Mayby. There was one japanese study that suggested a plant based diet decreased the relapse rate of crohn's in remission. Http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc2877178/pdf/wjg-16-2484.pdf unfortunately no pharma money is there to fund a f/u study. - for obvious reasons. If it was me, i'd try the veggie diet for 6 to 12 months.
Nothing proven. There is a lot of press now concerning "anti-inflammatory diets" in treating underlying inflammatory disorders like crohn's. I do have patients who are much improved with eliminating gluten, for example. However, everyone is unique and it is impossible to make a blanket statment about diet and eliminating meds like remicade (infliximab). It is always worth a try if you are motivated to do so.
NO. If you have active crohns, liquid or a bland diet may only be slightly helpful. With active crohns resting the bowel or nothing by mouth may be the most helpful plan. Fortunately, there are multiple therapies to help active crohns. Please talk with your GI md or your rheumatologist.
I have Crohn's and have been on pentasa, (mesalamine) humira and imuran which severely increase my liver enzymes. Would remicade be less liver toxic then imuran?
Remicade/humira. Remicade (infliximab) and Humira same class: biologics. Imuran (azathioprine) and Purinethol (6 mercaptopurine) same class: immunomodulators. All can affect liver chem, as can crohn's. Ask your doc.
Several issues! Humira and Remicade (infliximab) should not be used together. Although they work differently, there net effect is to inhibit tnf-a, a potent mediator of inflammation. Imuran is the most liekly agent to increase lfts, crohn's itself can do this. If you want off the imuran, ciprofloxin and/or metronidazone are options to combine with humira. Do you have arthritis with your crohn's? 30% do.
Have any Crohn's disease patients out there had side effects after a remicade (infliximab) infusion?
Yes. Infusion rxns are not uncommon. I favour Humira (adalimumab) which is given subcutaneously every two weeks. I have found side-effects much less, and is does not rquire a lengthy infusion and can be easily self-adminstered.
Yes. There are both immediate and delayed infusion reactions. Best to make your GI aware.
No. Remicade (infliximab) as well as other similar medications, called biologics, are used to attain and maintain remission in crohns. The use of remicade/biologics is selective as they are not appropriate for all crohn's patients.
How important is a colonoscopy within 5 years of previous one...I'm a Crohn's patient on remicade (infliximab) and I'm not flared up. Seems unnecessary and expensiv?
Very necessary. It is essential to screen for disease activity and also to screen for early intestinal cancers which are more common in crohn's.
The risk for... Colorectal cancer in chron's increases with duration of illness and starts to rise 8-10 years into the disease. Further, the extent of bowel affected is directly related to the risk for colorectal cancer. The highest risk is for those with the entire bowel affected and least with just rectal involvement. Not knowing your specifics details this is the best I can do. Best of luck to you!
Yes or help. For self injection or significant other to do it.
Yes. Humira (adalimumab) is designed for self injection. Some patients may have a family member or friend help.
What do you advise if I'm currently undergoing treatment for Crohn's disease which consists of remicade (infliximab) infusions.?
More information. We need more information. Remicade (infliximab) is an excellent drug for some patients with crohns but not for everyone. It is hard to give medication advice on this site because there are so many decisions that go in to deciding the appropriate medication. Trust your GI doctor--or if you don't, find one that you do.
What to do if I'm on remicade (infliximab) for Crohn's disease, since I have been on it I have had major depression?
Common. Depression, mood disturbance, sleep problems, and learning problems are all extraordinarily common with crohn's disease. We don't fully understand why. This is unlikely coming from the remicade (infliximab). I strongly suggest getting evaluated by a psychiatrist or psychologist and maybe even starting medication if you qualify for it. It could really help. Either way, don't combat this alone!
What do you advise if I'm on remicade (infliximab) for Crohn's disease, since I have been on it I have had major depression?
See therapist. Remicade (infliximab) itself is not a major contributor to mood changes. However it is well established the patients with crohns are much more likely to have trouble with depression, sleep, anxiety, and learning. Therefore please see a therapist. You may benefit from talk therapy or even anti depressants.