| Also known as Crohw's disease, it is a non specific granulomatous
inflammation of the small or raredy the large gut involving
sharply localized single or multiple areas.
CAUSES
There is no known autoimmunity and at times genetic factors
may also play some role.
SYMPTOMS
Onset - gradual; Age - usually between 20 and 40 ears; Sex
- Commonly in males. Attacks of colicky, abdominal pain around
the umbilicus, or over the right iliac fossa is a common symptom.
Diarrhoea may follow the attacks of abdominal pain. It is
aggravated by taking milk or irritant food. The stool may
contain blood. Features of malabsorption syndrome may follow.
Low grade pyrexia is present. Features of intestinal obstruction
also develop. Gradual loss of weight is seen.
SIGNS
Apart from emaciation and fever, there may be clubbing of
fingers and toes, erythemanodosum, asymmetric arthritis involving
ankles and knees, ankolosing spondylitis, psoriasis and renal
calculus etc. The most important linical sign is a tender
fixed sausage-shaped mass over the right iliac fossa. Fistulous
communication may result in rerianal bacess, fistulainano,
ileovesical fistula, passage of wind through urethra or even
abcess I the abdominal wall. There may be granular proctitis.
TREATMENT
Mental and physical rest is very important. Kurchi, Colocynth
meresol, Nuxvomica merccor, Alteris, chappo are very good
medicines. Several other medicines can be tried according
to the indications. |
