You already know this disease affects your digestion. Did you know it can also lead to bone loss, eye problems, back pain, arthritis, gallstones, and skin and liver problems? Your choices can make those problems less likely.
Make sure you get enough calcium and vitamin D. Crohn's disease makes bone loss and osteoporosis (thinning bones) more likely. Steroids used to treat Crohn's can also erode your bones. Most experts say you need between 1,000 and 1,300 milligrams of calcium and between 600 and 800 international units of vitamin D. Ask your doctor how much is right for you.
Tell your doctor if you notice eye problems like blurred vision, redness, and dryness. This disease can affect many parts of the eye, including the cornea, tear ducts, and outer coating of the white of the eye. When you control Crohn's flares, most eye complications improve. Your doctor may prescribe drops to help.
About 1 in 4 people with the disease gets arthritis, or inflamed joints. You may have pain in your elbows, wrists, knees, and ankles. This type of arthritis doesn't cause lasting damage. The pain will usually go away when your Crohn's symptoms do. Some people get pain and stiffness in their lower back, which can be more serious. Your doctor may prescribe medications and tell you to rest.
Crohn's can harm your small intestine, which leads to gallstones. Up to a third of people with the disease get them. When your small intestine is damaged, your body can't absorb bile salts that it creates to break down waste. The salts form gallstones. Symptoms include sudden pain in your upper right abdomen and nausea. Treatment ranges from medications to surgery.
Watch for changes in your skin. A small number of people with Crohn's get red bumps on their shins, ankles, and arms. Doctors call these erythema nodosum. Only a fewer will get blisters that turn into chronic deep ulcers, but it can happen.
Do you feel unusually tired or have itching, yellowing of the skin (called jaundice), or pressure in your upper abdomen? Those could be signs that Crohn's is affecting your liver. Bring your doctor up to speed. He'll examine your blood tests, ultrasounds, and maybe even a biopsy to see if there's a problem.
If you have pain and stiffness in your lower spine, let your doctor know. It's rare, but you might have spondylitis, a form of arthritis linked to Crohn's. Over time, it can cause the bones in your spine to permanently fuse together. This is called ankylosing spondylitis. It happens in up to 3% of people with Crohn’s. Early treatment can help you keep your flexibility. Stretching exercises and using moist heat on your back can help you feel better.
Like many serious long-term illnesses, Crohn's disease can make you depressed and anxious. That, in turn, can worsen your physical symptoms and make it harder to get better. Talk therapy and medications can help you manage these feelings.