Some people who have
Crohn's disease need additional nutrition because
severe disease prevents their small intestine from absorbing nutrients.
Supplemental liquid feedings may be done through a tube placed in the nose and
down into the stomach (enteral nutrition) or through a vein (total parenteral
nutrition, or TPN). Supplemental feeding may be needed when:
Crohn's disease is not controlled with standard
Short bowel syndrome occurs. This
happens when so much of the small intestine has been surgically removed or is
affected by the disease that you cannot properly digest food and absorb enough
Bowel blockage occurs.
Nutritional therapy may restore good nutrition to children
who are growing more slowly than normal. It also can build strength if you need
surgery or have been weakened because of severe diarrhea and poor
There isn't any one test that can tell you whether or not you have Crohn's disease. And Crohn's disease has many possible symptoms that are the same as symptoms for other health problems. So, to make a diagnosis of Crohn's disease, your doctor is likely to gather information from multiple sources. You'll probably go through a combination of exams, lab tests, and imaging studies with these goals in mind:
Rule out other health problems that have similar symptoms
Make a clear diagnosis of C...
Total parenteral nutrition allows the intestines to
rest and heal. But it is common for symptoms to return when TPN is stopped and you
go back to a regular diet. TPN does not change the long-term outcome of Crohn's
Counseling for Crohn's disease
Crohn's disease can
affect every aspect of your life. It may make you feel isolated or depressed.
But you can take steps to improve your outlook and coping skills. You may want
to seek professional counseling and social support from family, friends, or
Many people with
inflammatory bowel disease consider nontraditional or complementary medicine in
addition to prescription medicines. They may turn to these alternatives because
there is no cure for Crohn's disease. People may also use complementary
medicine to help in coping with:
The difficult side effects from standard
The emotional strain of dealing with a chronic
The negative impact of severe disease on daily
These therapies have not been proven effective for
Crohn's disease, but they may improve your overall well-being.
various complementary therapies include:
Special diets or nutritional supplements,
probiotics, evening primrose, and fish
Stimulation of the feet, hands,
and ears to try to affect parts of the body (reflexology).
What To Think About
Nutritional supplements can help
people receive enough essential nutrients, but they are expensive.
TPN can cause metabolic imbalances. It also can raise the risk of a
bloodstream infection from the catheter in the vein, which is needed to give
TPN. Long-term use of TPN may raise the risk of liver problems or liver