Crohn’s Disease (or Kangaroo disease) disease is a type of chronic bowel inflammation. It usually affects the small intestine and less commonly the colon, but it can involve the entire gastrointestinal tract, including the mouth, esophagus, and stomach.

The chronic inflammation that is the basis of Crohn’s disease causes ulceration, swelling, and scarring of the parts of the intestine that it involves. in allopathic treatment it eventually requires surgery for most people, but in Homeopathy there are lot of medicines curing the Crohn’s disease and in very short time period.

Other names for Crohn’s disease include granulomatous enteritis, regional enteritis, ileitis, and granulomatous colitis when it involves the colon.

The cause of the chronic inflammation in Crohn’s disease could be heredity, mucosal immunity, gut microbes, diet, environmental factors, vascular problems, psychosocial problems, and almost all allopathic drugs especially antacids, angiotensin H2 blockers, antibiotic etc are the triggers that participate in causing these diseases.

The inflammation is initiated by bacterial imbalance that reside within the intestine. The continuing inflammation probably occurs because of the affects of drugs, diet and environmental and psychological factors lowers the immune system.

The first signs of Crohn’s disease are small ulcers, called aphthous ulcers, caused by breaks in the lining of the intestine due to inflammation. The ulcers become larger and deeper. With the expansion of the ulcers comes swelling of the tissue, and finally scarring of the intestine that causes stiffness and narrowing. Ultimately, the narrowing can obstruct the flow of food being digested in the intestines. The deepening ulcers can fully penetrate the intestinal wall and enter nearby structures such as the urinary bladder, vagina, and parts of the intestine. These penetrating tracts of inflammation are called fistulas.

Both Crohn’s disease and ulcerative colitis are chronic diseases of intestinal inflammation. Whereas ulcerative colitis only involves the colonic portion of the gastrointestinal tract, Crohn’s disease can affect any portion of the gastrointestinal tract from mouth to anus (that’s why it also called Kangaroo disease). Whereas the inflammation of ulcerative colitis involves only the superficial lining of the colon, the inflammation of Crohn’s disease goes deeper into the intestinal walls and, as previously mentioned, even beyond the walls.

Inflammation in ulcerative colitis is continuous; that is, the inflammation does not skip areas. Thus, the colon is involved from the most proximal margin of the inflammation – be that ascending, transverse or sigmoid colon – all the way to the anus. On the other hand, the inflammation of Crohn’s disease can be present in several portions of the intestines with skipped areas without inflammation in between (like kangaroo’s steps/jumps).

The most common symptoms of Crohn’s disease are abdominal pain and diarrhea. Other signs of inflammation are often present, including fever and abdominal tenderness. Because symptoms can be worsened by eating, the intake of food is reduced, and this leads to loss of weight, and, less commonly, nutritional deficiencies.

Slow, continuous loss of blood into the intestine that may not even be recognizable in the stool can lead to iron deficiency anemia.

Several complications of Crohn’s disease have already been mentioned, including nutritional deficiencies, loss of weight, anemia, growth retardation, and delayed puberty. Two more serious complications also mentioned previously are strictures or narrowing of the intestine due to scarring and the formation of fistulas. Massive intestinal bleeding and perforation are unusual.

There are also intestinal manifestations of Crohn’s disease that occur outside the intestines, some of which may be debilitating. These include arthritis, inflammation of the eye that can impair vision, skin diseases that vary from mild (erythema nodosum) to severe (pyoderma gangrenosum), gallstones, and loss of bone due to nutritional deficiencies. Most of these complications are believed to be due to inflammation outside of the intestine.

Although Crohn’s disease is usually easy to diagnose, the wide variation in severity of symptoms – from mild to severe – and the non-specific nature of the symptoms that mimic other intestinal inflammatory diseases (for example, diverticulitis), sometimes makes arriving at a diagnosis challenging.

• The pattern of the symptoms and a family history of Crohn’s disease are very important in diagnosis.
• Often other, more common intestinal inflammatory diseases need to be excluded, for example, intestinal bacterial and parasitic infections.
• Stool may be examined for signs of inflammation such as blood or white blood cells. Fever and an elevated white blood cell count in the blood may suggest inflammation somewhere in the body.
• Ultimately the inflamed bowel must be visualized and, if possible, biopsied. This can be done by barium X-ray studies, particularly a small intestinal barium X-ray, but probably better by colonoscopy with examination of the terminal ileum (which usually is involved in Crohn’s disease) that also allows for biopsies.
• When inflammation does not involve the terminal ileum, it may be necessary to do capsule endoscopy (the swallowing of a tiny camera) or enteroscopy (fiberoptic endoscopy of the small intestine) to visualize the entire small intestine. Enteroscopy has the advantage over capsule endoscopy of allowing for biopsy as well as visualization.

Treatment of Crohn’s disease is directed at reducing and treat inflammation – treating flares in the activity of the disease, and maintaining remissions. The type of medication that is used depends on the severity of the inflammation and how well the disease responds to initial treatment.

If inflammation does not decrease with initial treatment (allopathic), more powerful drugs are used, though risks for serious side effects increase.

With severe disease, the more powerful medications may be used immediately.

Homeopaths never prescribe surgeries for Crohn’s disease.

Allopath are also avoid surgery in Crohn’s disease if possible because it is likely that inflammation will recur even when it appears that all inflammation has been removed during surgery.

There are situations in which surgery often becomes necessary such as with strictures, intestinal obstruction etc.

Usually, the surgery that is done is kept to the minimum that is necessary to take care of the complication. Surgery may include removal of parts of the intestine, stretching of strictures, and removal of fistulas.

But at times it may require resection of the entire colon, which may necessitate a colostomy or ileostomy.

The treatment of choice for Crohn’s disease is medication to control the inflammation. The primary goal is to relieve symptoms by treating flares and putting the disease into remission. A secondary goal is to postpone or prevent surgery. The choice of medication depends on the severity of the flare, the location of the inflammation, and the presence of complications of the disease.

• Amino salicylates and antibiotics suppress inflammation and are associated with the fewest side effects.
• Corticosteroids are effective at suppressing inflammation but are associated with serious side effects when used for prolonged periods of time.
• Other medications suppress the immune system in general and can be used for prolonged periods of time.
• Biologics are injectable medications that reduce inflammation by blocking the action of specific chemicals that are released by immune cells that provoke inflammation.

Newer suppressors of inflammation and the immune system are being developed all of the time. Two general immunosuppressants are tacrolimus (Prograf, FK 506) and mycophenolate mofetil (CellCept). Newer biologics also are being developed but unfortunately with very severe side effects.

Homeopathic Treatment of Crohn’s Disease

Nux Vomica for Crohn’s disease

In my (Dr. Qaisar Ahmed) opinion Nux Vomica is the top medicine for Crohn’s disease. The prominent symptom is frequently/urging constantly passage of a small quantity of stool with colic like abdominal pain. The abdominal pain relieved after each stool for a time. This is most of the times accompanied by a distended abdomen after eating. Bruised soreness of abdominal walls. Flatulent distension, with spasmodic colic. Colic from uncovering. Liver engorged, with stitches and soreness. Colic, with upward pressure, causing short breath, and desire for stool. Weakness of abdominal ring region.

Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Dysentery; stools relieve pains for a time. Constant uneasiness in rectum. Diarrheas with jaundice.

Bilious attacks, Biliousness, Carriage/sea/motion-sickness, Catarrh, Clavus, Colic, Constipation, Convulsions, Cramp, Delirium, Diarrhea, Dysentery, Dyspepsia, Emissions, Erotomania, Gallstones. Gastritis, Liver disorders, Locomotor ataxia

Food that worsens the condition is spicy food, coffee, and alcoholic drinks. The worsening of condition after anger spells is also an important marker for natural Homeopathic remedy Nux Vomica.

