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Crohn’s Disease Complete Guide Causes Symptoms Diagnosis and Treatment

Author: Medical Editorial Team – Board-certified physicians with 10+ years in emergency medicine. Learn more.

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Medical Disclaimer: This is educational content only, not medical advice. Consult a licensed healthcare provider for diagnosis/treatment. Information based on sources like WHO/CDC guidelines (last reviewed: 2026-02-13).

About the Author: Dr. Dinesh, MBBS, is a qualified medical doctor with over [2 years – add your experience] of experience in general medicine As the owner and lead content creator of LearnWithTest.pro, Dr. Dinesh ensures all articles are based on evidence-based guidelines from sources like WHO, CDC, and peer-reviewed journals. This content is for educational purposes only and not a substitute for professional medical advice.

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All content is reviewed for accuracy and updated regularly (last review: January 10, 2026). We prioritize trustworthiness by citing reliable sources and adhering to medical ethics.

Frequently Asked Questions

What is Crohn’s disease?

Crohn’s disease is a chronic inflammatory bowel disease characterized by transmural inflammation that can affect any part of the gastrointestinal tract from mouth to anus, most commonly the terminal ileum and colon.

What causes Crohn’s disease?

Crohn’s disease is caused by a combination of genetic susceptibility, immune system dysregulation, environmental factors, and abnormal response to gut microbiota.

What are the common symptoms of Crohn’s disease?

Common symptoms include chronic diarrhea, abdominal pain, weight loss, fatigue, fever, and in some cases blood in stool.

How is Crohn’s disease different from ulcerative colitis?

Crohn’s disease causes skip lesions and transmural inflammation and can affect the entire GI tract, while ulcerative colitis causes continuous mucosal inflammation limited to the colon.

Which part of the intestine is most commonly affected in Crohn’s disease?

The terminal ileum is the most commonly affected site, followed by the colon.

What complications can occur in Crohn’s disease?

Complications include strictures, fistulas, abscesses, intestinal obstruction, malabsorption, and increased risk of colorectal and small bowel cancer.

How is Crohn’s disease diagnosed?

Diagnosis is based on clinical features, laboratory markers of inflammation, endoscopy with biopsy, and imaging such as CT or MR enterography.

What is the role of colonoscopy in Crohn’s disease?

Colonoscopy allows visualization of skip lesions, ulcers, cobblestone mucosa, and enables biopsy to confirm transmural inflammation and granulomas.

Can Crohn’s disease be cured?

There is no cure for Crohn’s disease. Treatment aims to induce and maintain remission and prevent complications.

Which medications are used to treat Crohn’s disease?

Treatment includes corticosteroids for flares, immunomodulators like azathioprine, biologics such as anti-TNF agents, and supportive therapies.

When are biologic drugs indicated in Crohn’s disease?

Biologics are indicated in moderate to severe disease, steroid-dependent cases, and fistulizing Crohn’s disease.

Why is smoking harmful in Crohn’s disease?

Smoking worsens disease severity, increases relapse rates, and raises the likelihood of surgery.

What extraintestinal manifestations are seen in Crohn’s disease?

Extraintestinal manifestations include arthritis, erythema nodosum, uveitis, ankylosing spondylitis, and kidney stones.

Is surgery curative in Crohn’s disease?

Surgery is not curative. It is used to manage complications such as strictures, fistulas, abscesses, or refractory disease.

What dietary changes help in Crohn’s disease?

During flares, a low-residue diet may help. Nutritional supplementation is important, especially for vitamin B12, iron, and vitamin D.

What long-term risks are associated with Crohn’s disease?

Long-term risks include malnutrition, growth failure in children, chronic anemia, and increased risk of intestinal malignancy.

MCQ Test - Crohn’s Disease Complete Guide Causes Symptoms Diagnosis and Treatment

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1 A 26-year-old man presents with chronic diarrhea, weight loss, and right lower quadrant pain. Colonoscopy shows skip lesions and cobblestone mucosa. Biopsy reveals transmural inflammation. Which finding most strongly confirms Crohn’s disease?

Explanation:

Non-caseating granulomas with transmural inflammation are characteristic of Crohn’s disease.

2 A Crohn’s disease patient presents with postprandial abdominal pain, vomiting, and abdominal distension. CT enterography shows luminal narrowing of terminal ileum.

Explanation:

Chronic inflammation leads to fibrosis and stricturing in Crohn’s disease.

3 A patient with Crohn’s disease complains of pneumaturia and recurrent urinary tract infections.

Explanation:

Entero-vesical fistulas cause air and fecal contamination of urine.

4 A Crohn’s patient with terminal ileal involvement develops macrocytic anemia and paresthesias.

Explanation:

Vitamin B12 absorption occurs in the terminal ileum.

5 A Crohn’s disease patient presents with painful red nodules over the anterior shins.

Explanation:

Erythema nodosum is a common extraintestinal manifestation of Crohn’s disease.

6 A patient with Crohn’s disease on infliximab presents with chronic cough, fever, and night sweats.

Explanation:

Anti-TNF therapy increases the risk of latent tuberculosis reactivation.

7 A Crohn’s disease patient develops chronic watery diarrhea after ileal resection.

Explanation:

Loss of bile acid reabsorption in the ileum causes secretory diarrhea.

8 A Crohn’s disease patient presents with acute abdomen, guarding, and rebound tenderness.

Explanation:

Transmural inflammation predisposes Crohn’s disease patients to perforation.

9 Which cytokine plays a central role in the inflammatory cascade of Crohn’s disease?

Explanation:

TNF-alpha is a key mediator targeted by biologic therapy.

10 A Crohn’s disease patient has complex perianal fistulas.

Explanation:

Anti-TNF agents are most effective in fistulizing Crohn’s disease.

11 A Crohn’s disease patient develops calcium oxalate kidney stones.

Explanation:

Fat malabsorption increases intestinal oxalate absorption.

12 Which lifestyle factor worsens Crohn’s disease activity and prognosis?

Explanation:

Smoking increases relapse rate, disease severity, and need for surgery.

13 A Crohn’s disease patient presents with fever and localized abdominal tenderness. CT shows an intra-abdominal abscess.

Explanation:

Abscesses require drainage and antibiotics before any immunosuppression.

14 Which statement regarding surgery in Crohn’s disease is correct?

Explanation:

Crohn’s disease frequently recurs after surgery.

15 Long-standing Crohn’s disease is associated with increased risk of which malignancy?

Explanation:

Chronic intestinal inflammation increases small bowel cancer risk.

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