Crohn’s disease is a chronic inflammation of the digestive tract .Although that may affect the mouth to the anus each of driving, will generally be in the small intestine (ileum) and large intestine (colon).
The participation of anatomical Crohn’s disease is segmental, transmural and discontinuous. This means that the sound change affected layers and affects all parts of the intestine, including mucous membranes. All this will lead to patient symptoms.
Crohn’s disease is a chronic disease. Some people have long periods of remission, which can last for years where there are no symptoms. There is no way to predict when the repetition of characters may occur.
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The causes of Crohn’s disease
The cause is unknown, but it seems to be triggered by the interaction of genetic and environmental factors, especially their prevalence in developed countries.
Current theories focus on one (the body’s defense system) cause immune or bacterial. Crohn’s disease is not contagious but has a slight genetic tendency to be hereditary.
What are the symptoms of Crohn’s disease?
Segmental its variable nature and position of variables that cause your symptoms. The classic symptoms of the disease include diarrhea, abdominal pain and weight loss; However, this triad that in 25% of diagnosed cases occurs.
Diarrhea is the main symptom and may be secondary to a variety of circumstances: inflammatory bowel disease, bacterial growth, alteration of the absorption of bile salts, etc.
abdominal pain depends on the location of the disease. This is typically determined by the recruitment of nerve agents () nociceptive to the inflamed area.
Weight loss occurs in 2/3 of cases and is secondary to the activity of the inflammatory process (catabolism), malabsorption and anorexia coexist himself phenomena.
Other symptoms that may occur are skin lesions, joint problems and perianal, such as cracks, fistulas and abscesses that require special treatment of injuries.
How is Crohn’s disease diagnosed?
Despite the development of new imaging research techniques gut, the basis for the diagnosis of Crohn’s disease has not changed in the last three decades. In addition, the absence of lesions typical of the disease and the lack of specific symptoms require that the diagnosis is made by combining the results and tissue imaging in patients with clinically acceptable.
Treatment of Crohn’s disease
Initial treatment is usually with medications. Although with one or more drugs used is a “cure” for Crohn’s disease, treatment for treatment at an early stage and to relieve symptoms. The most prescribed medication anti-inflammatory agents and various steroids.
It is known that 90% of patients require at least one operation. However, surgery should be reserved for complications, such as illness are not “cure” for repetition and is the norm.
In all cases, it is generally youth in treatment of patients with a chronic and recurrent disease. Therefore, most experts Coloproctology recommend treating these patients in specialized units where there is close coordination between all health professionals.