Crohn's Disease
An Overview of the Most Pertinent Facts Relating to Crohn's Disease
Crohn's Disease Affects the Digestive System (Journey with Crohn's, N.d.)
Crohn's disease is a serious condition that afflicts roughly half a million people in North America alone. The disease affects the bowels of a patient, anywhere between the mouth all the way to the anus, and has a wide range of symptoms associated with it. Some of the symptoms include abdominal pain, diarrhea, vomiting, weight loss, skin problems, arthritis, eye inflammation, lethargy, and concentration issues. Although the disease is produced by a bacterial which is introduced to the body through the environment, there are certain risks factors that make people susceptible to the disease. For example, there seems to be a genetic component to the disease and people with a family history of the disease are more susceptible to contracting the condition. Certain lifestyle choices can also be a factor.…...
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Works Cited
Boye, B., Lundin, K., Leganger, S., Mokleby, K., Tangen, T.J., Pripp, A., . . . Jahnsen, J. (2011). INSPIRE study: does stress management improve the course of inflammatory bowel disease and disease-specific quality of life in distressed patients with ulcerative colitis or Crohn's disease? A randomized controlled trial. Inflammatory bowel diseases, 1863-1873.
Cho, J. (2001). The Nod2 gene in Crohn's disease: implications for future research into the genetics and immunology of Crohn's disease. . Inflammatory Bowel, 271-275.
Koutrooubakis, I., Manousos, O., Meuwissen, S., & Pena, A. (1996). Environmental risk factors in inflammatory bowel disease. Department of Gastroenterology, 381-393.
Crohn's
Cronh's Disease and Ulcerative Colitis Background
Crohn's disease (CD) and ulcerative colitis are the major forms of chronic inflammatory bowel diseases (IBD) in the western world, and occur in young adults with an estimated prevalence of more than one per thousand inhabitants (Hugot, et al., 1996). These diseases can affect any portion of the gastrointestinal system all the way from the mouth to the anus and are associated with many other medical problems such as arthritis, skin condition, cancer, and kidney stones. Ulcerative Colitis is most likely to be diagnosed in early adolescence while Cronh's Disease is more likely to be diagnosed between the ages of fifteen and thirty but can more rarely be diagnosed later in life. Both of these diseases are still being researched thoroughly and many questions remain.
The most common symptoms of IBD include abdominal pain, cramping, and diarrhea. In some more severe cases symptoms may also include…...
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Works Cited
Anderson, C., & al, e. (2009). Investigation of Crohn's Disease Risk Loci in Ulcerative Colitis Further Defines Their Molecular Relationship . Gastroenterology, 523-529.
Hugot, J., Puig, P.R., Olson, J., Lee, J.B., naom, I.D., Gossum, A., . . . Thomas, G. (1996). Mapping of a susceptibility locus for Crohn's disease on chromosome 16. Nature, 821-823.
Shaw, S., Blanchard, J., & Bernstein, C. (2011). Association Between the Use of Antibiotics and New Diagnoses of Crohn's Disease and Ulcerative Colitis. The American Journal of Gastroenterology, 2133-2142.
Inflammatory Bowel Disease:
Immunological, Demographical, and Genetic Findings
Inflammatory bowel disease (IBD) affects the colon and the small intestine. Though there are many subtypes of IBD, the most common and well-known are Crowns disease and ulcerative colitis (WebMD.com, 2011). Crohn's disease causes symptoms such as abdominal pains, diarrhea, vomit, weight loss, as well as many non-digestive system related pains (WebMD.com, 2011). Ulcerative colitis is quite similar to Crohn's disease due to noticeable symptoms, however, internally the two attack different areas of the body. Ulcerative colitis is experienced in the large intestine or colon, but goes through phases of outbreak and dormancy, while Crohn's disease is specific to the intestine (WebMD.com, 2011).
The estimation of diagnosed Americans with IBD is roughly near 1.4 million, and patients are usually diagnosed in their early teenage years through early adulthood (Tresca, 2006). With such a large amount of people suffering from this disease, scientists have done extensive…...
ileitis, enteritis, or regional enteritis, Crohn's disease is a relapsing, inflammatory bowel disease that affects the ileum (lower part of the small intestine), which becomes inflamed and swells deep into its lining ("Crohn's Disease," 2006; Nachimuthi, 2005; Baumgart & Sandborn, 2007). It can affect the entire gastrointestinal tract -- from the mouth to the anus -- but is typically found in the lower part of the intestine ("Crohn's Disease," 2006; Baumgart & Sandborn, 2007).
