Crohn’s disease (क्रोहन रोग) is a type of inflammatory bowel disease (IBD) that may affect any segment of the gastrointestinal tract from the mouth to the anus. Symptoms often include abdominal pain, diarrhea, fever, and weight loss. Other complications outside the gastrointestinal tract may include anemia, skin rashes, arthritis, inflammation of the eye, and tiredness. Crohn’s disease affects about 3.2 per 1,000 people in Europe and North America. It is less common in Asia and Africa. It has historically been more common in the developed world. Siddha Spirituality of Swami Hardas Life System appeals to our valuable readers to know about Crohn’s disease in-depth for well-being.
Crohn’s disease Definition (क्रोहन रोग की परिभाषा)
A chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae.
Crohn’s disease Symptoms (क्रोहन रोग के लक्षण)
Many people with Crohn’s disease have symptoms for years before the diagnosis. The usual onset is in the teens and twenties but can occur at any age. Because of the ‘patchy’ nature of the gastrointestinal disease and the depth of tissue involvement, initial symptoms can be more subtle than those of ulcerative colitis. People with Crohn’s disease experience chronic recurring periods of flare-ups and remission.
Abdominal pain is a common initial symptom of Crohn’s disease, especially in the lower right abdomen. It is often accompanied by diarrhea, which may or may not be bloody. Inflammation in different areas of the intestinal tract can affect the quality of the feces.
In severe cases, an individual may have more than 20 bowel movements per day and may need to awaken at night to defecate. Visible bleeding in the feces is less common in Crohn’s disease than in ulcerative colitis but is not unusual. Bloody bowel movements are usually intermittent and may be bright or dark red in color. In severe Crohn’s colitis, bleeding may be copious. Flatulence and bloating may also add to the intestinal discomfort.
Like many other chronic, inflammatory diseases, Crohn’s disease can cause a variety of systemic symptoms. Among children, growth failure is common. Many children are first diagnosed with Crohn’s disease based on an inability to maintain growth. As it may manifest at the time of the growth spurt in puberty.
Fever may also be present, though fevers greater than 38.5 °C (101.3 °F) are uncommon unless there is a complication such as an abscess. Among older individuals, Crohn’s disease may manifest as weight loss, usually related to decreased food intake, since individuals with intestinal symptoms from Crohn’s disease often feel better when they do not eat and might lose their appetite.
Crohn’s disease can affect many organ systems beyond the gastrointestinal tract. Inflammation of the anterior portion of the eye, known as uveitis, can cause blurred vision and eye pain, especially when exposed to light (photophobia). Inflammation may also involve the white part of the eye, a condition called episcleritis. Both episcleritis and uveitis can lead to loss of vision if untreated.
Gallstones (पित्ताशय की पथरी)
Crohn’s disease that affects the ileum may result in an increased risk of gallstones. This is due to a decrease in bile acid resorption in the ileum and the bile gets excreted in the stool. As a result, the cholesterol/bile ratio increases in the gallbladder, resulting in an increased risk for gallstones.
Crohn’s disease is associated with a type of rheumatologic disease known as seronegative spondyloarthropathy. This group of diseases is characterized by inflammation of one or more joints (arthritis) or muscle insertions (enthesitis). Arthritis in Crohn’s disease can be divided into two types. The first type affects larger weight-bearing joints such as the knee (most common), hips, shoulders, wrists, or elbows. The second type of symmetrically involves five or more of the small joints of the hands and feet. Arthritis may also involve the spine, leading to ankylosing spondylitis if the entire spine is involved or simply sacroiliitis if only the sacroiliac joint is involved.
Endocrine system (अंतःस्त्रावी प्रणाली)
Crohn’s disease may also involve the skin, blood, and endocrine system. The most common type of skin manifestation, erythema nodosum, presents as raised, tender red nodules usually appearing on the shins. Erythema nodosum is due to inflammation of the underlying subcutaneous tissue and is characterized by septal panniculitis. Another skin lesion, pyoderma gangrenosum, is typically a painful ulcerating nodule. Crohn’s disease also increases the risk of blood clots; painful swelling of the lower legs can be a sign of deep venous thrombosis, while difficulty breathing may be a result of pulmonary embolism.