 Aloe Socotrina:

Aloe Socotrina is the best choice for any cylindrical shaped organ inflammation; when the urge to pass stool is soon after eating or drinking something. Irregular intestinal movements, Severe gastritis, mucus may be expelled along with stool, pain in the abdomen (colic) before and during stool which vanishes after passing stool, Tenesmus, Colin Tuberculosis.

Alumina and Irritable Bowel Syndrome:

If Crohn’s disease is with constipation (intestinal dryness), Alumina is the medicine of my choice, obstinate constipation, knotty stools, slow intestinal pace, the stool remains in the rectum for many days without any urge to pass stool. that’s why the stool expelled with much strain.

Weak peristaltic movements, dryness of mucus membrane. Some times the stool is soft but hard to expel (low intestinal pace, weak intestine).

Carbo Vegetables:

Bloated abdomen, heavy and tense abdomen soon after eating, even the simplest and softest kind of food seems to worsen the condition. Eructation, heaviness, fullness, and sleepiness; tense from flatulence, with pain; worse lying down. Eructation after eating and drinking. Temporary relief from belching. Rancid, sour, or putrid eructation, asthmatic breathing from flatulence. Nausea in the morning. Burning in stomach, extending to back and along spine.

Contractive pain extending to chest, with distention of abdomen. Faint gone feeling in stomach, not relieved by eating. Crampy pains forcing patient to bend double. Distress comes on a half-hour after eating. Sensitiveness of epigastric region. Digestion slow; food putrefies before it digests. Gastralgia of nursing women, with excessive flatulence, sour, rancid belching. Aversion to milk, meat, and fat things. The simplest food distresses. Epigastric region very sensitive.

Abdomen: Pain as from lifting a weight; colic from riding in a carriage; excessive discharge of fetid flatus. Cannot bear tight clothing around waist and abdomen. Ailments accompanying intestinal fistulae. Abdomen greatly distended; better, passing wind. Flatulent colic. Pain in liver.

Flatus hot, moist, offensive. Itching, gnawing and burning in rectum. Acrid, corrosive moisture from rectum. A musty, glutinous moisture exudes. Soreness, itching moisture of perineum at night. Discharge of blood from rectum. Burning at anus, burning varices (Mur ac). Painful diarrhea of old people. Frequent, involuntary cadaverous-smelling stools, followed by burning. White hemorrhoids; excoriation of anus. Bluish, burning piles, pain after stool.

Catarrh, Chilblains, Cholera, Constipation, Debility, Diarrhea, Distension, Dysentery, Dyspepsia, Emphysema, Eructation, Flatulence, bad or low blood circulation in some part of intestine, Gangrene. Hemorrhages, Hemorrhoids, Tympanites, Typhus, Ulcers, Yellow fever

Lycopodium:

Lycopodium is the medicine of choice when inflammation is with heaviness in the abdomen even after eating of a small quantity food, dyspepsia due to farinaceous and fermentable food, cabbage, beans, etc. Excessive hunger. Aversion to bread, etc. Desire for sweet things. Food tastes sour. Sour eructation. Great weakness of digestion. Bulimia, with much bloating. After eating, pressure in stomach, with bitter taste in mouth. Eating ever so little creates fullness. Cannot eat oysters. Rolling of flatulence. Wakes at night feeling hungry. Hiccough. Incomplete burning eructation rise only to pharynx there burn for hours. Likes to take food and drink hot. Sinking sensation; worse night.

Immediately after a light meal, abdomen is bloated, full. Constant sense of fermentation in abdomen, like yeast working; upper left side. Hernia, right side. Liver sensitive. Brown spots on abdomen. Dropsy, due to hepatic disease. Hepatitis, atrophic from of nutmeg liver. Pain shooting across lower abdomen from right to left.