Crohn's is most commonly characterized by symptomology such as diarrhea and abdominal pain in the lower right area ("Crohn's Disease," 2006). Symptoms can range from mild to severe, occurring gradually or suddenly (MayoClinic.com, 2009). Patients can become malnourished, dehydrated, and experience weight loss as the result of low or no water absorption by their intestine ("Insights into Crohn's Disease," 2006; Nachimuthi, 2005). Other possible symptoms include rectal bleeding, weight loss, arthritis, skin affectations, and fever ("Crohn's…...
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References
Barrett, Jeffrey, C. et al. (2008). Genome-wide Association Defines More Than 30 Distinct
Susceptibility Loci for Crohn's Disease. Nature Genetics, 40(8): 955-962.
Baumgart, Daniel C. & Sandborn, William J. (2007). Inflammatory Bowel Disease: Clinical
Aspects and Established and Evolving Therapies. Lancet, 369: 1641-57.
Case Study: Crohns DiseaseCrohns disease can often be difficult to diagnose, given it shares many similarities with inflammatory bowel disease (IBS), colitis, and irritable bowel syndrome. In this case, a 27-year-old man with Crohns disease has been admitted to the emergency room. Crohns disease is usually initially treated with drug therapy, although depending upon its severity, surgical intervention may be required. Though most patients respond to medical therapy, mainly steroids, with the addition of immunomodulators and more recently biologics agents, surgical intervention is usually required only for obstructing gastroduodenal disease secondary to strictures (Schwartzberg et al., 2019, p. 231). Asking the patient if he has had any surgery, a review of his drug treatment regime, and the degree to which he has been adhering to it (and when he discontinued specific medications) before abandoning it would all be essential in a first interview.One advantage for the patient in this instance…...
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References
Chiba, M., Nakane, K., & Komatsu, M. (2018). Lifestyle medicine in inflammatory bowel disease. The Permanente Journal, 22, 18–062. https://doi.org/10.7812/TPP/18-062
Cleveland, K.A., Motter, T., Smith, Y., (2019, May 31). Affordable care: Harnessing the power of Nurses. OJIN: The Online Journal of Issues in Nursing, 24 (2) DOI: 10.3912/OJIN.Vol24No02Man02
Khademian, Z., Kazemi Ara, F., & Gholamzadeh, S. (2020). The effect of self-care education based on Orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: A quasi-experimental study. International Journal of Community Based Nursing and Midwifery, 8(2), 140–149. https://doi.org/10.30476/IJCBNM.2020.81690.0
Crohn's disease, ileitis or enteritis is a medical condition that is known to cause inflammation of the digestive system also known as gastrointestinal (GI) tract. This condition affects any part of the gastrointestinal tract, starting from the mouth to the anus, but it mostly affecting the ileum (USFDA,2008). The inflammation may penetrate deep into the lining of the organs affected thereby causing pain making the intestines occasionally empty, resulting in diarrhoea.
Similarity in symptoms with other intestinal disorders, like irritable bowel syndrome and ulcerative colitis, makes Crohn's disease difficult to diagnose. Ulcerative colitis results in inflamed ulcers on the top lining of the large intestine while in Crohn's disease all the layers of the intestines are involved, and healthy bowel may be occur in between parts of the affected bowel. Other symptoms include, fever, unintentional weight loss, fatigue, tenesmus, and persistent, watery diarrhoea.
The disease is known to affect both genders…...
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References
Barratt, S, Leeds, J.Robinson, K.,Lobo, A. McAlindon, M.Sanders, D. (2011)Prodromal Irritable Bowel Syndrome May Be Responsible for Delays in Diagnosis in Patients Presenting with Unrecognized Crohn's Disease and Celiac Disease, but Not Ulcerative Colitis. Digestive Diseases & Sciences; Nov2011, Vol. 56 Issue 11, p3270-3275.
Leaner, A (2012).Aluminum as an adjuvant in Crohn's disease induction. Lupus; Feb2012, Vol. 21 Issue 2, p231-238.
Marks DJ, Segal AW. (January 2008). "Innate immunity in inflammatory bowel disease: a disease hypothesis." J. Pathol.214 (2): 260 -- 6. doi:10.1002/path.2291. PMC 2635948.PMID 18161747.
National Digestive Diseases Information Clearinghouse .(2006).Crohn's Disease
Functional Symptoms and Psychological States: An Electronic Diary Study by Burton, C., Weller, D. And Sharpe, M.
This study reported the findings from a time series study that compared day-to-day variation in physical symptoms that are related to Somatoform disorders with levels of anxiety, mood, and the subject's level of concern for their symptoms. The authors acknowledge that according to psychosomatic models of the relationship between vague physical symptoms and psychological concerns stress individuals often recognize the physical symptoms they experience and ignore the psychiatric components of their presentation. Theoretical models often assume that a variety of factors including psychiatric factors influence physical illness. The authors also note that there are a few other studies documenting the co-occurrence of psychological distress and functional somatic symptoms over time; however, previous studies have focused on a single psychological symptom such as depression or anxiety and have used pen and paper retrospective recording methods…...
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References
Blankenstein, A.H., Van der Horst, H.E., Schilte, A.F., de Vries, D., Zaat, J.O., Knottnerus, A.J., van Eijk, J.T., & de Haan. M. (2002). Development and feasibility of a modified reattribution model for somatising patients, applied by their own general practitioners. Patient Education Counseling, 47, 229-235.
Burton, C., Weller, D. & Sharpe, M. (2009). Functional symptoms and psychological states: An electronic diary study. Psychosomatic Medicine, 71, 77-83.
Rutter, D.R. (2002) Illness Representation, Coping and Outcome in Irritable Bowel Syndrome (IBS). British Journal of Health Psychology, 7 (4), 377-391.
The patient is an 18-year-old of the Filipino-American origin. He has no known family history of ulcerative colitis or chronic illnesses similar to colitis. He is a high school senior student.
Historical information
The patient complains of diarrhoea 3-4 times a month although it has been on and off for one year. There is no known allergy that the patient experiences.
Presenting Symptoms
He experienced rectal bleeding, rectal pain and often had an urgent need to empty his bowels. His diarrhoea had bloodstains with mucus at least once a month. This led to few red blood cells due to the low level of iron, which resulted from the bloody stool. He had belly pains, which he described as cramping and his belly felt sore if touched. He experienced constipation, but it was less frequent than diarrhoea. He had no signs of vomiting or nausea, but he had a loss of appetite. Sometimes…...
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References
Baumgart, D. (2012). Crohn's disease and ulcerative colitis: From epidemiology and immunobiology to a rational diagnostic and therapeutic approach. New York: Springer.
Bayless, T.M., & Hanauer, S.B. (2010). Advanced therapy of inflammatory bowel disease: Volume 1. New York: McGraw-Hill Medical.
Hanauer, S.B., & Marteau, P. (2001). Ulcerative colitis: Focus on topical treatment. Paris: J.
Tracy Sanchez
My name is Tracy Sanchez. I currently live in Secane, Pennsylvania. It was a couple of years ago, in my mid-thirties, when my life took a dramatic turn. I had worked at a company for fourteen years when the company downsized. The downsizing forced me to do two difficult things, change occupations and take a cut in salary. I found a job as an Administrative Assistant at The American College.
The American College is unique in that it specializes in financial services, offering students designations, such as Certified Financial Planner (CFP), Chartered Financial Consultant (ChFC), Chartered Life Underwriter (CLU), Chartered Leadership Fellow (CLF), Registered Health Underwriter (RHU), Registered Employee Benefits Consultant (REBC). The college is also different in that it offers students a way to learn outside of the traditional classroom (distance learning). Students earn their designations when they pass a computerized examination.
1. The causes and risk factors for Crohn's disease 2. The symptoms and diagnosis of Crohn's disease 3. The impact of Crohn's disease on daily life and quality of life 4. Treatment options for Crohn's disease, including medication, surgery, and lifestyle changes 5. The potential complications and long-term effects of Crohn's disease 6. The role of diet and nutrition in managing Crohn's disease 7. The emotional and psychological effects of living with Crohn's disease 8. The latest research and advancements in the treatment of Crohn's disease 9. The challenges of living with a chronic illness like Crohn's disease 10. Personal stories and experiences of individuals living with Crohn's disease.
11.....
1. The Impact of Crohn's Disease on Quality of Life
Explore the physical, emotional, and social challenges faced by individuals living with Crohn's disease. Discuss the impact of symptoms such as abdominal pain, diarrhea, fatigue, and weight loss on daily life. Examine the role of social stigma, isolation, and anxiety in reducing quality of life.
2. The Role of Diet and Nutrition in Managing Crohn's Disease
Describe the dietary and nutritional challenges faced by patients with Crohn's disease. Discuss the efficacy of elimination diets, low-FODMAP diets, and specific nutrient supplementation in managing symptoms. Explore the importance of individualized dietary plans and....
Malabsorption syndrome refers to a group of disorders characterized by the bodys inability to absorb nutrients properly. This can lead to deficiencies in essential macro and micronutrients, impacting overall health and well-being. In this essay, we will explore how malabsorption syndrome affects the absorption of both macro and micronutrients in the body, and the consequences it can have on an individuals nutritional status.
Macronutrients are nutrients that provide energy to the body and include carbohydrates, fats, and proteins. When malabsorption syndrome occurs, the ability of the body to properly digest and absorb these macronutrients is compromised. For example, in conditions....
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