Autoimmune hemolytic anemia, a condition in which the immune system attacks the red blood cells, is also more common in Crohn’s disease and may cause fatigue, a pale appearance, and other symptoms common in anemia. Clubbing, a deformity of the ends of the fingers, may also be a result of Crohn’s disease. People with Crohn’s disease may develop anemia due to vitamin B12, folate, iron deficiency, or due to anemia of chronic disease.
Finally, Crohn’s disease increases the risk of osteoporosis or thinning of the bones. Individuals with osteoporosis are at increased risk of bone fractures.
Neurological complications (न्यूरोलॉजिकल जटिलता)
Crohn’s disease can also cause neurological complications. The most common of these are:
People with Crohn’s often also have issues with small bowel bacterial overgrowth syndrome, which has similar symptoms.
Recurrent aphthous ulcers are common; however, it is not clear whether this is due to Crohn disease or simply that they are common in the general population.
Crohn’s disease Complications (क्रोहन रोग की जटिलता)
Crohn’s disease can lead to several mechanical complications within the intestines, including obstruction, fistulae, and abscesses. A fistula can develop between two loops of bowel, between the bowel and bladder, between the bowel and vagina, and between the bowel and skin.
Crohn’s disease also increases the risk of cancer in the area of inflammation. For example, individuals with Crohn’s disease involving the small bowel are at higher risk for small intestinal cancer. Similarly, people with Crohn’s colitis have a relative risk of 5.6 for developing colon cancer.
Individuals with Crohn’s disease are at risk of malnutrition for many reasons, including decreased food intake and malabsorption. The risk increases following resection of the small bowel.
The major significant complications of Crohn’s disease include:
- Bowel obstruction
- Free perforation and hemorrhage, which in rare cases may be fatal
Crohn’s disease can be problematic during pregnancy, and some medications can cause adverse outcomes for the fetus or mother.
Crohn’s disease Cause (क्रोहन रोग का कारण)
While the exact cause is unknown, Crohn’s disease seems to be due to a combination of environmental factors and genetic predisposition. Crohn’s is the first genetically complex disease in which the relationship between genetic risk factors and the immune system is understood in considerable detail. In this view, the chronic inflammation of Crohn’s is caused when the adaptive immune system tries to compensate for a deficient innate immune system.
Crohn’s has a genetic component. Because of this, siblings of known people with Crohn’s are 30 times more likely to develop Crohn’s than the general population. The first mutation found to be associated with Crohn’s was a frameshift in the NOD2 gene, followed by the discovery of point mutations. Over thirty genes have been associated with Crohn’s.
The gene is responsible for making a protein, which collects and eliminates waste products in cells, and is also associated with Parkinson’s disease.
Immune system (प्रतिरक्षा तंत्र)
There was a prevailing view that Crohn’s disease is a primary T cell autoimmune disorder; however, a newer theory hypothesizes that Crohn’s results from an impaired innate immunity. The later hypothesis describes impaired cytokine secretion by macrophages, which contributes to impaired innate immunity and leads to a sustained microbial-induced inflammatory response in the colon, where the bacterial load is high. Another theory is that the inflammation of Crohn’s was caused by an overactive Th1 and Th17 cytokine response.
A number of studies have suggested a causal role for Mycobacterium avium subspecies paratuberculosis (MAP), which causes a similar disease, Johne’s disease, in cattle. The “cold-chain” hypothesis is that psychrotrophic bacteria such as Yersinia and Listeria species contribute to the disease.
There is an apparent connection between Crohn’s disease, Mycobacterium, other pathogenic bacteria, and genetic markers.
Environmental factors (पर्यावरणीय कारक)
The increased incidence of Crohn’s in the industrialized world indicates an environmental component. Crohn’s is associated with an increased intake of animal protein, milk protein, and an increased ratio of omega-6 to omega-3 polyunsaturated fatty acids. Those who consume vegetable proteins appear to have a lower incidence of Crohn’s disease.
