{"id":17718,"date":"2022-10-13T10:39:27","date_gmt":"2022-10-13T08:39:27","guid":{"rendered":"https:\/\/www.nefrocenter.it\/?p=17718"},"modified":"2024-01-12T11:32:04","modified_gmt":"2024-01-12T10:32:04","slug":"crohns-disease-an-illness-with-an-heavy-influence-on-life","status":"publish","type":"post","link":"https:\/\/test.nefrocenter.it\/en\/crohns-disease-an-illness-with-an-heavy-influence-on-life\/","title":{"rendered":"Crohn&#8217;s disease: Nefrocenter&#8217;s advice on treatment and diet"},"content":{"rendered":"<h2>Crohn&#8217;s disease, a condition that strongly affects daily life. Treatments and advice on a diet that reduces its symptoms and consequences<\/h2>\n<p>Crohn&#8217;s disease is a chronic condition that affects the digestive system. It causes inflammation and irritation, particularly in the small intestine, the beginning of the large intestine and the colon. However, it can affect the entire gastrointestinal tract. The disease appears with intestinal ulcers that can later cause narrowing of sections of the intestine (strictures) or fistulas. These consequences must be treated surgically, but the disease can also reappear after any operations.<\/p>\n<h3>Causes<\/h3>\n<p>Studies have not yet identified all the causes behind the onset of the disease. It is believed that a combination of several factors can cause the intestinal inflammation. Research has shown that there is sometimes a family link. That is, the presence of Crohn&#8217;s disease in a parent, a brother or a sister. However, this type of link is still being researched. The disease can arise from an autoimmune reaction. It can therefore appear because of an \u201cattack\u201d by the immune system on healthy cells. All of this caused by certain bacteria present in the intestinal tract. Other factors considered possible causes of Crohn&#8217;s disease are smoking or taking certain anti-inflammatory drugs, antibiotics and birth control pills. These too seem to increase the risk of developing the disease. As does a high-fat diet.<\/p>\n<h3>Symptoms<\/h3>\n<p>The symptoms that are important warning signs for this disease are varied:<\/p>\n<ul>\n<li>Diarrhea<\/li>\n<li>Blood in the stool<\/li>\n<li>Abdominal pain<\/li>\n<li>Gas and bloating<\/li>\n<li>Weight loss for no apparent reason<\/li>\n<\/ul>\n<p>As these symptoms are common to other conditions, Crohn&#8217;s disease is often diagnosed after some time or in any case almost by chance, through specific tests.<\/p>\n<h3>Diagnosis<\/h3>\n<p>Several tests are useful for diagnosing Crohn&#8217;s disease. At the Nefrocenter <a href=\"https:\/\/www.nefrocenterdiagnostica.it\/\" target=\"_blank\" rel=\"noopener\">group&#8217;s diagnostic centers<\/a> it is possible to book specific imaging and endoscopic tests that are useful for diagnosing and monitoring intestinal inflammation. Colonoscopy with intestinal biopsies, which serve to identify any changes in the intestinal tissue that are typical of inflammation. This is a test that must be repeated periodically, also to monitor the disease. Digital chromoendoscopy can complement <a href=\"https:\/\/www.nefrocenterdiagnostica.it\/servizi-centro-diagnostico-a-napoli\/colonscopia-virtuale\" target=\"_blank\" rel=\"noopener\">colonoscopy<\/a> to obtain a more detailed view of the tissues. There are also other, equally invasive methods. Upper endoscopy (esophagogastroduodenoscopy) is useful for identifying any presence of the disease in the upper part of the intestine. Capsule endoscopy is used to identify any lesions of the small intestine, that is, in areas that cannot be reached by colonoscopy. A further examination can be carried out through surgical exploration, with the patient under anesthesia. It is used in particular cases of perianal Crohn&#8217;s disease.<\/p>\n<h4>Non-invasive tests<\/h4>\n<p>There are, on the other hand, several less invasive tests for monitoring the condition of the intestinal walls. One of these is certainly abdominal ultrasound, which makes it possible to view and study the various areas of the digestive system. Abdominal magnetic resonance imaging (MRI) with contrast medium is also non-invasive, and makes it possible to identify any inflamed areas. The contrast medium can be given by mouth or intravenously. An external test, but one to be used with greater caution, is CT enterography with contrast medium, which involves exposure to X-rays. Finally, the patient can undergo an MRI of the pelvis, which makes it possible to identify and study lesions and fistulas in the perianal tissues.