Launching January 2027

Crohn’s Disease

Crohn’s Disease At A Glance

  • Crohn’s disease is a long-term inflammatory bowel disease that can affect any part of the digestive tract, most commonly the end of the small intestine and the beginning of the colon.
  • Common symptoms include persistent diarrhea, abdominal pain or cramping, fatigue, weight loss, loss of appetite, fever, mouth sores, and sometimes bloody stools.
  • The exact cause is unknown, but immune system abnormalities, genetics, environmental factors, and changes in the gut microbiome may contribute.
  • Crohn’s disease often alternates between flare-ups, when symptoms worsen, and periods of remission, when symptoms improve or disappear.
  • Treatment may include anti-inflammatory medicines, corticosteroids, immunomodulators, biologic medications, nutritional therapy, and surgery when necessary.
  • There is currently no cure, but many people achieve long periods of remission with treatment, healthy lifestyle habits, and regular medical care

Table of Contents

Table of Contents

What Is Crohn’s Disease?

Crohn’s disease is a long-term inflammatory bowel disease (IBD) that causes chronic inflammation anywhere along the digestive tract, from the mouth to the anus. It most commonly affects the end of the small intestine (ileum) and the beginning of the large intestine (colon). Unlike ulcerative colitis, which affects only the inner lining of the colon, Crohn’s disease can involve all layers of the bowel wall and may occur in patches of healthy and inflamed tissue.

Crohn’s disease is a lifelong condition that often alternates between flare-ups (when symptoms worsen) and remission (when symptoms improve or disappear). Although there is currently no cure, medications, healthy lifestyle habits, and regular medical care can help control inflammation, reduce symptoms, and improve quality of life.

Learn More

Crohn’s Disease – NIH MedlinePlus
https://medlineplus.gov/crohnsdisease.html

Provides easy-to-understand information about Crohn’s disease, including symptoms, diagnosis, treatment, and living with the condition.

Crohn’s Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Explains what Crohn’s disease is, common symptoms, causes, diagnosis, and treatment options.

How Common Is Crohn’s Disease?

Crohn’s disease affects hundreds of thousands of people in the United States and is one of the two major forms of inflammatory bowel disease (IBD), along with ulcerative colitis. It can develop at any age but is most commonly diagnosed between the ages of 15 and 35.

Learn More

Inflammatory Bowel Disease (IBD) – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/ibd/

Provides information about inflammatory bowel disease, including Crohn’s disease and ulcerative colitis.

What Symptoms Might You Notice?

Symptoms of Crohn’s disease vary depending on which part of the digestive tract is affected and how severe the inflammation is.

Common symptoms may include:

  • Persistent diarrhea
  • Abdominal pain or cramping
  • Bloody stools
  • Fatigue
  • Weight loss
  • Loss of appetite
  • Fever
  • Mouth sores
  • Urgency to have a bowel movement
  • Feeling that your bowel movement is incomplete

Some people may also develop symptoms outside of the digestive tract, including joint pain, skin rashes, or eye inflammation.

How Is Crohn’s Disease Diagnosed?

Your healthcare provider will review your symptoms, medical history, and perform a physical examination. Laboratory tests, stool testing, imaging studies, and endoscopic procedures help confirm the diagnosis and determine the location and severity of inflammation.

A colonoscopy with biopsies is one of the most common tests used to diagnose Crohn’s disease.

Learn More

Crohn’s Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Explains how Crohn’s disease is diagnosed and what tests may be recommended.

Crohn’s Disease infographic – click to enlarge

What Causes Crohn’s Disease?

The exact cause of Crohn’s disease is unknown. Researchers believe it develops when the immune system mistakenly attacks healthy tissue in the digestive tract. Genetics, environmental factors, and changes in the gut microbiome may also contribute.

Common risk factors include:

  • Family history of Crohn’s disease
  • Immune system abnormalities
  • Cigarette smoking
  • Younger age at diagnosis
  • Ashkenazi Jewish ancestry (higher risk)

Learn More

Crohn’s Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Learn about the possible causes and risk factors associated with Crohn’s disease.

What Can Make Crohn’s Disease Worse?

Although triggers vary from person to person, several factors may contribute to flare-ups.

Common triggers include:

  • Smoking
  • Stress
  • Gastrointestinal infections
  • Missing prescribed medications
  • Certain foods that worsen symptoms
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen

Learn More

Crohn’s Disease – Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Provides practical information about recognizing triggers and managing Crohn’s disease flare-ups.

Prevention

Crohn’s disease cannot currently be prevented. However, following your treatment plan and maintaining healthy lifestyle habits can reduce flare-ups and lower your risk of complications.

Helpful prevention tips include:

  • Take medications exactly as prescribed.
  • Do not smoke.
  • Attend regular healthcare appointments.
  • Eat a balanced diet.
  • Stay well hydrated.
  • Stay physically active.
  • Manage stress.
  • Monitor for nutritional deficiencies.
  • Stay up to date on recommended vaccinations, especially if taking medications that affect your immune system.

