Guide to living with Crohn’s disease

  1. Can I still live a normal life with Crohn’s disease?  Although it is difficult to cure Crohn’s disease, it can be controlled in remission by some medical means to maintain the quality of life.  2.Is there any dietary guideline for Crohn’s disease?  There is no authoritative dietary standard, but mainly patients themselves can identify specific foods that can cause gastrointestinal symptoms and avoid these foods, and their abdominal pain, bloating and diarrhea can be easily controlled. At the same time, the intestinal inflammation will also be relieved as soon as possible.  3.What foods can aggravate Crohn’s disease?  For most patients, eating more of the following foods may aggravate the disease and even cause relapse: seafood, grilled meat, bacon, fried foods (such as Western fast food), spicy foods; dairy products, butter and other animal oils, margarine, bread sauce, mayonnaise; alcohol, carbonated beverages, coffee, strong tea, chocolate, popcorn, etc.; for patients with intestinal strictures, they need to enter a low residue diet, avoid eating coarse grains, nuts, seeds, cereals, corn, etc. For patients with intestinal strictures, it is necessary to enter a low residue diet and avoid eating coarse grains, nuts, seeds, cereals, corn and other high-fiber foods to avoid excessive food residues to aggravate the obstruction, and such patients should consider enteral nutrition therapy.  4.Can I take some supplements on the market?  There are many kinds of supplements on the market, and their consumption depends on their composition. However, most of the supplements are composed of traditional Chinese medicine and many kinds of animal proteins, and some special heterogeneous proteins will directly or indirectly activate immune cells, thus increasing the immune response, and as a result, the mucosal damage will be aggravated, resulting in recurrence and aggravation of the disease. It is worth noting that shark fins, gum, seahorses, etc., which are generally considered to be more tonic, should not be consumed. Therefore, Crohn’s disease patients in maintaining a good diet, there is no need to eat all kinds of supplements.  5. Do people with Crohn’s disease have to quit smoking?  Patients with Crohn’s disease must quit smoking. Many domestic and international studies have shown that smoking has a significant impact on the prognosis of Crohn’s disease, and the prognosis of Crohn’s disease is often poor in patients who have smoked for a long time.  6, Crohn’s disease can usually participate in sports activities?  Pay attention to the combination of work and rest, severe or acute attacks should be bed rest, reduce physical exertion, recovery period can be selected according to their own situation, suitable to choose some soothing aerobic exercise, such as tai chi, yoga, walking or jogging, swimming, etc.. The appropriate exercise does not have side effects on Crohn’s disease itself, on the contrary, the appropriate degree of physical exercise has a little benefit to the recovery of the whole body condition, and this physical exercise often needs to be carried out at the same time with nutritional support.  7.Does mood affect Crohn’s disease?  According to the current research on the cause of Crohn’s disease, mental factors may be related to the occurrence of the disease, mental changes may lead to plant nerve dysfunction, which may cause changes in intestinal motility and vascular blood supply, and eventually make the intestinal mucosa inflammation-like changes, while mental tension or depression, vitamin C, B, etc. will double the loss, these are important raw materials for mucosal repair, so keep a good Therefore, it is very important to maintain a good mood for the treatment of Crohn’s disease. Weekday mood to maintain a relaxed and quiet, to avoid adverse mental stimulation, reduce emotional tension.  8, Crohn’s disease perianal care should be how?  If the diarrhea of Crohn’s disease is not handled well, the perianal skin is wet for a long time, the perianal skin mucosa is thin around the anus and easily red and swollen, and in serious cases, the perianal abscess or perianal skin infection will break out, so it is important to clean and keep dry. The key is to reduce mechanical skin irritation: clean the perianal area after each diarrhea, blowing oxygen to promote dryness if possible, and keep the skin dry, or gently press the perianal area with a soft cloth or toilet paper to absorb the water, and then gently wipe the perianal area with a non-irritating wet paper towel to avoid damaging the skin. You can also use water or light salt water for cleaning purposes. If the skin is flushed, apply zinc oxide ointment, and apply pivotal iodine gauze to the erosion to disinfect and promote astringency; if the perineum is red and swollen or has eczema, use 0.1 potassium permanganate solution 2000mL sitz bath for 15min~30min after each stool, and apply miconazole cream externally. In case of perianal erosion, apply skin protection powder after rinsing and drying the perineum and perianal area. Female patients should not take a sitz bath during menstruation to prevent retrograde infection.