Joshlyn A. Aday
Sunday November 25, 2012
Professor Julie Moyer
I.Crohn’s Disease is named after Burrill B. Crohn, the physician whom introduced the disease to us in 1972, just 40 years ago. Crohn’s disease has many names that it can be identified as, depending on the extent of the disease. They are as follows: Morbus Crohn’s, Granulomatus Enteritis, Regional Enteritis, or Terminal Ileitis. Attacks from Crohn’s Disease may in fact affect people from as early as their twenties to the late eighties.
History: Crohn's disease is an inflammatory bowel disease of an undetermined cause that afflicts more than five-hundred thousand people in the United States and is not biased in regards to which it strikes. People unlucky enough to get Crohn's Disease include the old and young; rich as well as poor; men, women, and children of white, black, and Asian descent; the disease does not discriminate against age, social class, gender or color. Crohn's primarily attacks the digestive system in the areas of the ileum, which is part of the small intestine and the large intestine (also known as the colon), but can occur in any section of the gastrointestinal tract. Although Crohn's disease afflicts all age groups, initial diagnosis generally occurs before the age of thirty.
II.Explanation of the disease: Crohn’s disease is an inflammatory bowel disease. It’s caused by inflammation of the gastrointestinal (GI) tract and complications that can develop if the inflammation is not controlled.
1.Abdominal Pain: Pain often cramping and intermittent; the abdomen may be sore when touched. Abdominal pain may feel like a dull, constant ache depending on the location of inflammation. 2.Diarrhea: Some people with Crohn’s disease have diarrhea many times a day and need to wake up at night and go to the bathroom. Blood in the stool can also occur with diarrhea. This can also cause the body to lose nutrients and vitamins. 3.Fever: A high fever may indicate a complication, involving infection such as an abscess. 4.Unintended weight loss: Ongoing symptoms such as vomiting or diarrhea, can lead to substantial weight loss. 5.Fatigue: Unwanted tiredness from focusing on the above symptoms may occur. 6.Blood in stool: As stated in #2.
B.Diagnosis Information: There isn’t one test that can tell you that you have Crohn’s disease. And Crohn’s disease has many possible symptoms that are the same as other health problems. So, to make a diagnosis, your doctor is likely to gather information from multiple sources. You’ll go through exams, lab tests, and imaging studies. 1.Physical Exam and History: Gathering information about your health history and conduct a physical exam. (a)Diarrhea, which may be bloody.
(b)Family history of Crohn’s disease.
(d)Pain and tenderness in the abdomen.
2.Lab Test: The test check for signs of infection, inflammation, internal bleeding, and low levels of substances such as iron, protein, or minerals. Lab test may include: (a.) Blood Protein Levels.
(b.) Blood Sedimentation rates.
(c.) Body Minerals.
(d.) Red Blood Cell Count.
(e.) Stool Samples to check for blood or infectious microbes. (f.)White Blood Cell Counts
3.Imaging Studies: Crohn’s disease may appear anywhere along the Gastrointestinal (GI) tract from the mouth to the rectum. X-Rays and other images can help identify the severity and locations of Crohn’s. Studies may include: (a.) Barium X-Rays and others.
(b.) CT Scans
(c.) Colonoscopy or Sigmoidoscopy.
(d.) Video Capsule Endoscopy.
C.Treatment Options: There is no cure for Crohn’s disease. There are several types of drugs used to treat Crohn's disease. The first step usually involves reducing inflammation. Many people are first treated with sulfasalazine (Azulfidine). This drug is the most common of those that contain mesalamine. Mesalamine is also known as 5-aminosalicylic acid, or...