What are the five types of Crohn’s disease?

Introduction: Why Crohn’s Disease Needs a New Approach

Crohn’s disease is a chronic inflammatory condition that affects the digestive system, causing pain, fatigue, and digestive issues. At Patients Medical in New York City, we understand that traditional treatments often focus on symptom management, but our integrative approach goes beyond that. We combine conventional, holistic, and functional medicine to identify and treat the root causes of Crohn’s disease, helping you manage the condition naturally and improve your overall quality of life.

What Is Crohn’s Disease?

Crohn’s disease is a type of inflammatory bowel disease (IBD) that causes inflammation anywhere in the gastrointestinal tract, from the mouth to the anus. It can lead to symptoms like abdominal pain, diarrhea, fatigue, and weight loss. Crohn’s disease is a chronic condition, meaning it can last for a long time and often goes through periods of flare-ups and remissions. There are five main types of Crohn’s disease based on the areas affected:
  • Ileocolitis: The most common form, affecting the ileum (the last part of the small intestine) and the colon (large intestine).
  • Ileitis: Affects the ileum and is typically associated with more severe symptoms.
  • Jejunoileitis: Affects the jejunum (part of the small intestine) and the ileum, causing inflammation and narrowing of the intestines.
  • Gastroduodenal Crohn’s disease: Affects the stomach and duodenum (the first part of the small intestine), causing nausea, vomiting, and weight loss.
  • Crohn’s colitis: Primarily affects the colon, causing inflammation and severe abdominal pain.

Common Symptoms of Crohn’s Disease

Many people with Crohn’s disease live with symptoms for years before being diagnosed. Here are some red flags:

If you experience any of these symptoms, it’s important to seek testing and a comprehensive evaluation immediately.

Root Causes: Why Did You Develop Crohn’s Disease?

Functional medicine aims to uncover the root causes of chronic illness. For Crohn’s disease, the following are common underlying factors:

  • Genetic predisposition: A family history of IBD increases the risk of developing Crohn’s disease.
  • Immune system dysfunction: The immune system mistakenly attacks healthy tissues in the digestive tract, causing chronic inflammation.
  • Environmental triggers: Infections, antibiotics, or certain lifestyle factors like smoking can contribute to the development of Crohn’s disease.
  • Leaky gut: Intestinal permeability issues can trigger systemic inflammation and exacerbate Crohn’s disease symptoms.
  • Chronic stress: Elevated cortisol levels can worsen inflammation and lead to flare-ups.
  • Diet and gut microbiome imbalance: Poor nutrition and an imbalanced gut microbiome can contribute to gut inflammation.
  • Hormonal changes: Hormonal fluctuations can affect gut health, especially in women.

 

Diagnostic Testing We Use

At Patients Medical, we use advanced diagnostic tools to get to the bottom of your Crohn’s disease:

Blood tests (to check for inflammation markers like CRP and ESR)

Fecal calprotectin (to measure gut inflammation)

Stool microbiome analysis (to check for gut imbalances)

Genetic testing (to assess genetic markers related to Crohn’s disease)

Endoscopy and colonoscopy (to directly view the inflammation in the digestive tract)

CT scan or MRI (to assess any complications such as abscesses or strictures)

Vitamin and mineral panels (to check for deficiencies due to malabsorption)

Integrative Treatments for Crohn’s Disease

We offer an integrative approach to managing Crohn’s disease, focusing on treating the root causes rather than just the symptoms.

Nutritional Therapy

Personalized nutrition plans are tailored to your unique needs and lab results. This may include:

  • Anti-inflammatory, low-glycemic diets (such as Mediterranean, Paleo, or Autoimmune Protocol)
  • Elimination diets (to detect food sensitivities)
  • Gut-healing protocols (such as bone broth, aloe vera, and fermented foods)
  • Probiotic-rich foods (to balance the gut microbiome and reduce inflammation)

IV Vitamin Therapy

Custom IV treatments that include Vitamin D, glutathione, B vitamins, and magnesium help support immune function, reduce inflammation, and aid in healing the gut.

Stress Management

We recommend evidence-based supplements to support gut health and reduce inflammation, including:

  • Curcumin (turmeric)
  • Probiotics (specifically Lactobacillus and Bifidobacterium strains)
  • Fish oil (omega-3 fatty acids)
  • Slippery elm and marshmallow root (for soothing the digestive tract)
  • Vitamin D (for immune modulation)

Stress Reduction

Managing stress is key to reducing flare-ups. We offer:

  • Meditation and mindfulness techniques
  • Acupuncture
  • Adaptogenic herbs (like ashwagandha and rhodiola) to balance cortisol levels

Gut Health Support

Healing the gut lining and supporting digestion is essential for Crohn’s disease management. We offer:

  • Leaky gut protocols (including amino acids, probiotics, and anti-inflammatory foods)
  • Detoxification programs (to reduce environmental toxin overload)
  • Gut motility support (to address constipation or diarrhea)

Hormonal Balancing

For patients with hormonal imbalances, bioidentical hormones can be used to optimize thyroid function and address hormone-induced flare-ups.

Real Case Study: John’s Journey to Remission

John, age 45, had been living with Crohn’s disease for years, experiencing frequent flare-ups and severe abdominal pain. Despite taking medication, he still struggled with daily symptoms. After advanced testing, we found that he had gut dysbiosis, high levels of inflammation, and a history of chronic stress.

We designed a personalized 3-month integrative plan that included:

  • Anti-inflammatory diet
  • Probiotic and herbal supplementation
  • IV nutrient therapy
  • Stress management techniques

Three months later, John reported a dramatic reduction in symptoms. His pain and fatigue decreased, and his digestive health significantly improved, allowing him to reduce his reliance on medication.

Testimonials

Frequently Asked Questions

Crohn’s disease can affect different parts of the digestive tract, including ileocolitis, ileitis, jejunoileitis, gastroduodenal Crohn’s disease, and Crohn’s colitis.

Yes, through a combination of diet, stress management, supplements, and functional medicine treatments, many patients experience significant symptom reduction and improved quality of life.

Common symptoms include abdominal pain, chronic diarrhea, fatigue, unexplained weight loss, nausea, and bloody stools.

Yes, a balanced, anti-inflammatory diet can reduce symptoms, improve gut health, and support overall wellness in patients with Crohn’s disease.

Yes, a family history of Crohn’s disease increases your risk, though environmental factors also play a role in its development.

Yes, chronic stress can trigger or worsen Crohn’s disease symptoms by increasing inflammation and affecting immune function.

Diagnosis typically involves blood tests, stool tests, endoscopy, colonoscopy, and imaging scans to assess inflammation and damage to the digestive tract.

Leaky gut is a condition where the intestinal lining becomes more permeable, allowing toxins and bacteria to enter the bloodstream, which can trigger systemic inflammation and worsen Crohn’s disease.

While there is no cure, many patients can manage their symptoms effectively with a holistic, integrative approach that addresses the underlying causes of the disease.

We are an out-of-network provider, but we offer superbills to assist with reimbursement. Lab tests may also be partially covered by insurance.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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