be removed or adhesions or a stricture may be removed or opened up. In certain cases, laparoscopic surgery, which is less invasive, may be used for these procedures.
Regular screening for colon cancer is recommended and how often it is needed usually with a colonoscopy should be discussed with a gastroenterologist.
In some cases having a yearly colonoscopy might be recommended. A fistula is an abnormal connection between two structures in the body. A fistula can form between, for instance, one part of the bowel and another part of the bowel. They can also form between the bowel and the skin or the bowel and the vagina. Some of the symptoms of a fistula can include pain or tenderness in the area, fever, itching, and feeling generally unwell.
Treatment for a fistula will depend on where it is located. In some cases, surgery might be needed and there are several different types of fistula surgery that might be done. In other cases, fistulas may become difficult to heal and become chronic. If the small intestine is inflamed, it is less able to absorb nutrients from food. Different sections of the small intestine are responsible for absorbing different nutrients. For instance, inflammation in the last section of the small intestine, the ileum, could lead to a lowered uptake of vitamin B A low level of B12 might cause signs and symptoms ranging from fatigue to the development of anemia to a feeling of tingling in the extremities.
Other vitamin and mineral deficiencies could lead to a wide range of health problems. A calcium deficiency may put people at the risk for bone loss. Vitamin D is the helper vitamin for calcium, and the lack of this vitamin that is often observed in people who live with IBD may further complicate the problem of bone loss.
Severe bone loss can result in the development of long-term issues such as osteopenia and osteoporosis. People with Crohn's disease who have concerns about vitamin and mineral deficiencies should speak to their healthcare team about the need for any supplementation. The bowel is similar to a garden hose, in that there is a space inside for food and waste material to move through it.
Crohn's disease is a chronic condition that can affect any part of the gut. Learn more about Crohn's disease here. Some medical professionals describe Crohn's disease as an autoimmune condition, but others have doubts about using this term. Learn more. Using certain supplements may help people with Crohn's disease treat or prevent nutritional deficiencies.
Learn more about supplements for Crohn's…. A diagnosis of Crohn's disease is more common in young adults. However, the condition may also affect children, although in a different way. What are the stages of Crohn's disease? Medically reviewed by Deborah Weatherspoon, Ph. What is Crohn's disease? Stages and progression. Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3.
Related Coverage. All you need to know about Crohn's disease Crohn's disease is a chronic condition that can affect any part of the gut. They may connect to other parts of the bowel or other internal organs. Sometimes, a fistula forms a tunnel from the intestine to the outer surface of the skin.
The medical term for this is an enterocutaneous fistula ECF. Most people with ECFs experience at least one complication, such as malnutrition or sepsis. Sepsis is a whole-body inflammatory response to infection. Without treatment, malnutrition and sepsis can result in death. Fistulas usually contain intestinal bacteria and other infectious material, so doctors will use antibiotics to treat them. Large, numerous, or persistent fistulas usually require surgery. The symptoms of a fistula differ, depending on the location.
However, some common symptoms include:. Fistulas that do not respond to medications increase the risk of sepsis and may require emergency surgery. An obstruction usually results when a buildup of scar tissue narrows a section of the colon, making it difficult for the stool to pass.
The medical community generally does not consider strictures to be life-threatening. However, the narrowing of the passage can lead to a tear, or perforation, in the colon.
A perforated colon can be life-threatening, so strictures and other forms of intestinal obstruction usually require immediate surgery.
Chronic inflammation, abscesses, fistulas, and strictures can weaken points in the intestinal wall. Over time, the wall can tear, or perforate, allowing bacteria and other infectious substances to leak from the intestine into the abdomen. The medical term for this is peritonitis. A perforated colon is a medical emergency.
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