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Crohn's Treatment

Treatment of Crohn's Disease

As with many other inflammatory bowel disorders such as IBS, there is no cure for Crohn’s Disease. Treatments for Crohn’s Disease May include drug therapy, extreme modification of diet, and possibly surgery. It’s hard to measure treatment for such a disruptive and devastating disorder in such terms as goals, but many feel that is a fitting term. Patients set goals along with medical professionals usually to first keep the disease in check by identifying and treating the worst and most dangerous aspects of the disease that have come to light as a result of a through examination and diagnosis. Many people with proper personal care, pro-active thinking and regular monitoring, can have long periods of remission. For some many years are spent in remission, and without symptoms.

The fact is though, Crohn’s Disease symptoms can occur at any time. The key issue is to catch the symptoms as soon as they begin and to monitor the diseases progression. Maintaining a proper treatment regiment is a must. Nutrition and diet play a key role in the treatment of Crohn’s Disease. New drugs are being developed that may give a promising outlook to suffers. Controlling inflammation, ulcers and pain, are the ultimate goal of treatment. When the inflammation and ulcers are kept under control, the body is better able to naturally heal itself with less interference from pain and infections that these symptoms can cause. Diarrhea and rectal bleeding usually subside when the inflammation and ulceration is held in check. And with those symptoms, usually the abdominal pain subsides as well.

The unpredictability of the disease makes it difficult to know when a treatment is helpful. Knowing when the disease will enter remission is impossible to predict. The best theory is that sound treatment practices that show signs of benefit should be continued.
Someone with Crohn’s disease will need continuing medical care, with regular monitoring of the condition.

 

Nutrition Supplementation

A physician may recommend nutritional supplements, especially for children whose growth has been slowed by the disease. Special high-calorie liquid formulas are sometimes used for this purpose, companies have release many name brands to the OTC market that are suitable for this purpose. For those with severely ulcerated intestinal tracts, intravenous feeding may be necessary for a period to supplement nutrition while the ulcers heal, and is usually a temporary situation. There are no known foods that cause Crohn’s Disease but foods such as bulky grains, hot spices, alcohol, and milk products during symptoms may increase diarrhea and cramping.

 

Drug Therapy for Crohn’s Disease

Treating Crohn’s Disease with drug therapy may be a mixed blessing. Side affects of drugs used to treat the disease can cause serious complications. Researchers also theorize that intolerance to some drugs especially anti-inflammatory drugs may be causation for the disease.

In more severe, cases it is widely thought that anti-inflammatory drugs are a necessary evil to bring the inflammation under control. Other drugs that are used can have serious side affects as well. Many patients are treated with drugs containing Sulfasalazine or mesalamine, substances that helps control inflammation.

Corticosteriods have been shown to provide very effective results in reducing symptoms. Prednisone is a common generic name of one of the drugs of this type. Prednisone is usually prescribed in a large dose during the early stages before the symptoms are brought under control, and the dosage reduced as symptoms subside. Close and careful monitoring is necessary for patients taking this drug as it can lessen a patient’s ability to fight infection. Infection from ulceration is always a concern with Crohn’s disease.

There are many drugs on the defense line against Crohn’s Disease, some of which are such things as Immune System suppressors, antibiotics and specially engineered drugs like Remicade. The U.S. Food and Drug Administration approved Remicade in 1998 for the treatment of moderate to severe Crohn’s disease that does not respond to standard therapies. Remicade was the first of a group of medications designed to block the body’s inflammation response. More drugs of this type are under clinical trials and awaiting approval.

Surgery

Statistics show that on average, two-thirds or more of patients with Crohn’s disease will require surgery at some point. It may be come necessary to perform some sort of surgical procedure when medications no longer control Crohn’s Disease symptoms or when blockage perforation, abscesses or bleeding into the intestine that can not be controlled occurs. Surgery is not a cure. It is not uncommon for suffers to require more then one operation. Crohn’s Disease tends to reoccur in sections adjacent to areas of intestine that have been removed.

Some people who have Crohn’s disease in the large intestine need to have their entire colon removed. Sometimes only the diseased section of intestine is removed and no stoma is needed. In this operation, the intestine is cut above and below the diseased area and reconnected. If the entire colon is removed, a procedure called a colectomy is used to attach the tip of the ileum (end of the small intestine) to an opening near the belt line; this opening is called a stoma.

There are many new operative procedures used to remove sections of diseased intestine and reattach it in ways that have very little effect on the natural waste removal process. Due to its recurrent nature, those faced with surgical removal of all or part of the lower intestine should be well informed and seek should get as much information as possible from doctors, nurses who work with colon surgery patients

Hope

The true hope for suffers of Crohn’s Disease is in the research being performed in many laboratories and hospitals across the country. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) conducts and supports research into many kinds of digestive disorders, including Crohn’s disease. Several clinical trials are currently evaluating the efficacy and safety of different therapies for the treatment of Crohn’s disease. For a complete listing of trials being conducted, visit www.clinicaltrials.gov.

 

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