Crohn’s disease symptoms

Crohn’s Disease

Understanding Crohn’s disease from a Naturopathic Doctor’s perspective. What are the symptoms and treatments that can actually help.

In this article we will cover the following for Crohn’s Disease:

  • What is Crohn’s Disease
  • What Causes Crohn’s Disease
  • Top Symptoms Of Crohn’s Disease
  • How to Test For Crohn’s Disease
  • What a Naturopathic Doctor Can Do To Help
  • How IV Drip Therapy Can Help Crohn’s Disease

 Before you get into this great article, if at anytime you want to talk to one of our Naturopathic Doctors about how they help with Crohn’s disease, or how IV Drip Therapy can help you can book a free consultation by clicking here.

Crohn’s disease is a lifelong illness and can severely impact one’s quality of life. It can be tricky to manage, and can often leave individuals feeling discouraged and hopeless affecting not only their physical health but also their mental, emotional, and social health.

If you are suffering from Crohn’s disease, please know that you are not alone and that your feelings and emotions are very real. A Naturopathic Doctor approach to medicine is to assess the whole person, and look at how a disease may be affecting the physical, mental, emotional, and spiritual health of an individual.

What is Crohn’s Disease?

Crohn’s disease is a chronic, relapsing disease which belongs to the inflammatory bowel disease (IBD) family. Inflammatory bowel disease includes a group of conditions that inflame and attack the lining of your gastrointestinal tract.

When the gastrointestinal tract in inflamed, it makes it difficult to perform its job of breaking down food, absorbing nutrients, and eliminating waste.  Crohn’s disease can affect the gastrointestinal tract anywhere starting from the mouth, all the way to the rectum; however, it most commonly affects the terminal ileum (the end of your small intestine that intersects with the large intestine) and portions of your large intestine.

What Causes Crohn’s Disease?

Crohn’s is a very complicated disease, and unfortunately there is no single cause that we know of yet.

What we do know is that the immune system plays a significant role, and that when your immune system is not working the way it should be, this can make your symptoms and flare ups happen more often, and be more severe.

Many inflammatory markers have been identified in Crohn’s disease, indicating a state of “chronic inflammation” within the GI tract.  Patient’s with Crohn’s disease commonly have an onset of symptoms between the ages of 20-30 years of age, or around the age of 50 years.

Although these are the most common ages we see people being diagnosed, it can occur at any age. There are no significant differences between the occurrence of Crohn’s in males and females; however, there is a strong genetic risk with the strongest risk factor being having a parent or sibling that was also diagnosed with Crohn’s disease.

We also see a higher prevalence in the Ashkenazi Jewish population, in those who smoke cigarettes, use NSAIDs frequently, and in those who eat a low fibre/vegetable diet or a westernized diet high in animal meats, dairy, and refined sugar.

What are some of the signs and symptoms of Crohn’s Disease?

 Taking a very detailed clinical history is important in diagnosing Crohn’s disease as the presentation varies from individual to individual, and the symptoms can mimic other illnesses or diseases.  Below are some of the signs and symptoms that someone with Crohn’s disease may experience:

  • Abdominal pain, typically in the right lower quadrant. Can be dull or crampy, and mild to severe
  • Urgent Diarrhea
  • Incontinence
  • Nocturnal awakening to use the bathroom
  • Nausea
  • Vomiting
  • Weight loss
  • Rectal bleeding
  • Extra-intestinal manifestations including but not limited to:
    • Eyes: Painful vision, blurry vision, redness
    • Oral ulcers, mouth or tongue pain
    • Joint aches / arthralgia
    • Skin manifestations including painful and/or purple bumps

 

What Are Some Of The Tests For Crohn’s Disease?

 There are many different tests a doctor may perform to determine whether you may be suffering from Crohn’s disease, and the extent of the disease.

These include:

Blood Tests:

  • CBC with differential
    • White blood cells may be elevated with inflammation or infection
    • Red blood cells/ Hemoglobin may be decreased in anemia
  • Nutritional status:
    • Iron, ferritin, vitamin B12, folate, iron-binding capacity
      • Decreased absorption or increase iron loss to assess for iron deficiency anemia
    • Albumin and prealbumin level
      • Decreased with poor nutritional status and with protein-losing enteropathy
    • Vitamin D status
      • May be decreased secondary to malabsorption, or if your doctor started you on corticosteroid treatments for your Crohn’s to monitor for impaired metabolism
    • Elevated inflammatory markers : erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)

Stool Test:

  • Markers of inflammation
    • Fecal lactoferrin and calprotectin levels
      • Helpful in determining inflammation within the bowels and gut

Endoscopy/ colonoscopy:

  • Procedure to visually assess the intestines and any presence of disease

Imaging (CT or MRI):

  • May be used as additional tests to rule in/out disease or if bowel complications are suspected

 

How can Naturopathic Medicine help?

