Doctor insights on:
Is It Safe To Take Accutane If You Have Crohns Disease
No: There is a possible link between Accutane and exacerbation of inflammatory bowel disease. Therefore Accutane should not be used in chrons. Antibiotics may also be an issue. An alternative would be a combination of diet, limit sugar and carbs, zinc supplementation, and the use of a laser which heats the oil glands to shrink the glands and blue light. Another treatment is pdt which could be used ...Read more
What are the chances of cancer when on remicade for Crohns disease? Does the risk increase the longer you take it?
Risk of CA:
Very small but not zero.
Yes the longer the better or the worse the risk. ...Read more
I have to take remicade for crohns disease. But have been told there is risk of cancer. How high is that risk for a young male?
Low risk: Crohn's disease also increases the risk of cancer. That risk is a lot higher than the risk from infliximab (Remicade). The more important risk from such drugs is for certain infections, like tuberculosis. Discuss all this with your doctor: but almost certainly you should take the drug as recommended. ...Read more
Discuss with GI MD: Treatment of anyone with an autoimmune disorder starts with stress reduction, proper diet and adequate sleep and rest. Lack of any of these can worsen/bring out symptoms. Sometimes treatment involves biologics of which Humera is one, steroids, and 5-aminosalicylates if the colon and rectum are involved. The right medication choices need a discussion with your MD who knows extent of your disease. ...Read more
Talk with doctor: You should be in contact with your doctor by phone if you are in pain or bleeding. Going to the er should be a joint decision, unless you are experiencing extreme uncontrollable pain or other unusual or concerning symptoms. ...Read more
Can pelvic surgeries cause a flare up in crohns disease symptoms. More specifically a robotic cystecomy??
For the past 3 days I had 6 or less hrs of sleep due to my crohns disease. Now I am extremely scared and anxious about sleep. Any ways to reduce anxiety?
Anxiety: Talking therapy ranks really high. Cognitive Behavioral therapy or psychotherapy can be effective. Aim for daily exercise, 8 hours of sleep per night & good nutrition w 5 servings of veggies & 4 of fruit per day. Try tai chi, yoga, Qi Gong, progressive muscle relaxation, deep breathing exercises & meditation. Don't isolate - spend time w friends & stay active. ...Read more
I have crohns disease & I woke up this morning vomiting and diarrhea badly. This pain is beyond intense. Should I go to the e.r I can't even eat.
If you cannot:
Reach the Medical Provider who is treating your crohns I would opine that an ER (or preferably a Walk In Unit) is indicated. In the meantime Clear Liquids only!
Hope this is helpful....Good luck...BE WELL!
Dr Z ...Read more
No: Crohn's disease is not an infectious disease. That being said you can have a GI tract infection on top of the crohn's especially if you have been treated with antibiotics and this infection can be contagious from contact with your stool. In general the gas or flatus should not be able to spread any infection without direct stool contact. ...Read more
Happy to touch: Feel free to consult and I can teach you. There are so many causes. ...Read more
Hello, I have crohns disease and many antibiotics causes a sever flare up. I've had strep for almost 6wks now. I'm allergic to penicillin, so that limi?
Which abx?: If you are truly allergic to penicillin, erythromycin would work for strep infection as well unless you have had an adverse reaction to it. If your problem is primarily GI, consider taking a probiotic with antibiotic in the future. May check with allergist to find out if you are still allergic to penicillin as well. By the way, there are good biologics which are effective for Crohn's disease. ...Read more
Where are the common areas of pain when you have small intestine inflammation because of crohns disease?
Throughout the day my stomach swells, hardens with raised knots sometimes painful. I have Crohns disease don't know if related -happens most every day?
More info: I would keep a log of your symptoms and indicate time of day and relation to meal time and what you ate. I would present this information to your gastroenterologist and see how this fits into your Crohns process. Good luck. ...Read more
Just been diagnosed with crohns disease, I have had black stools but they are not tarry they are quite loose as well, should I be worried?
Depends: Black stools can be caused by medications like iron or even some mesalamines. If your doctor is not concerned that it's a sign of upper GI bleeding, it may be due to the medication you're taking. ...Read more
I've had no change in diet medication nor have I ate any blue or green foods. I have crohns disease for the past 11 yrs. My stool is blue mucasy green.
