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Crohn disease - discharge

Inflammatory bowel disease - Crohn's disease - discharge; Regional enteritis - discharge; Ileitis - discharge; Granulomatous ileocolitis - discharge; Colitis - discharge

Crohn disease is a disease where parts of the digestive tract become inflamed. It is a form of inflammatory bowel disease.

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Inflammatory bowel disease

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When You're in the Hospital

You were in the hospital because you have Crohn disease. This is an inflammation of the surface and deep layers of the small intestine, large intestine, or both.

You may have had exams, lab test, and x-rays. The inside of your rectum and colon may have been examined using a flexible tube (colonoscopy). A sample of your tissue (biopsy) may have been taken.

You may have been asked not to eat or drink anything and have been fed only through an intravenous line. You may have received special nutrients through a feeding tube.

You may have also started taking new medicines to treat your Crohn disease.

Surgeries you may have had include repair of a fistula, small bowel resection, or ileostomy.

What to Expect at Home

After a flare-up of your Crohn disease, you may be more tired and have less energy than before. This should get better. Ask your health care provider about any side effects from your new medicines. You should see your provider regularly. You may also need frequent blood tests, especially if you are on new medicines.

If you went home with a feeding tube, you will need to learn how to use and clean the tube and your skin where the tube enters your body.

Diet

When you first go home, you may be asked to drink only liquids or eat different foods from what you normally eat. Ask your provider when you can start your regular diet.

You should eat a well-balanced, healthy diet. It is important that you get enough calories, protein, and important nutrients from a variety of food groups.

Certain foods and drinks can make your symptoms worse. These foods may cause problems for you all the time or only during a flare-up. Try to avoid foods that make your symptoms worse.

Eat smaller meals, and eat more often. Drink plenty of liquids.

Ask your provider about extra vitamins and minerals you may need:

Talk with a dietitian, especially if you lose weight or your diet becomes very limited.

Stress

You may feel worried about having a bowel accident, embarrassed, or even feel sad or depressed. Other stressful events in your life, such as moving, job loss, or the loss of a loved one, can cause problems with your digestion.

These tips help you to manage your Crohn disease:

Drug Treatment

Your provider may give you some drugs to help relieve your symptoms. Based on how bad your Crohn disease is and how you respond to treatment, your provider may recommend one or more of these drugs:

There are many types of drugs that can help prevent or treat attacks of your Crohn disease.

When to Call the Doctor

Call your provider if you have:

Related Information

Crohn disease
Small bowel resection
Ileostomy
Ileostomy and your child
Ileostomy and your diet
Ileostomy - caring for your stoma
Ileostomy - discharge
Living with your ileostomy
Small bowel resection - discharge
Gastrostomy feeding tube - bolus
Nasogastric feeding tube
Enteral nutrition - child - managing problems
Jejunostomy feeding tube
Low-fiber diet
Diarrhea - what to ask your health care provider - adult
Diarrhea - what to ask your doctor - child

References

Sandborn WJ. Crohn's disease evaluation and treatment: clinical decision tool. Gastroenterology. 2014;147(3):702-705. PMID: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160.

Sands BE, Siegel CA. Crohn's disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 115.

Swaroop PP. Inflammatory bowel disease: Crohn disease and ulcerative colitis. In: Kellerman RD, Rakel DP, eds. Conn's Current Therapy 2019. Philadelphia, PA: Elsevier; 2019:224-230.

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Review Date: 11/5/2018  

Reviewed By: Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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