Diarrhea. Inactive intestinal canal. Ineffectual urging. Stool hard, difficult, small, incomplete. Hemorrhoids; very painful to touch, aching

Constipation. Intestinal Consumption. Intestinal polypus, Cramps. Cystitis. Debility or intestinal/rectal weakness. Diphtheria. Distension. Dropsies. Dysentery, polypus of canthus. Fibroma. Flatulence. Gall-stone colic. Glands, swelling,  Liver malfunctioning, liver-spots. Locomotor ataxia (intestinal/rectal), Paralysis. Paralysis agitos, Typhoid fever. Varicose that is disturbed intestinal blood circulation, Cancer of intestine.

Croton Tiglium and Podophyllum Peltatum

In Crohn’s disease cases Croton Tiglium and podophyllum has same symptoms that is diarrhea with gushing stool, urging for stool soon after eating or drinking; watery stool, copious stool, weakness after passing stool, profuse and highly putrid/offensive stool, fetid flatus, diarrhea that worsens after eating fruits.

Bryonia Alba:

Crohn’s disease with nausea and faintness when rising up. Abnormal hunger, loss of taste. Thirst for large draughts. Vomiting of bile and water immediately after eating. Worse, warm drinks, which are vomited. Stomach sensitive to touch. Pressure in stomach after eating, as of a stone. Soreness in stomach when coughing. Dyspeptic ailments during summer heat. Sensitiveness of epigastrium to touch.

Abdomen: Liver region swollen, sore, tensive. Burning pain, stitches; worse, pressure, coughing, breathing. Tenderness of abdominal walls.

Stool: Constipation; stools hard, dry, as if burnt; seem too large. Stools brown, thick, bloody; worse in morning, from moving, in hot weather, after being heated, from cold drinks, every spell of hot weather.

Bryonia is one of the polychrest medicines.

Colocynthis:

Crohn’s disease with loose stools attended with abdominal cramps. Very bitter taste. Tongue rough, as from sand, and feels scalded. Canine hunger. Feeling in stomach as if something would not yield; drawing pain.

Abdomen: Agonizing cutting pain in abdomen causing patient to end over double, and pressing on the abdomen. Sensation as if stones were being ground together in the abdomen, and would burst. Intestines feel as if bruised. Colic with cramps in calves. Cutting in abdomen, especially after anger. Each paroxysm is attended with general agitation and a chill over the cheeks, ascending from the hypogastrium. Pain in small spot below navel. Dysenteric stool renewed each time by the least food or drink. Jelly-like stools. Musty odor. Distention.

Ciliary neuralgia. Colic. Coxalgia. Diabetes. Diarrhea. Dysentery. Colic. Neuralgia.  Para phimosis. Peritonitis. Tumors.

China Officinalis:

China Officinalis is the most recommended medicine for Crohn’s disease with weakness and weight loss from chronic diarrhea. The diarrhea is painless. Persons in need of China Officinalis have a chronically loose stool, marked flatus and bloated abdomen. Abdominal colic from flatus in abdomen is also present.

Bilious attack. Catarrhal affections. Constipation. Debility. Delirium. Diarrhea. Dropsy. Dyspepsia. Emissions. Hemorrhoids. Headache. Hectic fever. Ichthyosis. Intermittent fever. Jaundice. Leucorrhoea. Lienteria. Liver diseases, Liver cirrhosis, Spleen affections. Taste disorder. Tea effects. Thirst. Tobacco habit. Traumatic fever. Tympanites. Varicose veins, Blocked or bad blood circulation to intestines.

Pulsatilla Nigricans:

Pulsatilla Nigricans is one of the top grade medicines for Crohn’s disease where taking milk or milk products worsens the complaint. Symptoms include rumbling in abdomen, flatulence, bitter mouth taste, belching that tastes like ingesta and changeable stool. These symptoms worsen upon consuming milk. Pressive, spasmodic, contractive, and compressive pains in stomach and precordial region

In my (Dr. Qaisar Ahmed MD, DHMS, Isl. Jurisprudence) experience deficiency of some types of minerals make changes in cylindrical shaped organs especially intestines, that’s why I tried following elements on my patients during last fifteen years and I found great results. Patients with Crohn’s disease (even older cases – 2-7 years), were treated in 20-60 days successfully. They are the following:

Argentum Nit:

Acidity. Addison’s disease. Anemia. Chancre. Dyspepsia. Epilepsy. Eructation. Flatulence. Gastric ulcer. Gonorrhea. Impetigo. Locomotor ataxia. Neuralgia. Paralysis. Prostate, Scarlatina. Smallpox. Spinal irritation. Syphilis. Taste, altered. Throat, affections of. Tongue ulcerated. Warts. Zona.