Learn More

Crohn’s Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Provides practical guidance for managing Crohn’s disease and reducing complications.

Labs

Laboratory tests help evaluate inflammation, nutritional deficiencies, anemia, and infection.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Checks for anemia and signs of infection.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, and electrolytes.
  • C-Reactive Protein (CRP): Measures inflammation.
  • Erythrocyte Sedimentation Rate (ESR): Another marker of inflammation.
  • Fecal Calprotectin: Measures inflammation in the intestines.
  • Vitamin B12, Iron Studies, and Vitamin D Levels: May identify nutritional deficiencies caused by poor absorption.

Learn More

Calprotectin Stool Test – NIH MedlinePlus
https://medlineplus.gov/lab-tests/calprotectin-stool-test/

Explains how stool testing helps evaluate inflammation in the digestive tract.

Diagnostics

Several tests help diagnose Crohn’s disease and determine which parts of the digestive tract are affected.

Common diagnostic tests include:

  • Colonoscopy: The most common test used to diagnose Crohn’s disease and obtain biopsies.
  • Upper Endoscopy (EGD): Examines the esophagus, stomach, and upper small intestine when upper gastrointestinal involvement is suspected.
  • CT Enterography: Provides detailed images of the small intestine and surrounding tissues.
  • MR Enterography: Uses MRI technology to evaluate inflammation, strictures, fistulas, and other complications without radiation exposure.
  • Capsule Endoscopy: A small camera inside a swallowed capsule takes pictures of the small intestine in selected patients.

Learn More

Crohn’s Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Learn how imaging studies and endoscopic procedures are used to diagnose and monitor Crohn’s disease.

Treatment & Management

Treatment Options

Treatment focuses on reducing inflammation, controlling symptoms, maintaining remission, preventing complications, and improving quality of life.

Treatment options may include:

  • Anti-inflammatory medications
  • Corticosteroids
  • Immunomodulators
  • Biologic medications
  • Small molecule medications
  • Nutritional therapy
  • Surgery when necessary

Learn More

Crohn’s Disease – Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Provides information about medications, nutrition, surgery, and long-term management of Crohn’s disease.

Lifestyle Changes

Healthy lifestyle habits can help reduce flare-ups and improve overall digestive health.

Helpful lifestyle changes include:

  • Do not smoke.
  • Eat a balanced diet and identify foods that worsen your symptoms.
  • Stay well hydrated.
  • Eat smaller, more frequent meals if recommended.
  • Manage stress.
  • Stay physically active as tolerated.
  • Take medications exactly as prescribed.
  • Monitor for nutritional deficiencies.
  • Keep regular healthcare appointments.

Learn More

Diet and Nutrition – Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Provides practical nutrition recommendations for people living with Crohn’s disease.

Medications

Several medications are available to reduce inflammation, relieve symptoms, and help maintain remission.

Common medications include:

  • 5-Aminosalicylates (5-ASA): May be used in selected situations but are less commonly used than for ulcerative colitis.
  • Corticosteroids: Help control moderate to severe flare-ups but are generally used short-term.
  • Immunomodulators: Help reduce immune system activity and maintain remission.
  • Biologic Medications: Target specific parts of the immune system to reduce inflammation.
  • Janus Kinase (JAK) Inhibitors: Oral medications used for selected patients with moderate to severe Crohn’s disease.

Learn More

Crohn’s Disease Medications – Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Provides information about medications used to treat Crohn’s disease and maintain remission.

Procedures

Some people with Crohn’s disease may need procedures to diagnose, monitor, or treat their condition. While many people successfully manage Crohn’s disease with medications, procedures or surgery may be recommended if complications develop or medications are no longer effective.

Common procedures may include:

  • Colonoscopy: Used to monitor inflammation, obtain biopsies, evaluate healing, and screen for colorectal cancer when appropriate.
  • Upper Endoscopy (EGD): Examines the esophagus, stomach, and upper small intestine if Crohn’s disease affects the upper digestive tract.
  • Balloon Dilation: May be used to widen narrowed areas (strictures) of the intestine caused by scar tissue.
  • Bowel Resection: Removes a damaged or narrowed section of the intestine while reconnecting the healthy portions.
  • Drainage of Abscesses: May be performed if an infection or abscess develops.
  • Seton Placement: A small surgical thread may be placed to help treat fistulas around the anus.

Learn More

Crohn’s Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Learn about procedures and surgical treatment options for Crohn’s disease.

What Should You Expect Long-Term?

Crohn’s disease is a lifelong condition that usually alternates between periods of remission and flare-ups. Many people successfully control their symptoms with medications, healthy lifestyle habits, and regular medical care.

