Crohn's Disease | Treatment | Expert Homeopathy

Crohn's Disease

Definition [what is crohn's disease?]

It is characterized by a localized area of nonspecific chronic granulomatous inflammation of small, or more rarely, of large intestine. 50% of crohn's disease patients have ileocolitis.


Unknown by familial, genetic, infective and immunologic factors may play part, and mainly young people are affected.

Immune system: It is conceivable that an infection or microorganisms can set off Crohn's sickness. At the point when the resistant framework attempts to fend off an attacking microorganism, an unusual safe reaction makes the insusceptible framework assault cells in the gastrointestinal system.

Heredity: Crohn's illness is more normal in individuals who have relatives with the sickness, so qualities might assume a part in making individuals more vulnerable. Be that as it may, a great many people with Crohn's illness don't have a family background of the sickness.


The disease mainly involves the terminal ileum, which becomes engorged and edematous in all layers, narrowing the lumen. The mucosa becomes ulcerated and fissure. Microscopically, grades of inflammation with giant cell and granuloma may be seen. [Focal granulomas in 50%] [Diagnostic].

The spectrum of signs and symptoms can but due to :
  • Intestinal obstruction
  • Fistula formation
  • Anal fissures, fistulas
  • Extraintestinal disease
  • Malabsorption

  • Onset is gradual
  • Low-grade fever, loss of weight, weakness and malaise may be the first complaint
  • Gradually anorexia increases
  • Localized pain in the lower right quadrant or around the umbilicus, often colicky
  • Diarrhea following pain is frequent, stools may contain blood
  • Gradual loss of weight

  • The patient is emaciated in later stages
  • Tenderness in right iliac fossa
  • Fixed mass in right iliac fossa may be palpable
  • Multiple fistulas are seen opening on to the surface of the abdomen, in the perianal region or other organs e.g, faces or air in urine
  • Clubbing of fingers
  • Erythema nodosum
  • Asymmetrical arthritis
  • Episcleritis or uveitis may also occur

How to diagnose Crohn's disease? Colonoscopy: Helps check for inflammatory cells called granulomas in the colon. Flexible sigmoidoscopy: Helps to examine the sigmoid colon.

Barium meal follow-through shows alteration of mucosal pattern. Evidence of narrowing of lumen, string sign or areas of dilatation above the lesion with difficulty in filling the bowel - segments of the gut may be involved with normal tissue lying between, showing the so-called skip lesions...

Magnetic resonance imaging (MRI): MRI is especially useful for evaluating a fistula around the anal area or small intestine.

Computed tomography (CT): This test looks at the entire intestine, as well as tissues outside the intestine.

Stool examination: Formed or loose, may contain frank blood

Pus cells and R.B. Cs

Evidence of malabsorption in some cases

Blood examination: E.S.R raised

Creative protein level may be raised



Biopsy may also be taken

  • Abscess formation
  • Malabsorption syndrome
  • Fistula in ANO
  • Obstruction due to stricture
  • Erythema nodosum
  • Gall stones and renal stones
  • Carcinoma colon, hemorrhage

Treatment / Diet

Mental and physical rest
Surgical treatment if necessary or for complications
Vitamin B12 and vitamin D supplementation
Diarrhea, colic and abdominal pain must be controlled. A low roughage diet may cause the diarrhea and colic. Hypo-albuminemia should be treated with a high-protein diet.

Differential diagnosis
  • Ulcerative colitis
  • Intestinal neoplasms
  • Segmental colitis.

Homeopathic medicines[Expert Homeopathy] Dr Anutosh Chakraborty 

Argentum Nitricum: Diarrhea, worse at night, watery, slimy, always after drinking or eating soup, immediate discharge from the bowels, as though the fluid were rolling through without stopping. Soreness and burning in the region of the sigmoid flexure; emaciation, desire for sugar.

Aresenicum Album: Worse about midnight, burning pain in the abdomen, discharge burning, cadaverous smelling, excoriating the anus, thin lumpy, great thirst, restlessness, exhaustion and emaciation, old look on the face, very cross and despondent.

Baptisia: Stools dark, offensive, exhausting, pain in the liver and region of gall bladder, sweat and urine extremely fetid, little or no thirst, gone feeling at pit of stomach, frequent fainting.

Bryonia alba: Pain in the bowels after eating or drinking, the slightest motion brings on a discharge which looks like dirty water, showing on standing a whitish, finely granulated sediment of undigested food at the bottom of the vessel.

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