Inflammation of the stomach; gastroenteritis. Gnawing pain in the left side of the stomach. Pressure with heaviness (sensation of lump) and nausea, Vomiting of some fluid, of bile, black vomit. Violent attacks of pain at irregular intervals; patient rolls on floor; descending colon tender to touch, tapeworm-like stool passes with blood, slime, and epithelium. Piles with burning or tenesmus; bleeding.-Burning in one spot in anterior wall of rectum.

Mercurius solubilis:

Excessive nausea and inclination to vomit, often with incisive and precisive pains in stomach. Stabbing pain, with chilliness. Boring pain in right groin. Painful sensitiveness of hepatic region, with shooting burning pain. Flatulent distention, with pain. Liver enlarged; sore to touch, indurated. Jaundice. Bile secreted deficiently. Greenish, bloody and slimy, worse at night, with pain and tenesmus. Never-get-done feeling. Discharge accompanied by chilliness, sick stomach, cutting colic, and tenesmus. Whitish gray stools, diarrhea with slime. Painful hard, hot, sensitive swelling in ileocecal region. Ulceration and suppuration of inguinal glands. Buboes. Abdomen externally cold to touch.

Phosphorus:

Hunger soon after eating. Sour taste and sour eructation after every meal. Belching large quantities of wind, after eating. Throws up ingesta by the mouthfuls. Vomiting; water is thrown up as soon as it gets warm in the stomach. Postoperative vomiting. Cardiac opening seems contracted, too narrow; the food scarcely swallowed, comes up again. Pain in stomach; relieved by cold food, ices. Region of stomach painful to touch, or on walking. Inflammation of stomach, with burning extending to throat and bowels. Bad effects of eating too much salt.

Abdomen: Feels cold. Sharp, cutting pains. A very weak, empty, gone sensation felt in whole abdominal cavity. Liver congested. Acute hepatitis. Fatty degeneration (Carbon tetrachloride; Ars. Chlorof). Jaundice. Pancreatic disease. Large, yellow spots on abdomen.

Very fetid stools and flatus. Long, narrow, hard, like a dog’s. Difficult to expel. Desire for stool on lying on, left side. Painless, copious debilitating diarrhea. Green mucus with grains like sago. Involuntary; seems as if anus remained open. Great weakness after stool. Discharge of blood from rectum, during stool. White, hard stools. Bleeding hemorrhoids.

Magnesia Carbonica:

Desire for fruit, acids, and vegetables. Eructation sour, and vomiting of bitter water. Craving for meat.

Abdomen Rumbling, gurgling. Dragging towards pelvis. Very heavy; contractive, pinching, pain in right iliac region. Pressive contractive pain in stomach, sometimes with sour risings. Sensation of insipidity and emptiness in stomach, with nausea and inclination to vomit. Colic, pressing, spasmodic. Contractive pain. Griping, cutting, and rumbling in whole abdomen, followed by thin, green stools, without tenesmus. Induration and shooting pains in hepatic region. Excessive distension and tightness of abdomen, with sensation of heaviness.

Stool Frequent and ineffectual, Preceded by griping, colicky pain. Green, watery, frothy, like a frog-pond’s scum. Bloody mucous stools. Milk passes undigested in nursing children. Sour, with tenesmus. Constipation after mental shock or severe nervous strain.

