Crohn's Disease: Causes, Symptoms, Diagnosis, and More

Crohn's disease is a type of inflammatory bowel disease (IBD). As many as 780,000 Americans have the condition, according to the Crohn's & Colitis ... HealthlineHealthConditionsDiscoverPlanConnectShopSubscribeNutritionHealthyEatingMealPrepVitamins&SupplementsLifestyleDietsWeightManagementConditionsProductsUnderstandingCrohn’sDiseaseMedicallyreviewedbySaurabhSethi,M.D.,MPH—WrittenbyKimberlyHolland—UpdatedonApril16,2021SymptomsCausesDiagnosisTreatmentDietNaturaltreatmentsSurgeryTypesCrohn’sandUCStatisticsDisabilityInchildrenOutlookWeincludeproductswethinkareusefulforourreaders.Ifyoubuythroughlinksonthispage,wemayearnasmallcommission.Here’sourprocess.Crohn’sdiseaseisatypeofinflammatoryboweldisease(IBD).Asmanyas780,000Americanshavethecondition,accordingtotheCrohn’s&ColitisFoundationofAmerica(CCFA).MoreresearchaboutCrohn’sdiseaseisnecessary.Researchersaren’tsurehowitbegins,whoismostlikelytodevelopit,orhowtobestmanageit.Despitemajortreatmentadvancesinthelast3decades,nocureisavailableyet.Crohn’sdiseasemostcommonlyoccursinthesmallintestineandthecolon.Itcanaffectanypartofyourgastrointestinal(GI)tract,fromthemouthtotheanus.ItcaninvolvesomepartsoftheGItractandskipotherparts.TherangeofseverityforCrohn’sismildtodebilitating.Symptomsvaryandcanchangeovertime.Inseverecases,thediseasecanleadtolifethreateningflaresandcomplications.Here’severythingyouneedtoknowaboutCrohn’sdisease.Crohn’ssymptomsThesymptomsofCrohn’sdiseaseoftendevelopgradually.Certainsymptomsmayalsobecomeworseovertime.Althoughit’spossible,it’srareforsymptomstodevelopsuddenlyanddramatically.TheearliestsymptomsofCrohn’sdiseasecaninclude:diarrheaabdominalcrampsbloodinyourstoolfeverfatiguelossofappetiteweightlossfeelingasifyourbowelsaren’temptyafterabowelmovementfeelingafrequentneedforbowelmovementsIt’ssometimespossibletomistakethesesymptomsforthoseofanothercondition,suchasfoodpoisoning,anupsetstomach,oranallergy.Youshouldseeyourdoctorifanyofthesesymptomspersist.Thesymptomsmaybecomemoresevereasthediseaseprogresses.Moretroublesomesymptomsmayinclude:aperianalfistula,whichcausespainanddrainagenearyouranusulcersthatmayoccuranywherefromthemouthtotheanusinflammationofthejointsandskinshortnessofbreathordecreasedabilitytoexerciseduetoanemiaEarlydetectionanddiagnosiscanhelpyouavoidseverecomplicationsandallowyoutobegintreatmentearly.WhatcausesCrohn’sdisease?Itisn’tclearwhatcausesCrohn’sdisease.However,thefollowingfactorsmayinfluenceyourchancesofdevelopingit:yourimmunesystemyourgenesyourenvironmentUpto20percentofpeoplewithCrohn’sdiseasealsohaveaparent,child,orsiblingwiththedisease,accordingtotheCCFA.Accordingtoa2012study,certainfactorscanaffecttheseverityofyoursymptoms.Theseinclude:whetheryousmokeyouragewhetherornottherectumisinvolvedlengthoftimeyou’vehadthediseasePeoplewithCrohn’sarealsomorelikelytodevelopintestinalinfectionsfrombacteria,viruses,parasites,andfungi.Thiscanaffecttheseverityofsymptomsandcreatecomplications.Crohn’sdiseaseanditstreatmentscanalsoaffecttheimmunesystem,makingthesetypesofinfectionsworse.YeastinfectionsarecommoninCrohn’sandcanaffectboththelungsandtheintestinaltract.It’simportantthattheseinfectionsarediagnosedandproperlytreatedwithantifungalmedicationstopreventfurthercomplications.IsCrohn’sanautoimmunecondition?Anautoimmuneconditioncausesyourimmunesystemtomistakenlyattackyourbody,sometimescausinginflammation.ThoughtheimmunesystemcouldbeapotentialcontributortoinflammationinCrohn’s,ithasnotyetbeenclassifiedasanautoimmuneconditionasthecausesarestillnotfullyunderstood.Crohn’sdiagnosisNosingletestresultisenoughforyourdoctortodiagnoseCrohn’sdisease.Theywillbeginbyeliminatingotherpossiblecausesofyoursymptoms.Yourdoctormayuseseveraltypesofteststomakeadiagnosis:Bloodtestscanhelpyourdoctorlookforcertainindicatorsofpotentialproblems,suchasanemiaandinflammation.AstooltestcanhelpyourdoctordetectbloodinyourGItract.Yourdoctormayrequestanendoscopytogetabetterimageoftheinsideofyouruppergastrointestinaltract.Yourdoctormayrequestacolonoscopytoexaminethelargebowel.ImagingtestslikeCTscansandMRIscansgiveyourdoctormoredetailthananaverageX-ray.Bothtestsallowyourdoctortoseespecificareasofyourtissuesandorgans.Yourdoctorwilllikelyhaveatissuesample,orbiopsy,takenduringanendoscopyorcolonoscopyforacloserlookatyourintestinaltracttissue.Onceyourdoctorhascompletedreviewingallthenecessarytestsandruledoutotherpossiblereasonsforyoursymptoms,theymayconcludethatyouhaveCrohn’sdisease.Yourdoctormaygoontorequestthesetestsseveralmoretimestolookforaffectedtissueanddeterminehowthediseaseisprogressing.TheHealthlineFindCaretoolcanprovideoptionsinyourareaifyouneedhelpfindingaprimarycaredoctororagastroenterologist.TreatmentforCrohn’sdiseaseAcureforCrohn’sdiseaseisn’tavailableyet,butthediseasecanbemanaged.Avarietyoftreatmentoptionsexistthatcanlessentheseverityandfrequencyofyoursymptoms.MedicationsSeveraltypesofmedicationsareavailabletotreatCrohn’s.Antidiarrhealandanti-inflammatorydrugsarecommonlyused.Moreadvancedoptionsincludebiologics,whichusethebody’simmunesystemtotreatthedisease.Themedications,orcombinationofmedications,youneeddependonyoursymptoms,yourdiseasehistory,theseverityofyourcondition,andhowyourespondtotreatment.Anti-inflammatorydrugsThetwomaintypesofanti-inflammatorydrugsdoctorsusetotreatCrohn’sareoral5-aminosalicylatesandcorticosteroids.Anti-inflammatorydrugsareoftenthefirstdrugsyoutakeforCrohn’sdiseasetreatment.Youtypicallytakethesedrugswhenyouhavemildsymptomswithinfrequentdiseaseflares.Corticosteroidsareusedformoreseveresymptomsbutshouldonlybetakenforashorttime.ImmunomodulatorsAnoveractiveimmunesystemcausestheinflammationthatleadstothesymptomsofCrohn’sdisease.Drugsthataffecttheimmunesystem,calledimmunomodulators,mayreducetheinflammatoryresponseandlimityourimmunesystem’sreaction.AntibioticsSomedoctorsbelieveantibioticsmayhelpreducesomeofthesymptomsofCrohn’sandsomeofthepossibletriggersforit.Forexample,antibioticscanreducedrainageandhealfistulas,whichareabnormalconnectionsbetweentissuesthatCrohn’scancause.BiologictherapiesIfyouhavesevereCrohn’s,yourdoctormaytryoneofanumberofbiologictherapiestotreattheinflammationandcomplicationsthatcanoccurfromthedisease.Biologicdrugscanblockspecificproteinsthatmaytriggerinflammation.SurgeryIflessinvasivetreatmentsandlifestylechangesdon’timproveyoursymptoms,surgerymaybenecessary.Ultimately,about75percentofpeoplewithCrohn’sdiseasewillrequiresurgeryatsomepointintheirlives,accordingtotheCCFA.SometypesofsurgeryforCrohn’sincluderemovingdamagedportionsofyourdigestivetractandreconnectingthehealthysections.Otherproceduresrepairdamagedtissue,managescartissue,ortreatdeepinfections.DietFooddoesn’tcauseCrohn’sdisease,butitcantriggerflares.AfteraCrohn’sdiagnosis,yourdoctorwilllikelysuggestmakinganappointmentwitharegistereddietitian(RD).AnRDwillhelpyouunderstandhowfoodmayaffectyoursymptomsandhowyourdietmayhelpyou.Inthebeginning,theymayaskyoutokeepafooddiary.Thisfooddiarywilldetailwhatyouateandhowitmadeyoufeel.Usingthisinformation,theRDwillhelpyoucreateaneatingplan.Thesedietarychangesshouldhelpyouabsorbmorenutrientsfromthefoodyoueatwhilealsolimitinganynegativesideeffectsfoodmaybecausing.ReadonformoreinformationonaneatingplanforCrohn’s.Crohn’sdiseasedietAdietplanthatworksforonepersonwithCrohn’sdiseasemaynotworkforanother.ThisisbecausethediseasecaninvolvedifferentareasoftheGItractindifferentpeople.It’simportanttofindoutwhatworksbestforyou.Thiscanbedonebykeepingtrackofyoursymptomsasyouaddorremovecertainfoodsfromyourdiet.Lifestyleanddietchangesmayhelpyoureducetherecurrenceofsymptomsandlessentheirseverity.AdjustfiberintakeSomepeopleneedahighfiber,highproteindiet.Forothers,thepresenceofextrafoodresiduefromhighfiberfoodssuchasfruitsandvegetablesmayaggravatetheGItract.Ifthisisthecase,youmayneedtoswitchtoalowresiduediet.Researchonthisparticulardiethasbeenmixed,sospeakwithyourdoctoraboutyourpersonalneeds.LimitfatintakeCrohn’sdiseasemayinterferewithyourbody’sabilitytobreakdownandabsorbfat.Thisexcessfatwillpassfromyoursmallintestinetoyourcolon,whichcancausediarrhea.However,a2017studyonmicesuggestedthatadiethigherinplant-basedfatshadthepotentialtochangethegutmicrobiomeinpositivewaysforCrohn’sdisease.MoreresearchisneededandyourdoctororanRDcanhelpguideyouinyourfatintake.LimitdairyintakePreviously,youmaynothaveexperiencedlactoseintolerance,butyourbodycandevelopdifficultydigestingsomedairyproductswhenyouhaveCrohn’sdisease.Consumingdairycanleadtoanupsetstomach,abdominalcramps,anddiarrheaforsomepeople.DrinkenoughwaterCrohn’sdiseasemayaffectyourbody’sabilitytoabsorbwaterfromyourdigestivetract.Thiscanleadtodehydration.Theriskofdehydrationisespeciallyhighifyou’rehavingdiarrheaorbleeding.ConsideralternativesourcesofvitaminsandmineralsCrohn’sdiseasecanaffectyourintestines’abilitytoproperlyabsorbothernutrientsfromyourfood.Eatingnutrient-densefoodsmaynotbeenough.Talkwithyourdoctorabouttakingmultivitaminstofindoutifthisisrightforyou.Workwithyourdoctortofigureoutwhatbestsuitsyourneeds.TheymayreferyoutoanRDornutritionist.Together,youcanidentifyyourdietaryplanandcreateguidelinesforabalanceddiet.NaturaltreatmentsforCrohn’sSomepeopleusecomplementaryandalternativemedicine(CAM)tohelpmanagesymptomsofvariousconditionsanddiseases,includingCrohn’sdisease.TheFoodandDrugAdministrationhasn’tapprovedthesefortreatment,butsomepeopleusetheminadditiontomainstreammedications.Don’taddanynewtreatmentstoyourcurrenttreatmentplanwithoutconsultingyourdoctor.SomeCAMtreatmentsforCrohn’sdiseaseinclude:Probiotics.Thesearelivebacteriathatcanhelpyoureplaceandrebuildthegoodbacteriainyourintestinaltract.Probioticsmayalsohelppreventmicroorganismsfromupsettingyourgut’snaturalbalanceandcausingaCrohn’sflare.Scientificdataabouteffectivenessislimited.Prebiotics.Thesearepotentiallybeneficialmaterialsfoundinplants,suchasasparagus,bananas,artichokes,andleeks,thathelpfeedthegoodbacteriainyourgutandincreasetheirnumbers.Fishoil.Fishoilisrichinomega-3s.Accordingtoa2017study,researchisongoingregardingitspossibletreatmentofCrohn’sdisease.Oilyfishlikesalmonandmackerelarerichinomega-3s.Youcanfindfishoilsupplementsonline.Supplements.Manypeoplebelievecertainherbs,vitamins,andmineralseasethesymptomsofavarietyofdiseases,includinginflammationassociatedwithCrohn’sdisease.Researchisongoingastowhichsupplementsmaybebeneficial.Aloevera.Somebelievethatthealoeveraplanthasanti-inflammatoryproperties.BecauseinflammationisoneofthekeycomponentsofCrohn’sdisease,peoplemayuseitasanaturalanti-inflammatory.However,thereisnocurrentresearchthatsuggestsaloeverahelpswithCrohn’s.Acupuncture.Thisisthepracticeofstrategicallystickingneedlesintheskintostimulatevariouspointsonthebody.A2014studyfoundthatacupuncture,combinedwithmoxibustion—atypeoftraditionalChinesemedicinethatinvolvesburningdriedmedicinalherbsonornearyourskin—improvessymptomsofCrohn’sdisease.Moreresearchisneeded.TellyourdoctorifyouuseanyCAMtreatmentsorover-the-countermedications.Someofthesesubstancescanaffecttheefficiencyofmedicationsorothertreatments.Insomecases,aninteractionorsideeffectcouldbedangerous,orevenlifethreatening.Crohn’ssurgerySurgeryforCrohn’sdiseaseisconsideredalast-resorttreatment,butthree-quartersofpeoplewithCrohn’swillultimatelyneedsometypeofsurgerytorelievesymptomsorcomplications.Oncemedicationsarenolongerworkingorsideeffectshavebecometooseveretotreat,yourdoctormayconsideroneofthefollowingsurgeries.Strictureplastywidensandshortenstheintestinesinanattempttoreducetheeffectsofscarringordamagetothetissue.Duringabowelresection,portionsofdamagedintestineareremoved.Healthyintestineisstitchedtogethertoreformtheintestines.Anostomycreatesaholethroughwhichyourbodycaneliminatewaste.Theseareusuallyperformedwhenaportionofthesmallorlargebowelisremoved.Theycanbepermanentortemporarywhenyourdoctorwantstogiveyourintestinestimetoheal.Acolectomyremovessectionsofthecolonthatarediseasedordamaged.Aproctocolectomyissurgerytoremovethecolonandrectum.Ifyouhavethissurgery,youwillalsoneedacolostomy(aholeinthelargeintestineforemptyingwaste).Crohn’sdiseasesurgeryishelpfulforrelievingsymptoms,butit’snotwithoutrisk.Talkwithyourdoctoraboutanyconcernsyoumayhavewithsurgery.WhatarethevariationsofCrohn’sdisease?TherearesixvariationsofCrohn’sdisease,allbasedonlocationinthedigestivesystem.Theyare:GastroduodenalCrohn’sdisease.Thisuncommonconditionmainlyaffectsyourstomachandtheduodenum,whichisthefirstpartofyoursmallintestine.Jejunoileitis.Thistypeoccursinthesecondportionofyourintestine,calledthejejunum.LikegastroduodenalCrohn’s,thisvariationislesscommon.Ileitis.Ileitisinvolvesinflammationinthelastpartofthesmallintestine,orileum.Ileocolitis.ThisaffectstheileumandthecolonandisthemostcommonvariationofCrohn’s.Crohn’scolitis.Thisaffectsthecolononly.BothulcerativecolitisandCrohn’scolitisimpactthecolononly,butCrohn’scolitiscanaffectdeeperlayersoftheintestinallining.Perianaldisease.Thisofteninvolvesfistulas,orabnormalconnectionsbetweentissues,deeptissueinfections,aswellassoresandulcersontheouterskinaroundtheanus.Crohn’sdiseaseandulcerativecolitisCrohn’sdiseaseandulcerativecolitis(UC)aretwotypesofIBD.Theyhavemanyofthesamecharacteristics.Youmayevenmistakethemforoneanother.Theyhavethefollowingcharacteristicsincommon:ThefirstsignsandsymptomsofbothCrohn’sdiseaseandUCareverysimilar.Thesecanincludediarrhea,abdominalpainandcramping,rectalbleeding,weightloss,andfatigue.BothUCandCrohn’sdiseaseoccurmorecommonlyinpeopleages15to35andpeoplewithafamilyhistoryofeithertypeofIBD.Ingeneral,IBDtendstoaffectallsexesequally,butthiscanvarydependingonage.Despitedecadesofresearch,scientistsstilldon’tknowwhatcauseseitherdisease.Inbothcases,anoveractiveimmunesystemisalikelyculprit,butotherfactorslikelyplayarole.Here’showtheydiffer:UConlyaffectsthecolon.Crohn’sdiseasecanaffectanypartofyourGItract,fromthemouthtotheanus.UConlyaffectstheoutermostlayeroftissueliningyourcoloncalledthemucosa.Crohn’sdiseasecanaffectallthelayersofyourintestinaltissuefromsuperficialtodeep.UCisjustonetypeofcoloninflammation.Severalothertypesofcolitisexist.NotallformsofcolitiscausethesametypeofintestinalinflammationanddamageasUC.Crohn’sdiseasestatisticsTheCCFAandtheCentersforDiseaseControlandPrevention(CDC)reportthefollowingstatistics:Around3millionAmericanshavesomeformofIBD.Thistotalincludesover780,000AmericanswhohaveCrohn’sdisease.PeoplewhoactivelysmokearetwiceaslikelytoreceiveadiagnosisofCrohn’sdisease.Iftheconditionistreated—medicallyorsurgically—50percentofpeoplewithCrohn’sdiseasewillgointoremissionorexperienceonlymildsymptomswithin5yearsoftheirdiagnosis.About11percentofpeoplewhohaveCrohn’swillexperienceachronicallyactivedisease.TheCCFAalsoreports:In2004,1.1milliondoctors’officevisitswereforthetreatmentandcareofCrohn’sdisease.In2010,Crohn’sdiseaseaccountedfor187,000hospitalizations.TheaveragepersonwithCrohn’sdiseasewillspendbetween$8,265and$18,963annuallytotreatormanagetheirdisease,per2003–04U.S.insuranceclaimsdata.Accordingto2016data:Crohn’sdiseaseoccursaboutasfrequentlyinmenasinwomen.TwooutofthreeindividualswithCrohn’sdiseasewillreceiveadiagnosisbeforetheageof40.MeetingotherswithintheCrohn’scommunitycanbeextremelyhelpful.IBDHealthlineisafreeappthatconnectsyouwithotherswhounderstandwhatyou’regoingthroughviaone-on-onemessaging,livegroupdiscussions,andexpert-approvedinformationonmanagingIBD.DownloadtheappforiPhoneorAndroid.Crohn’sdiseaseanddisabilityCrohn’sdiseasecandisruptyourworkandpersonallife.Itcanalsocausefinancialstress.Ifyoudon’thavehealthinsurance(andsometimesevenifyoudo),yourout-of-pocketexpensescantotalseveralthousanddollarsperyear.Ifthediseasebecomessevereenoughthatit’saffectingyourdailylifeinasignificantway,considerfilingfordisability.Ifyoucanprovethatyourconditionpreventsyoufromworkingorhaspreventedyoufromworkingforthelastyear,youmaybeeligibletoreceivedisabilityincome.SocialSecurityDisabilityInsuranceorSocialSecurityIncomecanprovidethistypeofassistance.Unfortunately,applyingfordisabilitycanbealongandtediousprocess.Itrequireslotsofappointmentswithyourdoctors.Youmayhavetopayformultipledoctors’visitsifyoudon’thaveinsurance.You’llneedtotaketimeoffofworkifyou’recurrentlyemployed.Beawarethatyoumayfacealotofupsanddownsasyouworkthroughtheprocess.Youmightevenbedeniedandhavetobeginthewholeprocessagain.Ifyoufeelit’stherightchoiceforyou,youcanbeginyourSocialSecurityapplicationprocessbydoingoneofthefollowing:Applyonline.CalltheSocialSecurityAdministration’stoll-freehotlineat800-772-1213MondaythroughFriday,7a.m.to7p.m.FindandvisityournearestSocialSecurityoffice.Crohn’sdiseaseinchildrenMostpeoplewithCrohn’sdiseasereceiveadiagnosisintheir20sand30s,butIBDcandevelopinchildren,too.Approximately1in4