Depending on the severity of your Crohn's disease, your doctor may recommend one or more of the following:. Your doctor may recommend a special diet given by mouth or a feeding tube enteral nutrition or nutrients infused into a vein parenteral nutrition to treat your Crohn's disease.
This can improve your overall nutrition and allow the bowel to rest. Bowel rest can reduce inflammation in the short term. Your doctor may use nutrition therapy short term and combine it with medications, such as immune system suppressors. Enteral and parenteral nutrition are typically used to get people healthier prior to surgery or when other medications fail to control symptoms.
Your doctor may also recommend a low residue or low-fiber diet to reduce the risk of intestinal blockage if you have a narrowed bowel stricture. A low residue diet is designed to reduce the size and number of your stools. If diet and lifestyle changes, drug therapy, or other treatments don't relieve your signs and symptoms, your doctor may recommend surgery. Nearly half of those with Crohn's disease will require at least one surgery.
However, surgery does not cure Crohn's disease. During surgery, your surgeon removes a damaged portion of your digestive tract and then reconnects the healthy sections. Surgery may also be used to close fistulas and drain abscesses. The benefits of surgery for Crohn's disease are usually temporary.
The disease often recurs, frequently near the reconnected tissue. The best approach is to follow surgery with medication to minimize the risk of recurrence. There is a problem with information submitted for this request. Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news. You can unsubscribe at any time. Error Email field is required. Error Include a valid email address.
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Sometimes you may feel helpless when facing Crohn's disease. But changes in your diet and lifestyle may help control your symptoms and lengthen the time between flare-ups.
There's no firm evidence that what you eat actually causes inflammatory bowel disease. But certain foods and beverages can aggravate your signs and symptoms, especially during a flare-up. It can be helpful to keep a food diary to track what you're eating, as well as how you feel.
If you discover that some foods are causing your symptoms to flare, you can try eliminating them. Smoking increases your risk of developing Crohn's disease, and once you have it, smoking can make it worse.
People with Crohn's disease who smoke are more likely to have relapses and need medications and repeat surgeries. Quitting smoking can improve the overall health of your digestive tract, as well as provide many other health benefits. Although stress doesn't cause Crohn's disease, it can make your signs and symptoms worse and may trigger flare-ups. Although it's not always possible to avoid stress, you can learn ways to help manage it, such as:. Many people with Crohn's disease have used some form of complementary and alternative medicine to treat their condition.
However, there are few well-designed studies of the safety and effectiveness of these treatments. Crohn's disease doesn't just affect you physically — it takes an emotional toll as well. If signs and symptoms are severe, your life may revolve around a constant need to run to the toilet. Even if your symptoms are mild, gas and abdominal pain can make it difficult to be out in public. All of these factors can alter your life and may lead to depression. AbbVie is not responsible for the content of any such site or any further links from such site.
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Ongoing testing is part of disease management, just like treatment. Blood Tests. Routine Blood Tests. Stool Tests. Imaging Tests. Conventional X-rays.
Contrast X-rays. Computerized Tomography CT Scans. Endoscopy Includes Colonoscopy. This technique includes tests like: Sigmoidoscopy: Examines the sigmoid, the lower third of your large intestine the rectum and the sigmoid colon. Capsule Endoscopy: This uses a capsule containing a tiny video camera, an LED light, a radio transmitter, and a battery.
You swallow the capsule, and as it travels through your intestines, the camera captures images which are transmitted to a computer. Your doctor views the images to check for signs of Crohn's disease. The capsule is passed painlessly in stool. There is now an improved version that dissolves 2 to 4 days after being swallowed.
Endoscopic Retrograde Cholangiopancreatography ERCP : This procedure combines upper GI endoscopy and X-rays to examine bile ducts in the liver and pancreatic ducts—which may be affected in some people with Crohn's. Double Balloon Endoscopy DBE : A longer scope with 2 inflatable balloons attached used to explore areas throughout the entire small intestine.
Endoscopic Ultrasound. Pelvic MRI: Commonly used for evaluating fistulas around the anal area. You will receive instructions on where to send or take the kit for analysis.
Doctors use stool tests to rule out other causes of digestive diseases. Intestinal endoscopies include the following:. Colonoscopy is a procedure in which a doctor uses a long, flexible, narrow tube with a light and tiny camera on one end, called a colonoscope or endoscope, to look inside your rectum and colon.
A trained specialist performs a colonoscopy in a hospital or an outpatient center. A health care professional will give you written bowel prep instructions to follow at home before the procedure. You will receive sedatives, anesthesia , or pain medicine during the procedure. Upper GI endoscopy and enteroscopy. In an upper GI endoscopy , your doctor uses an endoscope to see inside your upper digestive tract, also called your upper GI tract. A trained specialist performs the procedure at a hospital or an outpatient center.
You should not eat or drink before the procedure. A health care professional will tell you how to prepare for an upper GI endoscopy. You most often receive a liquid anesthetic to numb your throat and a light sedative to help you stay relaxed and comfortable during the procedure. During the procedure, the doctor carefully feeds the endoscope down your esophagus and into your stomach and duodenum.
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