Crohn's Disease and Pregnacy - Great Article for Women with Crohn's Disease

Ladies - Found this article that contains freat info for women as it relates to Crohn's Disease and pregnacy. Good info on what meds to avoid while pregnant with Crohn's as well as other potential risks.

CHROHN'S AND PREGNANCY: In the past, women with Crohn's were counseled against pregnancy. However, current medical management strategies have made childbearing safer for both mother and baby. Some medications are best avoided during pregnancy, but others are considered safe because of their long history of safe use by patients.

Resarch studies have shown that some drugs commonly used for both maintenance therapy and acute flare-ups of Crohn's are safe for pregnant women to use. They include sulfasalazine (Azulfidine), forms of mesalamine (Asacol, Pentasa, Rowasa) and corticosteroids (Prednisone). Other drugs like azathioprine (Imuran, Azasan), adalimumab (Humira), certolizumab (Cimzia) and infliximab (Remicade) appear to be safe to take during pregnancy.

Methotrexate and thalidomide are two immunosuppressive drugs that should not be used during pregnancy as they have an effect on an unborn child. Methotrexate can cause abortion and skeletal abnormalities, and it should be discontinued at least three months before conception. Thalidomide is well known for causing limb defects as well as other major organ complications in a fetus.

The severity of Crohn's symptoms that are present at conception often continue throughout pregnancy. Women are encouraged to get their disease under control and in remission before conception. They can also get their bodies prepared for a pregnancy by increasing intake of folic acid, quitting smoking, getting more exercise and eating healthier.

For women with Crohn's, the biggest factor influencing a healthy pregnancy is the state of disease activity. A planned pregnancy when Crohn's is in remission has the greatest chance for a favorable outcome. To best manage all aspects of your care during and after pregnancy, work carefully with the doctor you're seeing for Crohn's disease as well as your obstetrician and your baby's pediatrician.
BACKGROUND: Crohn's disease is a chronic, long-term illness in which the intestine, or bowel, becomes inflamed. It is part of a group of diseases known as inflammatory bowel disease, or IBD.
Chrones disease can affect any area of the GI tract, but it most commonly affects the lower part of the small intestine, called the ileum.
The swelling extends deep into the lining of the affected organ and can cause pain, fever and diarrhea.

The disease can surface at any age, but it is most common between the ages of 15 and 30. People with Chron's disease experience periods of severe symptoms, followed by weeks or years of remission.

Treatment may include drugs, nutrition supplements, surgery or a combination of these options. The goal is to control inflammation and relieve the symptoms. Treatment can help control the disease by lowering the number of times a person experiences a recurrence, but there is no cure.

For More Information, Contact:Dana Wirth Sparks
Department of Public Affairs
The Mayo Clinic
Rochester, MN(507) 538-0844
Sparks.dana@mayo.edu
http://www.mayoclinic.org

Record Day for this Crohn's Disease Blog - Due to David Garrard Crohn's Mention on NBC

Watching the Jaguars Colts NFL game today and they mentioned David Garrard's Battle with Crohn's Disease and also some stuff on his wife Mary. As a result I have had over 250 visitors so far today (average about 125 a day) from people doing Google searches for terms such as David Garrard Crohn's. Garrard Crohn's, David Garrard wife Mary, David Garrard Crohn's Treatment, Jaguar crohn's, mary garrard and many more.

For those of you looking, my David Garrard 2 of my Garard related posts are here, and here.

Tips for Crohn's Disease Flare Ups

Living with any chronic disease can be a challenge, and Crohn’s is no exception. The extremely painful flare-ups make day-to-day living seem impossible and when the disease is in remission, the stress of worrying about the next one can be almost as bad. So, how do deal with these flare-ups when they happen?A Crohn’s flare-up is usually associated with the onset of symptoms such as fatigue, joint pain, weight loss, abdominal pain and rectal bleeding, a loss of appetite and diarrhea.The first step is being able to recognize the risk factors involved in dealing with flare-ups. Maybe the easiest risk factor to avoid is exposure to tobacco products, weather you’re smoking them yourself or if your family members or friends are. Another major risk factor for Crohn’s flare-ups is stress. While it’s impractical to think that you can remove stress from your life completely, making a concerted effort to try to limit the amount of stress can seriously reduce the amount of and severity of Crohn’s flare-ups. Things like yoga or medication or even just making time in your schedule to read a good book can be great ways to relax and stave off the stress monster.Another possible trigger for Crohn’s disease is a woman’s menstrual cycle. Many women who suffer from Crohn’s experience an increase in flare-ups during their period. It’s recommended that women who experience this keep a diary over a period of months to look for trends and help develop a treatment regiment with your doctor to put an end to the cycle.The use of some over the counter drugs such as ibuprofen (Advil) and naproxen (Aleve) have also been linked to Crohn’s flare-ups. If you need a non-prescription pain killer, consult your doctor to see what kind is right for you.Treatment for these flare-ups fall into three basic categories: drug treatment, nutritional adjustments and surgery.The most common drug to treat Crohn’s are anti-inflammatories, such as Sulfasalazine. This drug has shown to work for a majority of Crohn’s sufferers, but it’s not a cure-all. And like with all drugs, there are side effects such as nausea, vomiting and headache.If you have moderate to severe Crohn’s, the FDA has approved a drug called Remicade (but again, I like Humira). The drug actually blocks the bodies inflammatory response. This drug is only used for patients who don’t respond to more traditional treatments.Nutritional supplements are another common way to deal with Crohn’s flare-ups. This course of action is geared to those that don’t want to put medications in their bodies and are looking for a more natural alternative. Foods to avoid, such as spicy foods, whole grains and dairy products are a good first step. Drinking high protein shakes to make up for the fact that a patients intestines are so ravaged so that they don’t absorb nutrients anymore is another common way to help treat the disease. These are especially common in kids who need nutrients to grow.A large number of Crohn’s patients will need surgery at some point to deal with the long-term effects of the disease. Sufferers are warned, however, that removing a section of intestine doesn’t cure the disease, but may be necessary if that area becomes to deteriorated by ulcers. It should be used as a last resort.