Term Paper On Crohn's Disease

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Crohn's Disease Nicole DeMase Health and Chronic Management Nur 427 December 6, 2010 Tiffany Fitch, MSN, FNP-C Crohn's Disease Patient information: A 21 year old Jewish-American presents to the emergency department with severe diarrhea and complaints of abdominal pain, decreased appetite for over two weeks and weight loss of 10lbs. The young Jewish man has no other medical problems and denies any family history other than an older brother that was diagnosed with Crohn’s when he has 20 years old. Currently, the young man is enrolled in college pursuing a career in criminal justice and did advise the emergency department staff of a learning disability. The young man requested that any information about his diagnosis should be put…show more content…
During the active phase the most common signs and symptoms include diarrhea, abdominal cramping, rectal bleeding, ulcers, reduced appetite, and weight loss. Other signs and symptoms include fever, fatigue, arthritis, eye inflammation, skin disorders and inflammation of liver or bile ducts. Diarrhea is the most common symptom due to the inflammation of the intestines that causes them to secrete a large amount of fluid and salt. Since the colon cannot absorb this extra fluid, the person develops severe diarrhea. Abdominal pain and abdominal cramping is caused the inflammation of the walls and eventually thickens the walls with scar tissue and leads to cramping. Mild Crohn’s causes moderate intestinal discomfort and in more severe cases, can cause nausea and vomiting. Blood in the stool is caused by food being moved from the digestive tract through the inflamed tissue. The bleeding might be notices as bright red directly in the toilet or darker red blood that is mixed into the stool. Crohn’s also causes small sores or ulcers on the surface of the intestines that eventually penetrate into the intestinal walls. Reduced appetite is due to the abdominal pain and cramping and weight loss is contributed to the inability to digest and absorb…show more content…
In order to accurately determine what food should be avoided, a food diary should be kept. This diary is a daily food log of all food and drink that are consumed and if a reaction occurs, write it down and avoid in the future. Limiting dairy products due to most people with Crohn’s are considered to be Lactose intolerant, consuming small frequent, low-fat low -residue meals. Having Crohn’s interferes with digesting and absorbing of fat so decreasing fat in your diet you are going to decrease symptoms of Crohn’s. Drinking plenty of water, and taking a multivitamin are also other life style changes that may need to occur for the treatment of Crohn’s. Stress management and mild exercise can help normalizing bowel functioning. In summary Crohn’s disease is an ongoing disease that a person will never be rid of, once it is diagnosed. Even with no cure, it is important to know that with education and research the quality of life can be improved. It is also important to regular see a physician for continuing treatment and also during severe flare ups. With the proper treatment, life style changes and dedication, Crohn’s disease can be manageable and people can live a long life with the

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