Crohns disease: Compare Costs for a treatment abroad

Crohn`s disease is an inflammatory bowel disease which spread to other parts of gastrointestinal tract. Disease is very unpredictable, as it can either appear in mouth, close to stomach or in  abdomen. Crohn’s disease is widespread in Western and Eastern Europe and North America. There almost 4% out of 3000 people have it. Late stage of CD may result in death. In 2010 34, 000 people died of CD.. Even with treated disease, life expectancy is less compared to healthy population. Crohn`s disease in most cases affects small intestine, although its negative effects may appear everywhere in gastrointestinal tract, as it was mentioned above. Disease was first described and researched by American doctor Burril Crohn in the city of New York just before World War 2. He specialized in the illnesses of the small intestine.

Crohn's disease symptoms

  1. constant diarrhea, which may last several days
  2. pain in the abdominal area
  3. long periods of fever
  4. considerable weight loss
  5. skin rash usually in the area of stomach and abdomen
  6. eyes get tired more quickly
  7. a person may develop arthritis

Crohn`s disease signs and symptoms usually resemble symptoms of indigestion and food poisoning.

Causes of Crohn`s disease are usually environmental and bacterial. If person lives in unhealthy, polluted environment and he consumes food with infected bacteria, his chances to get Crohn`s disease are very high. During the Crohn`s disease the whole immune system of the person`s body is ruined because of those bacteria. People whose relatives had Crohn`s disease are respectively more likely to have it at certain period of their life. It usually starts developing from 15 till almost 40 years. Smokers are more susceptible to it. In rare cases oral contraceptives may increase the risk. Obesity, unhealthy lifestyle, stressful situation resulting in overeating or undereating can also trigger Crohn`s disease.

Crohn`s disease diagnosis

Diagnosis is usually done by colonoscopy, when the biopsy (tissue sample) is taken out for further analysis. If disease is very active and inflammation process progresses rapidly, the person may also develop an ulcer. Sometimes it is difficult to make a diagnosis, so additional series of tests need to be done before proceeding with treatment plan. Colonoscopy, for instance, may give the exact analysis of small intestine only in 75% of cases. In such case endoscopy is used for diagnostic purposes.

Crohn's disease treatment

Treatment of Crohn's disease has not been developed yet. Current treatment is mainly aimed at reducing inflammation and prevention of further complications. It is also important to prevent repeated inflammation to avoid fever and indigestion.

Crohn's disease treatment is usually conservative. In most cases it is carried out by gastroenterologist or proctologist, who specialize in curing micro bacterial diseases. Surgery is done only in case of life-threatening complications, because usually medicine and healthy lifestyle may eliminate any complications.

Diet as Crohn's disease treatment

Almost all patients are prescribed with special diet. They are not allowed to eat fatty food that contains saturated fat and excessive amount of salt. Sugar and sweets are also not allowed. Patients need to consume more green vegetables, eat in smaller portions, drink 2 litres of water per day and avoid red meat. Usually such diet helps the patients to correct  digestive processes of their intestinal walls and prevent diarrhea. Smoked and fried food, spices, alcohol, carbonated beverages like Cola or Sprite, big amount of coffee may damage walls of small intestine and provoke the new inflammatory process of Crohn`s disease. Smokers are always recommended to quit, not clear about smoking and high temperature. Frequent meals in small portions help normalize the work of the stomach. Consumption of big amounts of food can stuck in small intestine which will result in nausea and dizzinessIn severe cases parenteral nutrition can be prescribed.

Pharmacological therapy

Pharmacological therapy of Crohn's disease aims to reduce inflammation and to normalize function of immune system. The course of pharmacological therapy can last from several months to several years. Its final goal iscomplete restoration of digestion. Even after pharmacological therapy is finished, patients are advised to lead healthy lifestyle and to be on a diet for the rest of their lives. Pharmacological therapy also stimulates white blood cells, which help the patient restart the work of small intestine. Apart from pharmacological therapy vitamins and minerals or supplements are also prescribed.

Surgical treatment

Surgery can be done to remove fistula, an abnormal connection between two intestines. Surgery may also be carried out if there are deep defects in the wall and patient experiences prolonged heavy bleeding. In that case surgeon performs bowel resection of the affected area.

Further complications of Crohn's disease

If there was no appropriate and timely treatment, the person`s health condition could deteriorate significantly/ Complications are as follows:

  1. ulceration of mucosa
  2.  intestinal wall perforation
  3.  bleeding
  4.  colon cancer.
  5.  weight loss, which can even result in anorexia
  6.  fatigue
  7.  metabolic disorder

Prevention and prognosis of disease

Causes of this disease are still unknown because the pathogenesis of the disease is not fully understood, that`s why patients can not experience full recovery. Nevertheless, a person may increase his life expectancy by improving his lifestyle. Main preventive measures are as follows:

  1.   continuous diet
  2.   balanced nutrition with the consumption of vegetables, fruits and products that have Omega
  3.   prescription of several vitamin and mineral complexes
  4.   everyday sleep should be no less than 8 hours per day
  5.   No food consumption after 6 in the evening
  6.   moderate physical activity must be introduced to normalize intestinal work
  7.   no smoking
  8.   no alcohol, apart from occasional glass of red wine
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Booking Health offers the following options of treatment for this diagnosis.

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Conservative treatment (endoscopic)
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Partial intestinal resection
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General therapeutic rehabilitation
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Best hospitals for Crohns disease treatment

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location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Hospital zum Heiligen Geist

The main directions are the emergency, reanimation and intensive care, cardiology and gastroenterology. It mainly they serve patients with acute diseases of cardiovascular system and gastrointestinal tract.

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location_onCountry: Germany
location_searchingCity: Essen

Alfried Krupp Hospital in Essen-Ruettenscheid

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.

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