peoplewithanIBDshowsymptomsbeforeage20,accordingtoa2016review.Crohn’sdiseasethatonlyinvolvesthecoloniscommoninchildrenandadolescents.ThatmeansdistinguishingbetweenCrohn’sandUCisdifficultuntilthechildbeginsshowingothersymptoms.PropertreatmentforCrohn’sdiseaseinchildrenisimportantbecauseuntreatedCrohn’scanleadtogrowthdelaysandweakenedbones.Itmayalsocausesignificantemotionaldistressatthisstageinlife.Treatmentsinclude:antibioticsaminosalicylatesbiologicsimmunomodulatorssteroidsnutritionplansCrohn’smedicationscanhavesomesignificantsideeffectsonchildren.It’svitalyouworkcloselywithyourchild’sdoctortofindtherightoptions.OutlookResearchisstillongoingtofindmoreeffectivetreatmentsandpotentiallyaneventualcureforCrohn’sdisease.Butsymptomscanbesuccessfullymanagedandremissionispossible.Yourdoctorcanhelpguideyouinfindingtherightmedications,alternativetreatments,andlifestylemeasuresthatcanhelp.Ifyou’rehavinggastrointestinalsymptoms,speakwithyourdoctortodeterminethecauseandpotentialsolutions.LastmedicallyreviewedonApril15,2021MedicallyreviewedbySaurabhSethi,M.D.,MPH—WrittenbyKimberlyHolland—UpdatedonApril16,2021relatedstoriesUnderstandingtheRemissionandRelapseCycleinCrohn’sDiseaseStelaraTherapyforTreatingCrohn’sDiseaseTheFiveTypesofCrohn’sDiseaseHowisCrohn'sDiseaseDiagnosed?7FoodstoEatDuringaCrohn’sFlare-UpReadthisnextUnderstandingtheRemissionandRelapseCycleinCrohn’sDiseaseKnowingifyourCrohn’sdiseaseisadvancingorprogressingisanimportantstepingettingtherighttreatment.We'llhelppointyouintheright…READMOREStelaraTherapyforTreatingCrohn’sDiseaseMedicallyreviewedbyJennieOlopaade,PharmD,RPHStelaraisabiologicmedicationusedinthetreatmentofmoderatetosevereCrohn’sdisease.Findouthowthistreatmentisgiven,whatdosesto…READMORETheFiveTypesofCrohn’sDiseaseMedicallyreviewedbyGeorgeKrucik,MD,MBALearnaboutthedifferenttypesofCrohn’sdisease,theirsymptoms,andtreatments.READMOREHowisCrohn'sDiseaseDiagnosed?MedicallyreviewedbySaurabhSethi,M.D.,MPHIfyouhavesymptomsofCrohn’sdisease,yourdoctormayuseavarietyoftests.ReadaboutCrohn'sdiseasetestinganddiagnosis.READMORE7FoodstoEatDuringaCrohn’sFlare-UpMedicallyreviewedbySaurabhSethi,M.D.,MPHFoodhasadirectimpactontheseverityofyourCrohn’ssymptoms.Here'salistof7foodstoaddtoyourdietforeasydigestionduringaflare-up.READMOREFatigueandCrohn'sDisease:Types,Symptoms,andTreatmentMedicallyreviewedbySaurabhSethi,M.D.,MPHCrohn'sdiseasecancausefatigueduetoanemia,nutrientdeficiencies,orotherfactors.Learnhowtorecognizeandtreatthissymptom.READMOREFinancialHealthSpotlight:ManagingtheCostofHospitalStaysforCrohn’sDiseaseMedicallyreviewedbyCynthiaTaylorChavoustie,MPAS,PA-CThecostofCrohn’sdiseasecareisstaggering—andalargepercentageofthatcostcomesfromhospitalizations.Here'showtokeepcostsdown.READMORECanYouManageCrohn’sDiseasewithTelemedicine?DuetotheongoingCOVID-19pandemic,manypeoplearestayinghomemorethanusual—evenfordoctorvisits.Here'swheretelehealthfitsintoCrohn's…READMOREBestSleepingPositionsforCrohn’sDiseaseMedicallyreviewedbyCynthiaTaylorChavoustie,MPAS,PA-CAnythingfromCrohn'ssymptomstoanxietyaboutyourconditioncanaffectyourabilitytogetagoodnight’ssleep.Switchingpositionsmayhelp.READMOREDoesCrohn’sDiseaseMakeColonCancerMoreLikely?Crohn’sdiseasecanincreaseyourriskofcoloncancer,butgettingregularscreeningsandmakingcertainchangescanhelpminimizethisrisk.READMORE