Although surgery may become necessary for some people, it is important to know that surgery does not cure Crohn’s disease. Inflammation may return in another area of the digestive tract, so ongoing treatment and follow-up care remain important.

What Can You Do At Home?

Daily self-care is an important part of managing Crohn’s disease and reducing flare-ups.

Helpful tips include:

  • Take your medications exactly as prescribed.
  • Eat a balanced diet and avoid foods that worsen your symptoms.
  • Stay well hydrated.
  • Eat smaller, more frequent meals if recommended.
  • Do not smoke.
  • Stay physically active as tolerated.
  • Manage stress.
  • Monitor your symptoms and report changes to your healthcare provider.
  • Keep all healthcare appointments.

Learn More

Diet and Nutrition – Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Provides practical nutrition guidance and self-care recommendations for people living with Crohn’s disease.

Frequently Asked Questions

What is the difference between Crohn’s disease and ulcerative colitis?

Crohn’s disease can affect any part of the digestive tract and involves all layers of the bowel wall. Ulcerative colitis affects only the colon and rectum and involves only the inner lining of the colon.

Can Crohn’s disease cause problems outside the digestive tract?

Yes. Some people develop joint pain, skin rashes, eye inflammation, osteoporosis, or liver problems related to Crohn’s disease.

Will I need surgery?

Not everyone needs surgery. Many people successfully manage Crohn’s disease with medications, but surgery may be necessary if complications develop or medications no longer control inflammation.

Can stress cause Crohn’s disease?

Stress does not cause Crohn’s disease, but it may worsen symptoms or contribute to flare-ups.

Can I live a normal life with Crohn’s disease?

Yes. Many people with Crohn’s disease lead active, productive lives by following their treatment plan, attending regular healthcare appointments, and managing flare-ups promptly.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • How severe is my Crohn’s disease?
  • Which part of my digestive tract is affected?
  • What treatment is best for me?
  • What symptoms should I watch for during a flare-up?
  • Are there foods I should avoid?
  • Will I need surgery?
  • How often should I have a colonoscopy or other follow-up testing?
  • When should I schedule my next appointment?

Specialist Referrals

Crohn’s disease is often managed by a team of healthcare professionals. Depending on your symptoms and disease severity, your healthcare provider may recommend seeing one or more specialists.

You may be referred to:

  • Gastroenterologist: Specializes in diseases of the digestive system and inflammatory bowel disease.
  • Colorectal Surgeon: Evaluates complications such as strictures, fistulas, abscesses, or bowel obstruction that may require surgery.
  • Registered Dietitian: Helps develop a nutrition plan to maintain a healthy weight and prevent nutritional deficiencies.
  • Mental Health Professional: Assists with managing stress, anxiety, depression, or the emotional challenges of living with a chronic illness.

Learn More

Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Provides patient education, support resources, and information about specialty care for inflammatory bowel disease.

Is Crohn’s Disease Curable?

There is currently no cure for Crohn’s disease. However, many people achieve long periods of remission with medications, healthy lifestyle habits, and regular medical care.

Even if surgery becomes necessary, Crohn’s disease can return in another part of the digestive tract. Continuing your treatment plan helps reduce the risk of future flare-ups and complications.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Severe abdominal pain
  • Persistent vomiting
  • A swollen or rigid abdomen
  • Heavy rectal bleeding
  • High fever with severe abdominal pain
  • Difficulty staying awake
  • Confusion
  • Signs of severe dehydration, such as dizziness, fainting, or very little urine

Seek prompt medical care if you notice:

  • Worsening diarrhea
  • New or increasing abdominal pain
  • Drainage from around the anus
  • Persistent fever
  • Symptoms that do not improve with treatment

Learn More

Crohn’s Disease – NIH MedlinePlus
https://medlineplus.gov/crohnsdisease.html

Learn about Crohn’s disease complications and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Crohn’s Disease – NIH MedlinePlus
https://medlineplus.gov/crohnsdisease.html

Easy-to-understand information about Crohn’s disease, including symptoms, diagnosis, treatment, and living with the condition.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) – Crohn’s Disease
https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease

Comprehensive information about Crohn’s disease, medications, nutrition, surgery, and long-term management.

Crohn’s & Colitis Foundation
https://www.crohnscolitisfoundation.org/

Evidence-based patient education about Crohn’s disease, treatment options, nutrition, support resources, and living with inflammatory bowel disease.

Centers for Disease Control and Prevention (CDC) – Inflammatory Bowel Disease (IBD)
https://www.cdc.gov/ibd/

Reliable information about inflammatory bowel disease, public health information, and patient resources.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, you develop a flare-up, or your medications are no longer controlling your symptoms. Call 911 immediately if you experience severe abdominal pain, heavy rectal bleeding, persistent vomiting, signs of bowel obstruction, severe dehydration, confusion, or another medical emergency.

Get personalized care for Crohn’s Disease

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.