As mentioned earlier, naturopathic medicine focuses on a whole body and individualized approach. Both the signs and symptoms and how it impacts one’s quality of life can vary dramatically from person to person, despite having the same disease.

A Naturopathic approach aims to reduce both the severity and frequency of episodes, to reduce the complications of the disease and minimize the need for surgery, to assess and correct any nutritional deficiencies, and support the individual’s mental, emotional, and spiritual health in healing.

Naturopathic treatment can be integrated with your conventional treatments to help optimize outcomes and minimize adverse effects.

Your Naturopathic Doctor will assess any obstacles to cure, and what may be aggravating your immune system for it to be attacking your gastrointestinal tract.

This could include:

  • Dietary changes
  • Eliminating food sensitivities
  • Minimizing environmental toxin exposures
  • Reducing oxidative stress

One notable sensitivity in Crohn’s disease is that to baker’s yeast, and eliminating any sources of this in one’s diet can have profound affects for an individual. Food sensitivity testing may be indicated, and part of a larger discussion within your treatment plan.

Your Naturopathic Doctor will also have a discussion around strategies and tools to reduce inflammation and promote the healing of your gut.

Low dose probiotics may be helpful to lessen symptoms of relapses and lengthen remission times in those with Crohn’s disease. Apoptogenic herbs may be an excellent addition as well to help your body cope with stress, and to buffer the systems that may be depleted by both the disease process and pharmaceuticals.

Mind-body therapies may also be discussed to help support your mental and emotional health, the gut-brain axis, and to encourage empowerment, resiliency, and improve quality of life.

To correct any nutritional deficiencies, your doctor may recommend certain vitamins and minerals or the addition of IV Drip vitamin therapy.

Oral absorption of vitamins and minerals can often be impaired in individuals with Crohn’s disease due to the inflammation of the tissue; IV vitamin therapy is absorbed directly into the blood stream bypassing the gut and any absorption issues there. In addition, several conventional treatments and pharmaceuticals further deplete key nutrients. Important ingredients for the IV vitamin bag may include zinc, selenium, magnesium, trace minerals, B12, and Vitamin C to replenish any deficiencies, reduce inflammation, and to support optimal immune functioning.

An IV drip set up to help digestion would have the goal of:

  • Enhance nutrient absorption (bypass digestive limitations)
  • Provide high does of Anti-inflammatory nutrients
  • Give you nutrients specific for GI healing
  • Help reduce pain and cramping
  • Replenish electrolytes

This IV Drip would include:

Glutamine – Glutamine strengthens the barrier that is present in our intestinal tract, which helps to prevent leaky gut. It improves the immune function of our GI system which is important for overall health. Glutamine is beneficial for food allergies and chronic gut conditions, including IBS, Crohn’s, and colitis.

Taurine – Taurine plays a large role in digestion and metabolism. It supports the liver in producing bile salts which break down fatty acids, primarily cholesterol, in the intestine. It improves the digestion and absorption of fats.

Selenium – Selenium can help improve digestion and reduce malabsorption in the GI tract. It strengthens the gut’s response to inflammation, preventing damage to the gut lining. Deficiencies in selenium are correlated to higher oxidative damage in the GI tract, which can lead to different GI disorders.

Zinc – Zinc is a critical mineral for a healthy gut. It has shown to be beneficial in treating conditions such as diarrhea and leaky gut. It helps to stabilize the gut lining and promote repair of gut tissue.

Bicarbonate – Bicarbonate helps to neutralize acidic environments in our GI tract, which has a protective effect on our gut lining.

Amino Acids – Amino acids are fuel for the lining of the small intestine and are the building blocks of our intestinal proteins. There is research to support several amino acids for gut-related diseases, as they support gut lining integrity and overall function.

Find out how naturopathic medicine can help you with your Crohn’s disease. You can book a free consultation and speak to one of our Naturopathic Doctors by clicking here.

References:

https://www.crohnscolitisfoundation.org
https://pubmed.ncbi.nlm.nih.gov/11840007/
https://pubmed.ncbi.nlm.nih.gov/29494512/
https://pubmed.ncbi.nlm.nih.gov/18670730/
https://pubmed.ncbi.nlm.nih.gov/29688466/
https://pubmed.ncbi.nlm.nih.gov/28573652/
https://pubmed.ncbi.nlm.nih.gov/32872272/
https://www.mayoclinic.org/diseases-conditions/crohns-disease/symptoms-causes/syc-20353304
https://www.sfadvancedhealth.com/blog/integrative-treatment-crohns-disease-symptoms