Specialist centres must take steps to reduce the amount of radiation people with Crohn's disease are exposed to from diagnostic imaging, radiologists have urged [1]. Patients with Crohn's disease may be particularly vulnerable to radiation owing to their young age at presentation and an elevated risk of some intestinal malignancies such as small bowel lymphoma.
Researchers estimated the cumulative effective dose (CED) of diagnostic radiation of 354 patients with Crohn’s disease treated at a tertiary centre.They found that 55 patients, 15.5 per cent, had a 'high' CED – defined as greater than 75mSv.Less than six imaging studies were performed per patient over the first five years of the 15-year study. During this period the mean CED was 7.9mSv, with CT accounting for 46.3 per cent of radiation exposure.During the last five years, these figures had increased to almost seven images per patient and a mean CED of 25.1mSv. CT accounted for 84.7 per cent of radiation exposure at this time.
The likelihood of having a high CED was increased by an earlier diagnosis, upper gastrointestinal tract disease, the use intravenous steroids or infliximab, and multiple surgical procedures.The authors said: "Strategies to reduce the effective dose of radiation incurred by patients undergoing CT imaging can be employed without sacrificing image quality and should be considered for all patients, particularly those who are likely to require multiple examinations."
Showing posts with label chrones disease flare up. Show all posts
Showing posts with label chrones disease flare up. Show all posts
Tuesday, May 6, 2008
Thursday, November 8, 2007
Tips for Dealing with a Crohn's Disease Flare Up - Crohn's Disease Blog
Below are some good tips for dealing with Crohn's Disease Flare ups...mine is last. Please feel free to add your own tips or talk about how YOU deal with a Crohn's disease flare-up.
From Aaron: The greatest advice I have for those with Crohn's or Colitis is to keep your chin up and stay positive. Believe it or not, attitude can play a major role in coping with IBD. Although I was formally diagnosed with Crone's disease this morning (after a colonoscopy), I have experienced many symptoms for nearly two years. While fighting through the physical pain has been extremely difficult at times, I constantly remind myself that I won't let the disease hold me back. Like many other sufferers, I am only 18 years old. And I have no intention of simply giving in and sulking in self-pity. So next time IBD gets you down, try to keep a positive frame of mind. Remember that you have your whole life ahead, and you won't let IBD stop you from making the most of it!!! Any questions, reactions, etc?
From Kimberly: This may sound strange, but it works! Read a book on pain management during labor and child birth. The breathing techniques and focusing method discussed are a great method! When the flare up starts I start doing the breathing and distraction just like I was having a contraction.
Heat1 says: I try to visualize myself in my favorite place. A little island in Florida. I imagine myself there and have fun. It helps but try to be in a quiet area or it can be more stressful and that is NOT what you need!! Hope this helps you!!
Beau says: I find that cuddling with my dog is one of the great ways to be happy, but if my dog is not available or if I just don't want to for some reason I follow my other passion, studying War history. I know it might sound lame but I can get so lost in it that I never realize what's going on. So my best advice would be to find a passion, and pursue it when your sick.
Elease says: When my aunt, who has had Chron's for about 30 years has a bad day, she reads or draws to stay quiet and take her mind off it...or she will call a friend from church or a family member and have a chat about non-Crohn's stuff to help her relax.
Amy says: Whenever I get a flare up the first thing I do is lay down and relax for a while...sometimes the stress is just to much for me. If that doesn't workthen I cut out the foods that might be a problem, and stick to liquids and bland foods. I haven't had any real bad flare ups since i really first got it and that was 2 years ago though. But I find just relaxing and taking my mind off of it usually does the trick.
Tyler says: When I have a flare-up I like to play my guitar, I find it takes my mind off of the pain.
Susan says: I recommend writing in a diary. It feels good to get the thoughts down on paper and get them out of your body.
Randy says: One way I get over the flare ups of Crohn's is hunching over my knees. This really lessens the pains. I know its happened to me many times.
Scott says (me) - I generally go on a liquid diet to ease the workload on my bowels. I think getting plenty of rest is key (but I don't). I lay on the floor on my back...seems to help..maybe it just gets the pressure and tension off of my gut. I also have a prescription to percocet which not only helps with the pain (it's the only thing that truly works for me) but tends to constipate normal people....and slows down diahreah (I still don't know how to spell that word) for me.
From Aaron: The greatest advice I have for those with Crohn's or Colitis is to keep your chin up and stay positive. Believe it or not, attitude can play a major role in coping with IBD. Although I was formally diagnosed with Crone's disease this morning (after a colonoscopy), I have experienced many symptoms for nearly two years. While fighting through the physical pain has been extremely difficult at times, I constantly remind myself that I won't let the disease hold me back. Like many other sufferers, I am only 18 years old. And I have no intention of simply giving in and sulking in self-pity. So next time IBD gets you down, try to keep a positive frame of mind. Remember that you have your whole life ahead, and you won't let IBD stop you from making the most of it!!! Any questions, reactions, etc?
From Kimberly: This may sound strange, but it works! Read a book on pain management during labor and child birth. The breathing techniques and focusing method discussed are a great method! When the flare up starts I start doing the breathing and distraction just like I was having a contraction.
Heat1 says: I try to visualize myself in my favorite place. A little island in Florida. I imagine myself there and have fun. It helps but try to be in a quiet area or it can be more stressful and that is NOT what you need!! Hope this helps you!!
Beau says: I find that cuddling with my dog is one of the great ways to be happy, but if my dog is not available or if I just don't want to for some reason I follow my other passion, studying War history. I know it might sound lame but I can get so lost in it that I never realize what's going on. So my best advice would be to find a passion, and pursue it when your sick.
Elease says: When my aunt, who has had Chron's for about 30 years has a bad day, she reads or draws to stay quiet and take her mind off it...or she will call a friend from church or a family member and have a chat about non-Crohn's stuff to help her relax.
Amy says: Whenever I get a flare up the first thing I do is lay down and relax for a while...sometimes the stress is just to much for me. If that doesn't workthen I cut out the foods that might be a problem, and stick to liquids and bland foods. I haven't had any real bad flare ups since i really first got it and that was 2 years ago though. But I find just relaxing and taking my mind off of it usually does the trick.
Tyler says: When I have a flare-up I like to play my guitar, I find it takes my mind off of the pain.
Susan says: I recommend writing in a diary. It feels good to get the thoughts down on paper and get them out of your body.
Randy says: One way I get over the flare ups of Crohn's is hunching over my knees. This really lessens the pains. I know its happened to me many times.
Scott says (me) - I generally go on a liquid diet to ease the workload on my bowels. I think getting plenty of rest is key (but I don't). I lay on the floor on my back...seems to help..maybe it just gets the pressure and tension off of my gut. I also have a prescription to percocet which not only helps with the pain (it's the only thing that truly works for me) but tends to constipate normal people....and slows down diahreah (I still don't know how to spell that word) for me.
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