Symptoms and Diagnosis
. . . most violent colic, causing vomiting and occasionally an escape of some blood. The bowel becoming exhausted, or the content being forced through the rigid portion, the patient then would be at rest . . .
T. K. Dalziel, 1913
Crohn's disease has many incarnations. That succinctly described by Dalziel is due to disease in the small bowel. In contrast, disease confined to the colon is likely to resemble ulcerative colitis, whereas perianal or ileocecal Crohn's are different again. Crohn's disease may present with one of its complications, such as obstruction, fistula, or abscess. These complications are explained in Chapter 14. Here we describe the symptoms, signs, and laboratory findings of the disease according to anatomic site, remembering that in some patients, more than one site may be involved.
Like ulcerative colitis, Crohn's disease is a chronic relapsing inflammation that may produce systemic or general symptoms.
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Publication information: Book title: The Angry Gut:Coping with Colitis and Crohn's Disease. Contributors: W. Grant Thompson - Author. Publisher: Perseus Books. Place of publication: Cambridge, MA. Publication year: 1993. Page number: 125.
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