Miss Patricia Boorman

Consultant Colorectal Surgeon


Crohn's disease

Crohn's disease is a lifelong condition in which parts of the digestive system become inflamed. It's one type of a condition called inflammatory bowel disease (IBD).

Crohn's disease affects people of all ages. The symptoms usually start in childhood or early adulthood.

What is Crohn's Disease?

Crohn’s Disease is a condition that causes inflammation of the digestive system or gut. Crohn’s can affect any part of the gut, though the most common area affected is the end of the ileum (the last part of the small intestine), or the colon.

The areas of inflammation are often patchy with sections of normal gut in between. A patch of inflammation may be small, only a few centimetres, or extend quite a distance along part of the gut. As well as affecting the lining of the bowel, Crohn’s may also go deeper into the bowel wall. It’s one of the two main forms of Inflammatory Bowel Disease (IBD). The other is Ulcerative Colitis.

Crohn’s is a chronic condition. This means that it is ongoing and life-long, although you may have periods of good health (remission), as well as times when symptoms are more active (relapses or flare-ups).

What are the symptoms?

Crohn’s is a very individual condition – the symptoms vary from person to person, and may depend on where in the gut the disease is active.

The symptoms range from mild to severe and can change over time, too. However, the most common are:

  • Abdominal pain and diarrhoea
  • Tiredness and fatigue
  • Feeling generally unwell or feverish
  • Mouth ulcers
  • Loss of appetite and weight loss
  • Anaemia (a reduced level of red blood cells)

Who gets Crohn’s Disease?

We think Crohn’s Disease affects at least 115,000 people in the UK and millions more worldwide.

The condition is more common in urban areas and in northern developed countries – although it’s on the increase in developing nations.

Crohn’s is also more likely to appear in white people of European descent, especially those descended from Ashkenazi Jews (who lived in Eastern Europe and Russia).

Did you know?

The disease can start at any age, but usually appears for the first time between 10 and 40. Surveys suggest that new cases of Crohn’s are being diagnosed more often, particularly among teenagers and children.

It’s slightly more common in women than in men, and also in smokers.

What causes it & is there a cure?

Despite a lot of research, we still don’t know exactly what causes Crohn’s Disease.

However, over the past few years major advances have been made, particularly in genetics. We now believe that Crohn’s is caused by a combination of factors;

  • the genes you are born with,
  • plus an abnormal reaction of your immune system to certain bacteria in your intestines,
  • along with an unknown trigger that could include viruses, bacteria, diet, smoking, stress or something else in the environment.

There isn’t a cure at the moment, but drug treatment and sometimes surgery can do a lot to give long periods of relief from symptoms.

What treatments are there for Crohn’s?

Treatments may be medical, surgical or a combination of both. If your condition is mild, not having any treatment might even be an option. Some people may also find relief from their symptoms by altering their diet or going on a special liquid diet.

But your treatment will ultimately depend on the type of Crohn’s you have and the choices you make in discussion with your doctor.

Can Crohn’s have complications?

Crohn’s sometimes causes additional health problems, which may be in the gut itself or can involve other parts of the body.

Complications in the gut may include stricturesperforations and fistulas

A variety of other health conditions can be associated with Crohn’s Disease, including:

  • skin problems, such as mouth ulcers, blisters and ulcers on the skin, and painful red swellings, usually on the legs
  • inflammation of the eyes
  • thinner and weaker bones
  • liver inflammation
  • blood clots (including deep vein thrombosis)
  • anaemia (a reduced level of red blood cells)

Around one in three people with IBD experience inflammation of the joints, usually their elbows, wrists, knees and ankles.  More rarely, the joints in the spine and pelvis become inflamed – a condition called ankylosing spondylitis.  This can cause stiffness and pain of the spine.  Drugs and physiotherapy are used to treat these symptoms.

Book a consultation with Miss Boorman today.