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Crohn Disease, Ambulatory Care

Crohn disease

is a condition that causes the lining of your intestines to become inflamed. The lining of your mouth, esophagus, or stomach may also become inflamed. You may have different symptoms at different times. Your symptoms may come and go with quiet and active periods. Over time, active periods may occur more often and symptoms may be more severe.

Common symptoms include the following:

  • Cramping pain on the lower right side of your abdomen
  • Diarrhea that may be dark or tar-colored, or bowel movements with blood
  • Fever
  • More tired than usual
  • Loss of appetite, losing weight without trying, or slow growth in children
  • Nausea

Seek immediate care for the following symptoms:

  • Sudden trouble breathing
  • Vomiting blood, or vomit that looks like coffee grounds
  • A fast heart rate, fast breathing, or feeling too dizzy to stand
  • Severe pain in your stomach

Treatment for Crohn disease

will depend on how severe it is. Medicines may be used to decrease inflammation or diarrhea. You may also be given medicines to slow your immune system or treat an infection. Surgery may be needed to decrease your symptoms or to correct problems such as blockage or bleeding. Healthcare providers may remove the diseased part of your intestines and reconnect the healthy parts.

Manage Crohn disease:

  • Do not smoke. If you smoke, it is never too late to quit. Quitting may help decrease active periods. Ask your healthcare provider for information if you need help quitting.
  • Take your medicines exactly as directed. This may help to keep your disease in remission (no symptoms).
  • Keep a record of everything you eat and drink. Include any symptoms the food or drink causes or makes worse. You may need to avoid certain foods. Dairy, alcohol, hot spices, and high-fiber foods are common examples of foods that may worsen your symptoms. Your healthcare provider may recommend that you take vitamins or minerals. Always ask your healthcare provider before you take vitamins or nutritional supplements.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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