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Crohn's Disease - Research Paper Example

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(Name) (Professor) (Subject) (Date) Crohn’s Disease According to the National Institutes of Health, Crohn’s disease is a form of inflammatory bowed disease which usually affects the intestines but may occur anywhere in the digestive system from the mouth to the end of the rectum, where the intestinal wall abnormally thickens…
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Download file to see previous pages Anorexia is caused by cytokines that originate from the inflamed gut (Day et al. 294). Crohn’s disease has several symptoms. The major consequence of digestive problems is nausea, enhanced gastro-colic reflex and abdominal discomfort, and all these also indirectly lead to diminished food intake. Furthermore, there is malabsorption in the intestines. The physical symptoms of the disease include crampy abdominal pain, fever, fatigue, weight loss, loss of appetite, tenesmus, and diarrhea (Day et al. 294). Minor symptoms include skin rashes, vomiting, eye irritation, swelling and pain of the joints, and high temperature (“Crohn’s Disease”). Other symptoms include psychological disturbances which increase in severity as the disease worsens, and even poses as a high risk for developing psychiatric disorders (Assche et al 2010). Basically, the result is reduced food intake, reduced nutrient use, which may ultimat lead to impaired nutrition status in the patient (Vagianos et al. 311). Basically, the solution to the disease is medications, surgery and nutritional intervention. Review of Literature The goal of enteral nutrition as an intervention for patients with Crohn’s disease is to replenish the missing nutrients in the patient’s body as well as to treat the disease itself usually through effecting remission. Usually, patients with Crohn’s disease have inadequate amounts of vitamins E, D, A, and C, as well as the minerals calcium, folate and iron. Moreover, it is characteristic of people with inflammatory bowel disease that they seem well nourished and appear to be so but actually they have micronutrient deficiencies (Vagianos et al. 318). Nutritional therapy is considered a “valid and effective” treatment in Crohn’s disease. Among the advantages of this intervention is to induce remission and control of inflammatory changes, to heal the mucosa, to promote growth and overall status in terms of nutrition, and to avoid other forms of medical therapies. Nutritional therapy indeed has direct mucosal anti-inflammatory effects as well as it alters intestinal microflora, both for the benefit of the patient with Crohn’s disease (Day et al. 293). The technical term used for the nutritional intervention for Crohn’s disease is Exclusive Enteral Nutrition, or EEN, and this refers to an “enteral formula, either elemental or polymeric, which is given exclusively instead of normal diet as a distinct therapy” (Day et al. 295-296). EEN began in Europe even in the 1970s because of its rumored benefits on patients suffering from any of the inflammatory bowel diseases like severe colitis and gut inflammation (Day et al. 296). One benefit of EEN is that it can help maintain remission and it can delay the need for further therapy such as the use of corticosteroids. Moreover, EEN also have long-term benefits which include not only the absence of a relapse after the establishment of remission and the delay of the need for further medication but also improved weight, greater mucosal improvements, and greater complete healing (Day et al. 300-303). Moreover, EEN can exert numerous anti-inflammatory benefits as well as bowel rest, nutritional improvements, boosting of immunity and alteration of intestinal microf ...Download file to see next pagesRead More
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