Smoking increases the risk of the return of the active disease. The introduction of hormonal contraception in the United States in the 1960s is associated with a dramatic increase in incidence, and one hypothesis is that these drugs work on the digestive system in ways similar to smoking. Isotretinoin is associated with Crohn’s. Although stress is sometimes claimed to exacerbate Crohn’s disease, there is no concrete evidence to support such a claim.
Crohn’s disease Diagnosis (क्रोहन रोग का निदान)
The diagnosis of Crohn’s disease can sometimes be challenging, and a number of tests are often required to assist the physician in making the diagnosis. Even with a full battery of tests, it may not be possible to diagnose Crohn’s with complete certainty. Disease in the small bowel is particularly difficult to diagnose, as a traditional colonoscopy allows access to only the colon and lower portions of the small intestines; the introduction of the capsule endoscopy aids in endoscopic diagnosis.
Crohn’s disease Classification (क्रोहन रोग का वर्गीकरण)
Crohn’s disease is one type of inflammatory bowel disease (IBD).
Gastroduodenal Crohn’s disease causes inflammation in the stomach and the first part of the small intestine called the duodenum. Jejunoileitis causes spotty patches of inflammation in the top half of the small intestine, called the jejunum. The disease can attack any part of the digestive tract, from mouth to anus.
There are three categories of disease presentation in Crohn’s disease:
- Structuring: Structuring disease causes narrowing of the bowel that may lead to bowel obstruction or changes in the caliber of the feces.
- Penetrating: Penetrating disease creates abnormal passageways (fistulae) between the bowel and other structures, such as the skin.
- Inflammatory: Inflammatory disease or constricting, nonpenetrating disease causes inflammation without causing strictures or fistulae.
A colonoscopy is the best test for making the diagnosis of Crohn’s disease, as it allows direct visualization of the colon and the terminal ileum, identifying the pattern of disease involvement. On occasion, the colonoscope can travel past the terminal ileum, but it varies from person to person.
Radiologic tests (रेडियोलॉजिकल परीक्षण)
A small bowel follow-through may suggest the diagnosis of Crohn’s disease and is useful when the disease involves only the small intestine. CT scans are useful for evaluating the small bowel with enteroclysis protocols. They are also useful for looking for intra-abdominal complications of Crohn’s disease, such as abscesses, small bowel obstructions, or fistulae.
Magnetic resonance imaging (MRI) is another option for imaging the small bowel as well as looking for complications, though it is more expensive and less readily available. MRI techniques such as diffusion-weighted imaging and high-resolution imaging are more sensitive in detecting ulceration and inflammation compared to CT.
Blood tests (रक्त परीक्षण)
A complete blood count may reveal anemia, which commonly is caused by blood loss leading to iron deficiency or by vitamin B12 deficiency, usually caused by ileal disease impairing vitamin B12 absorption. Rarely autoimmune hemolysis may occur.
Comparison with ulcerative colitis (अल्सरेटिव कोलाइटिस के साथ तुलना)
The most common disease that mimics the symptoms of Crohn’s disease is ulcerative colitis, as both are inflammatory bowel diseases that can affect the colon with similar symptoms. It is important to differentiate these diseases, since the course of the diseases and treatments may be different.
Crohn’s disease Differential diagnosis (क्रोहन रोग का विभेदक निदान)
Other conditions with similar symptoms as Crohn’s disease include:
- Intestinal tuberculosis
- Behçet’s disease
- Ulcerative colitis
- Nonsteroidal anti-inflammatory drug enteropathy
- Irritable bowel syndrome
- Celiac disease
The celiac disease can’t be excluded if specific antibodies are negative, nor in the absence of intestinal villi atrophy.
Crohn’s disease Management (क्रोहन रोग का प्रबंधन)
In cases where remission is possible, relapse can be prevented and symptoms controlled with medication, lifestyle and dietary changes, changes to eating habits i.e. eating smaller amounts more often, reduction of stress, moderate activity, and exercise.
Adequately controlled, Crohn’s disease may not significantly restrict daily living. Treatment for Crohn’s disease is only when symptoms are active and involve first treating the acute problem, then maintaining remission.
