Ulcerative Colitis

 

• Limited to the colon, also called the large intestine.

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• Only involves the innermost lining of the colon.

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• Does not occur in patches within the intestine.

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Signs and Symptoms

Crohn’s disease can affect any part of the GI tract. While symptoms vary from patient to patient and some may be more common than others, symptoms of include:

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• Persistent Diarrhea

• Rectal bleeding

• Urgent need to move bowels

• Abdominal cramps and pain

• Sensation of incomplete evacuation

• Constipation (can lead to bowel obstruction)

• Fever

• Loss of appetite

• Weight Loss

• Fatigue

• Night sweats

• Loss of normal menstrual cycle

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Even if you think you are showing signs of Crohn’s disease symptoms, only proper testing performed by your doctor can render a diagnosis.

People suffering from Crohn’s often experience loss of appetite and may lose weight as a result. A feeling of low energy and fatigue is also common. Among younger children, Crohn's may delay growth and development. Crohn's is a chronic disease, so this means patients will likely experience periods when the disease flares up and causes symptoms, followed by periods of remission when patients may not notices symptoms at all. In more severe cases, Crohn’s can lead to tears (fissures) in the lining of the anus, which may cause pain and bleeding, especially during bowel movements. Inflammation may also cause a fistula to develop. A fistula is a tunnel that leads from one loop of intestine to another, or that connects the intestine to the bladder, vagina, or skin. This is a serious condition that requires immediate medical attention. The symptoms you or your loved one experience may depend on which part of the GI tract is affected. 

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What are the causes of Crohn’s Disease? Who is Affected?

Crohn’s disease may affect as many as 780,000 Americans. Men and Women are equally likely to be affected, and while the disease can occur at any age, Crohn's is more prevalent among adolescents and young adults between the ages of 15 and 35.

The causes of Crohn’s disease are not well understood. Diet and stress may aggravate Crohn’s Disease, but they do not cause the disease on their own. Recent research suggests hereditary, genetics, and/or environmental factors contribute to the development of Crohn’s Disease.

The GI tract normally contains harmless bacteria, many of which aid in digestion. The immune system usually attacks and kills foreign invaders, such as bacteria, viruses, fungi, and other microorganisms. Under normal circumstances, the harmless bacteria in the intestines are protected from such an attack. In people with IBD, these bacteria are mistaken for harmful invaders and the immune system mounts a response. Cells travel out of the blood to the intestines and produce inflammation (a normal immune system response). However, the inflammation does not subside, leading to chronic inflammation, ulceration, thickening of the intestinal wall, and eventually causing patient symptoms.

Crohn's Disease is most common among people of eastern European backgrounds, including Jews of European descent. In recent years, an increasing number of cases have been reported among African American populations.

The environment in which you live also appears to play a role. Crohn’s is more common in developed countries rather than undeveloped countries, in urban rather than rural areas, and in northern rather than southern climates.