I have crohns disease, have bad abdominal pain with chest pain and not feeling well. Been feeling like this Sunday. Please help?
Needs evaluation: Severe abdominal pain definitely needs to be evaluated, either by your primary care doctor or gastroenterologist, or if you are in severe pain and can't see one of them, you should go to the emergency room. There are all sorts of issues that can cause this but you need to be evaluated ASAP. ...Read more
Pain in sides and lower back after eating and mild constipation, this happens quite often, intolerance or sign of crohns disease that my mum has?
I had blood work and my ASCA was abnormal my doctor mentioned possible Crohns Disease. Could my ASCA be abnormal and it be fine. I've had weight loss?
I have crohns disease. Today I saw a lot more blood in my stool than usual. Should I wait to see my doctor or go to the ER?
Go to ED.: This could be a flare of Crohn's disease which may need the immediate initiation of treatment, or this may be unrelated to Crohn's disease. For a rapid diagnosis, the ED would be the best option for you right now. ...Read more
Is it possible to have Crohns disease without diarrhea and weight loss? Could someone with Crohns present with constipation and IBS-like symptoms?
Absolutely, yet be: Careful, don't just rely on labels (diagnoses) possibly not correct & potentially misleading/harmful; a common issue. Crohns is an autoimmune disease, i.e. the individual is attacking their body via their immune system. As integrated Soul↔Mind↔Brain↔Body creatures, consider all the potential implications & possible approaches, not just incomplete body mechanic ideas/issues; usual medical approach. ...Read more
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
Sore breasts, diminished positive feelings during orgasm, increased depression, thoughts of hurting myself. Also diagnosed w/ crohns disease?
Depression: You need professional help and shouldn't attempt to work your way through these worrisome symptoms. Make an appointment with a psychiatrist as soon as possible and be sure to inform him or her of your thoughts of harming yourself. A combination of psychtherapy and medication should help you. If your Crohn's disease is acting up, your state of mind may well be an aggravating factor. ...Read more
Crohns disease, just had 2 perianal abcess drained last week. Now having bad pressure in back passage and when passing stool it's thick mucus instead?
Crohns Disease: All of the above symptoms, the abscesses, the rectal pain, and the mucus in your stool are indicative of the possibility of continued active inflammation from the Crohns disease. You likely need to have your medication either adjusted or changed. I would make it an appointment to see your gastroenterologist as soon as you can. Good luck. ...Read more
I haven't had a bowel movement in nine days. I have crohns disease but it's never caused me to be this constipated. I've tried laxatives and softeners?
I have crohns disease and Non healing acne on left side neck. No swolen lymph nodes. Dizziness, fatigue, normal blood work. Could this still be lymphoma?
Acne: Acne seems to be more prevalent in patients with Crohn's disease, maybe because they have a related immune cause. But having acne doesn't indicate anything about lymphoma. You're likely ok, but if you have unexplained fevers with weight loss and swollen lymph nodes, you should talk to your doctor. ...Read more
I have Crohns disease since Wednesday night I have had constant crampy aabdominal pain sharp stabbing pain when I sit up or walk. Its eased off today. I've been passing gas like crazy. I done an enema Thursday night I expelled some stool but that's it. It
Talk to your GI Sp.: If there is a flare up of Crohn's disease, you should seek your GI sp. Advise. I am sorry that you are suffering. ...Read more
I have a tooth infection amoxicillin his upsetting my stomach and I have Crohns disease can Bactrim (sulfamethoxazole and trimethoprim) be used instead?
Obviously I need to speak w/ my pcp. I've had ^alt, ast, crp, co2, and kidney failure. I also have crohns disease, skin problems and all over pain. Maybe?
So what's the questn: You gave us a list of problems and what you already know. However, since you did not ask a question, there is no way for us to form a reasoned answer. You are welcome to start over, but questions are not linked, so each must have relevant background and ask a clear question. ...Read more
Inconclusive: There are studies showing no link and other studies showing a potentially causal relationship. Since there is a potential risk, this is something that needs to be discussed with your doctor and consider benefits vs. Risks before starting this drug. If you decide to take this drug, any GI or bowel side-effects need to be reported immediately to your doctor. ...Read more
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