Carbo Vegetables :

Eructation, heaviness, fullness, and sleepiness; tense from flatulence, with pain; worse lying down. Eructation after eating and drinking. Temporary relief from belching. Rancid, sour, or putrid eructation. Water brash, asthmatic breathing from flatulence. Nausea in the morning. Burning in stomach, extending to back and along spine. Contractive pain extending to chest, with distention of abdomen. Faint gone feeling in stomach, not relieved by eating. Crampy pains forcing patient to bend double. Distress comes on a half-hour after eating. Sensitiveness of epigastric region. Digestion slow; food putrefies before it digests. Gastralgia of nursing women, with excessive flatulence, sour, rancid belching. Aversion to milk, meat, and fat things. The simplest food distresses. Epigastric region very sensitive.

Abdomen : Pain as from lifting a weight; colic from riding in a carriage; excessive discharge of fetid flatus. Cannot bear tight clothing around waist and abdomen. Ailments accompanying intestinal fistulae. Abdomen greatly distended; better, passing wind. Flatulent colic. Pain in liver.

Rectum and Stool : Flatus hot, moist, offensive. Itching, gnawing and burning in rectum. Acrid, corrosive moisture from rectum. A musty, glutinous moisture exudes. Soreness, itching moisture of perineum at night. Discharge of blood from rectum. Burning at anus, burning varices. Painful diarrheas of old people. Frequent, involuntary cadaverous-smelling stools, followed by burning. White hemorrhoids; excoriation of anus. Bluish, burning piles, pain after stool.

 Bismuth :

Bismuth works well in cases of gastritis wher cold drinks bring relief to the symptoms. Vomits, with convulsive gagging and pain. Water is vomited as soon as it reaches the stomach. Eructation after drinking. Vomits all fluids. Burning; feeling of a load. Will eat for several days; then vomit. Slow digestion, with fetid eructation. Gastralgia; pain from stomach through to spine. Gastritis. Better, cold drinks, but vomiting when stomach becomes full.

Tongue coated white; sweetish, metallic taste. Inexpressible pain in stomach; must bend backwards. Pressure as from a load in one spot, alternating with burning, crampy pain and pyrosis.

Stool: Painless diarrhea, with great thirst, and frequent micturition and vomiting. Pinching in lower abdomen, with rumbling.

There is also pain in the area around the stomach. Bending backwards brings a little relief to the pain, a sensation of pressure and heavy load on the stomach, inability to retain fluids in the stomach; Fluid is vomited as soon as it reaches the stomach. Vertigo and weakness.

Arsenicum Album :

Arsenic Album works well when there is a burning pain in the stomach. Ingesting even a little food or drink worsens the pain. Taking something warm bring relief. Acidic and cold food/drinks worsen the pain and burning, weakness, exhaustion, weight loss, and intense anxiety. Vomiting of blood, bile, green mucus, or brown-black mixed with blood.

Gnawing, burning pains like coals/fire which relieves by heat. Liver and spleen enlarged and painful. Ascites and anasarca. Abdomen swollen and painful. Pain as from a wound in abdomen on coughing.

Rectum Painful, spasmodic protrusion of rectum. Tenesmus. Burning pain and pressure in rectum and anus. Stool: Small, offensive, dark, with much prostration. Dysentery dark, bloody, very offensive.

Natrum Carbonicum :

Feels swollen and sensitive. Ill effects of drinking cold water when overheated. GERD. Very weak digestion, caused by slightest error of diet. Averse to milk. Depressed after eating. Bitter taste. Old dyspeptics, always belching, have sour stomach and rheumatism. Dyspepsia relieved by soda biscuits.

Sudden call to stool. Escapes with haste and noise. Yellow substance like pulp of orange in discharge. Diarrhea from milk.

Antimonium Crudum :

Loss of appetite. Desire for acids, pickles. Thirst in evening and night. Eructation tasting of the ingesta. Heartburn, nausea, vomiting. After nursing, the child vomits its milk in curds, and refuses to nurse afterwards, and is very cross. Gastric and intestinal complaints from bread and pastry, acids, sour wine, cold bathing, overheating, hot weather. Constant belching. Gouty metastasis to stomach and bowels. Sweetish GERD. Bloating after eating.