Lifestyle changes for Crohn’s disease (क्रोहन रोग के लिए जीवन शैली में परिवर्तन)
Certain lifestyle changes can reduce symptoms, including:
- Dietary adjustments
- Elemental diet
- Proper hydration
- Smoking cessation
Diets that include higher levels of fiber and fruit are associated with reduced risk, while diets rich in total fats, polyunsaturated fatty acids, meat, and omega-6 fatty acids may increase the risk of Crohn’s. Maintaining a balanced diet with proper portion control can help manage symptoms of the disease. Eating small meals frequently instead of big meals may also help with a low appetite.
A food diary may help with identifying foods that trigger symptoms. Some people should follow a low fiber diet to control acute symptoms especially if fibrous foods cause symptoms.
Medication for Crohn’s disease (क्रोहन रोग के लिए दवाई)
Acute treatment uses medications to treat any infection (normally antibiotics) and to reduce inflammation. When symptoms are in remission, treatment enters maintenance, with a goal of avoiding the recurrence of symptoms. Prolonged use of corticosteroids has significant side-effects. As a result, they are, in general, not used for long-term treatment. Alternatives include aminosalicylates alone, though only a minority are able to maintain the treatment, and many require immunosuppressive drugs. It has also been suggested that antibiotics change the enteric flora, and their continuous use may pose the risk of overgrowth with pathogens such as Clostridium difficile.
Medications used to treat the symptoms of Crohn’s disease include:
- 5-aminosalicylic acid (5-ASA) formulations
- Immunomodulators such as azathioprine
The monoclonal antibody ustekinumab appears to be a safe treatment option and may help people with moderate to severely active Crohn’s disease.
Surgery (शल्य चिकित्सा)
Crohn’s cannot be cured by surgery, as the disease eventually recurs, though it is used in the case of partial or full blockage of the intestine. Surgery may also be required for complications such as obstructions, fistulas, or abscesses, or if the disease does not respond to drugs.
Mental health (मानसिक स्वास्थ्य)
Crohn’s may result in anxiety or mood disorders, especially in young people who may have stunted growth or embarrassment from fecal incontinence. Counseling, as well as an antidepressant or anxiolytic medication, may help some people manage.
As of 2017, there is a small amount of research looking at mindfulness-based therapies, hypnotherapy, and cognitive behavioral therapy.
Alternative medicine for Crohn’s disease (क्रोहन रोग के लिए वैकल्पिक दवाई)
It is common for people with Crohn’s disease to try complementary or alternative therapy. These include diets, probiotics, fish oil, and other herbal and nutritional supplements.
- At this time, the evidence is insufficient to recommend the use of acupuncture.
- A 2006 survey in Germany found that about half of people with IBD used some form of alternative medicine, with the most common being homeopathy, and a study in France found that about 30% used alternative medicine. Homeopathic preparations are not proven with this or any other condition, with large-scale studies finding them to be no more effective.
- There are contradicting studies regarding the effect of medical cannabis on inflammatory bowel disease, and its effects on management are uncertain.
Crohn’s disease & Free Siddha energy remedies (क्रोहन रोग और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with Crohn’s disease or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectualism, and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding Siddha preventive measures, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to Crohn’s disease with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of Crohn’s disease are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products (CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for Crohn’s disease as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head and naval for another 30 to 60 seconds, which finishes within almost 2 – 4 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head and naval for 3 – 6 minutes. You may need to have 3 Boosters, which establishes positivity.
A daily routine (एक दैनिक दिनचर्या)
In general, a daily routine to manage Crohn’s disease includes:
- Carry out all medical checks as suggested above and follow the advice of your doctor
- Adopt a healthy lifestyle and a Sattvic diet
- Do aerobic exercises and Tai chi exercises, regularly
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- Perform Swayamsiddha Agnihotra daily, if feasible
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
Ensure to sprinkle in some fun during the day, however, don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about Crohn’s disease, definition, symptoms, causes, complications, classification, diagnosis, management, treatment, alternative medicine, and learned effective free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, what are your thoughts? Infact, I believe in sharing knowledge. Can I expect you to let me know your precious thoughts?
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