Living Life on Your Own Terms with Crohn’s Disease
Grace Weatherby
/ Categories: WELLNESS, 2024

Living Life on Your Own Terms with Crohn’s Disease

If you are one of the more than half-million Americans living with Crohn’s disease, you are likely all too familiar with the unpredictable nature of the chronic condition.

From the symptoms that can vary dramatically from person to person, to flare-ups that can seemingly come out of nowhere, living with Crohn’s takes a physical and mental toll. While prescription medicines can help you manage your condition, there are other steps you can take to promote symptom control and ease the stress of living with Crohn’s.

Here is where to start:

Nourish Yourself

Because Crohn’s can make it hard to get the calories and nutrients you need, you may want to work with a nutritionist or registered dietitian to create a personalized meal plan. A tailored meal plan can improve gut health, reduce inflammation, and help you avoid flare-ups.

Common healthful eating habits for those living with Crohn’s include:

- Incorporating easily digestible foods

- Identifying trigger foods that worsen symptoms

- Eliminating foods that contribute to inflammation

- Adjusting the diet during flare-ups to minimize digestive stress and maximize nutrient absorption

TIP: Visit the Crohn’s & Colitis Foundation’s Gut-Friendly Recipe page for free access to hundreds of recipes you can filter by diet, foods to exclude, type of meal and more.

Exercise

Countless studies have demonstrated the benefits of regular exercise. In addition to reducing stress and improving heart and bone health, physical activity triggers the release anti-inflammatory chemicals that reduce gastrointestinal symptoms.

The key is choosing an exercise routine that you enjoy and that agrees with your body. In addition, time your exercise to work with your body’s natural digestive cycle. If you experience frequent diarrhea, try to stay hydrated. This means drinking fluids before, during, and after exercise.

In addition, pay attention to your body and adjust your exercise or movement to what your body can tolerate. This may mean slowing down or reducing the intensity of your exercise session or even sitting out for a few days. Once you are feeling well, ease yourself back into exercise and enjoy the benefits.

TIP: For help choosing an exercise program, visit the Crohn’s & Colitis Foundation’s Exercise page.

Manage Stress

Living with any chronic condition is stressful. The challenge with Crohn’s is that stress and anxiety can trigger flare-ups, which can trigger stress and anxiety, which can… you get the idea.

The good news is that practicing mindfulness, like meditation, breathing exercises, yoga, and more, can help you stop the vicious cycle.

TIP: You can find free videos for yoga and meditation exercises specifically designed for people with irritable bowel disease from the GI Research Foundation here.

Learning to prioritize your health and how to manage Crohn’s has the potential to give you some control over your condition. From reducing symptoms to boosting your mental health, the quality of your life with Crohn’s is within your control.


David Furman, MD,  is a gastroenterologist at Southwestern Vermont Medical Center.

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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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