<\/p>\n<h3>Crohn&#8217;s disease, the treatments<\/h3>\n<p>Treatments for Crohn&#8217;s disease aim to fight intestinal inflammation through different therapies. One therapy involves, in the event of complications, giving intestinal antibiotics. A strong action against inflammation is provided by steroids, cortisone-based medicines that act effectively throughout the body. Other drugs that may be part of treatment are azathioprine, 6-mercaptopurine or methotrexate, all belonging to the category of immunosuppressants, which inhibit the functions of the white blood cells responsible for the inflammation.<\/p>\n<h4>Other drugs<\/h4>\n<p>Further categories of drugs that can be given are biologics, which deliver monoclonal antibodies useful for blocking some of the molecules mainly responsible for the inflammation. Medical research has also opened up treatment for Crohn&#8217;s disease to the use of mesenchymal stem cells, used in particular to treat complex perianal fistulas more effectively than other therapies. In the event of irreversible complications, the use of drugs may prove ineffective, leaving surgery as the only option.<\/p>\n<h3>A proper diet to cope with Crohn&#8217;s disease<\/h3>\n<p>Diets vary according to the phase of the disease. In the chronic phase, that is, not the acute one, the diet does not involve too many restrictions. First of all, milk and dairy products, or in any case foods that contain significant amounts of lactose, should be excluded. Sugar and salt, alcoholic drinks, irritating spices (chili pepper, pepper, ginger, etc.) and drinks or foods that contain stimulants must also be excluded. Mushrooms should be eliminated too.<\/p>\n<h4>Cooking methods matter<\/h4>\n<p>In the chronic phase, cooking methods are equally important, and some of them are recommended for people with the disease. Boiling, steaming, sous-vide cooking, pressure cooking and low-temperature cooking are the recommended ones. Unlike frying, grilling and griddling, which are absolutely harmful. Finally, braising, stewing, saut\u00e9ing and oven roasting can be used, but with great moderation, to avoid taking in excessive amounts of fat. The diet for this disease must never lack carbohydrates and soluble fiber, which are useful for nourishing the gut bacterial flora and keeping it working properly.<\/p>\n<h3>Diet in the acute phase<\/h3>\n<p>In the acute phase a low-fiber diet is preferred. That is, one low in whole grains, vegetables, legumes and fruit, with the exception of potatoes and bananas. For patients going through a severe phase of the disease, exclusive enteral nutrition is preferred instead. This means that nutrition is given through a nasogastric tube or by mouth. This type of nutrition is indicated for malnourished patients and can be combined with drug therapy.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Crohn&#8217;s disease, a condition that strongly affects daily life. Treatments and advice on a diet that reduces its symptoms and consequences Crohn&#8217;s disease is a chronic condition that affects the digestive system. It causes inflammation and irritation, particularly in the small intestine, the beginning of the large intestine and the colon. However, it can affect [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":17552,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1325],"tags":[],"area_medica":[1387,1392],"voce_indice":[],"class_list":["post-17718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","area_medica-clinical-dietetics-and-nutrition","area_medica-gastroenterology"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Crohn&#039;s disease: Nefrocenter&#039;s advice on treatment and diet -<\/title>\n<meta name=\"description\" content=\"Crohn&#039;s disease, a condition that strongly affects daily life. 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