Anal itching. diarrhea alternating with constipation, especially in old people. Diarrhea after acids, sour wine, baths, overeating; slimy, flatulent stools. Mucous piles, continued oozing of mucus. Hard lumps mixed with watery discharge. Catarrhal proctitis. Stools composed entirely of mucus.

Ipecac :

Ipecac should be prescribed when there is nausea – all the time. Vomiting of white glairy mucus or food appears, but the nausea is not relieved even after vomiting. Mouth, moist; much saliva. Constant nausea and vomiting. Vomits food, bile, blood, mucus. Stomach feels relaxed, as if hanging down. Hiccough.

Amebic dysentery with tenesmus; while straining pain so great that it nauseates; little thirst. Cutting, clutching; worse, around the navel. Body rigid; stretched out stiff.

Stools Pitch-like green as grass, like frothy molasses, with griping at navel. Dysenteric, slimy.

Kali Bichrome :

Nausea and vomiting immediately after eating. Feels as if digestion had stopped. Dilatation of stomach. Gastritis. Round ulcer of stomach. Stitches in region of liver and spleen and through to spine. Dislikes water. Cannot digest meat. Desire for beer and acids. Gastric symptoms are relieved after eating, and the rheumatic symptoms reappear (alternate). Vomiting of bright yellow water.

Cutting pain in abdomen, soon after eating. Chronic intestinal ulceration. Soreness in right hypochondrium, fatty infiltration of liver and increase in soft fibrous tissue (cirrhosis). Painful retraction, soreness and burning.

Jelly like stool, gelatinous; worse, mornings. Dysentery; tenesmus, stools brown, frothy. Sensation of a plug in anus. Periodic constipation, with pain across the loins. Brown urine.

Graphites :

Nausea and vomiting after each meal. Morning sickness during menstruation. Pressure in stomach, Fullness and hardness in abdomen, as from incarcerated flatulence; must loosen clothing; presses painfully at abdominal ring, constrictive pain in stomach relive temporarily after eating or drink something hot or by lying down.

Croaking in abdomen. Inguinal region sensitive, swollen. Colic pain, Pain of gas opposite the side on which he lies. Chronic diarrhea, stools brownish, liquid, undigested, offensive.

Constipation; large, difficult, knotty stools united by mucus threads. Burning hemorrhoids. Prolapse, diarrheas; stools of brown fluid, mixed with undigested substance, very fetid, sour odor. Smarting, sore anus, itching. Lump stool, conjoined with threads of mucus. Varices of the rectum. Fissure of anus.

Maintaining good nutrition with Crohn’s disease can be a challenge. Some foods may provoke your symptoms, and others may ease them. But no single meal plan will work for every person with Crohn’s. Weight loss as well as specific vitamin and mineral deficiencies (for example, iron deficiency anemia) may occur. Patients whose inflammation is still active do not have much of an appetite, so their intake of food is reduced or the types of foods they eat are restricted. Eating can also make symptoms worse, so people with this disease may eat less. Finally, if a substantial portion of the small intestine is inflamed, the inflamed intestine may not absorb nutrients normally. Good nutrition depends on the control of inflammation, but when that is not achievable, it depends on supplemental vitamins, minerals, and calories.

All sour and hard to digest food provoke the symptoms of Crohn’s disease. for example: excludes carbohydrates like fiber, grains, and sugars, cereals, cooking oils (accept Ghee, olive oil, Mustard oil), White flour, Broiler chicken, Pork, Buffalo’s meat, eggs, Cheese, Coffee etc.

Patients with Crohn’s and other forms of irritable bowel disease (IBD) lack some of the gut microbes found in other people. Some of these microbes include anti-inflammatory bacteria.

Probiotics are thought to improve gut health by providing living microorganisms that can help repopulate your insides in health-promoting ways.  Some probiotics sources include:

• Yogurt
• Kefir
• Tempeh
• Probiotic supplements (I’ll not recommend to my patients, said Dr Qaisar Ahmed MD).