What is Crohn’s Disease (part III)

Crohn’s Disease Complications.

The compilcations of Crohn’s Disease can fall into 3 categories: Intestinal, Extra-intestinal and Nutritional.

Intestinal complications of Crohn’s disease include obstruction (blockage) and perforation of the small intestine, abscesses, fistulae, and intestinal bleeding. Massive distention or dilatation of the colon, and rupture of the intestine are potentially life–threatening complications. Both generally require surgery, but, fortunately, these two complications are rare. Recent data suggest that there is an increased risk of cancer of the small intestine and colon in patients with long–standing Crohn’s disease.

Extra–intestinal complications involve the skin, joints, spine, eyes, liver, and bile ducts. Skin involvement includes painful red raised spots on the legs (erythema nodosum) and an ulcerating skin condition generally found around the ankles called pyoderma gangrenosum. Painful eye conditions (uveitis, episcleritis) can cause visual difficulties. Arthritis can cause pain, swelling, and stiffness of the joints of the extremities. Inflammation of the low back (sacroiliac joint arthritis) and of the spine (ankylosing spondylitis) can cause pain and stiffness of the spine. Inflammation of the liver (hepatitis) or bile ducts (primary sclerosing cholangitis) also can occur. Sclerosing cholangitis causes narrowing and obstruction of the ducts draining the liver and can lead to yellow skin (jaundice), recurrent bacterial infections, and liver cirrhosis with liver failure. Sclerosing cholangitis with liver failure is one of the reasons for performing liver transplantation. Sclerosing cholangitis frequently is complicated by the development of cancer of the bile ducts.

Nutritional complications are also common in Crohn’s disease. Deficiencies of proteins, calories, and vitamins are well documented. These deficiencies may be caused by inadequate dietary intake, intestinal loss of protein, or poor absorption, also referred to as malabsorption.

Stay tuned for yet more info soon…
* Treatments
* Diet and taking care of your self
* Alternative Medicine
* Resources

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