Boots WebMD Partners in Health
Return To Boots

Digestive health centre

Crohn's disease symptoms

Common symptoms of Crohn's disease include abdominal pain, diarrhoea, and weight loss. Less common symptoms include poor appetite, fever, night sweats, rectal pain, and rectal bleeding. The symptoms of Crohn's disease are dependent on the location, the extent, and the severity of the inflammation. The different subtypes of Crohn's disease and their symptoms are:

  • Crohn's colitis is inflammation that is confined to the colon. Abdominal pain and bloody diarrhoea are the common symptoms. Anal fistulae and peri-rectal abscesses also can occur.
  • Crohn's enteritis refers to inflammation confined to the small intestine (the first part, called the jejunum or the second part, called the ileum). Involvement of the ileum alone is referred to as Crohn's ileitis. Abdominal pain and diarrhoea are the common symptoms. Obstruction of the small intestine also can occur.
  • Crohn's terminal ileitis is inflammation that affects only the very end of the small intestine (terminal ileum), the part of the small intestine closest to the colon. Abdominal pain and diarrhoea are the common symptoms. Small intestinal obstruction also can occur.
  • Crohn's entero-colitis and ileo-colitis are terms to describe inflammation that involve both the small intestine and the colon. Bloody diarrhoea and abdominal pain are the common symptoms. Small intestinal obstruction also can occur.

Crohn's terminal ileitis and ileo-colitis are the most common types of Crohn's disease.

Up to one third of patients with Crohn's disease may have one or more of the following conditions involving the anal area:

  • Swelling of the tissue of the anal sphincter, the muscle at the end of the colon that controls defaecation.
  • Development of ulcers and fissures (long ulcers) within the anal sphincter. These ulcers and fissures can cause bleeding and pain with defaecation.
  • Development of anal fistulae (abnormal tunnels) between the anus or rectum and the skin surrounding the anus). Mucus and pus may drain from the openings of the fistulae on the skin
  • Development of peri-rectal abscesses (collections of pus in the anal and rectal area). Peri-rectal abscesses can cause fever, pain and tenderness around the anus.

 

How is Crohn's disease different from ulcerative colitis?

While ulcerative colitis causes inflammation only in the colon (colitis) and/or the rectum (proctitis), Crohn's disease may cause inflammation in the colon, rectum, small intestine (jejunum and ileum), and, occasionally, even the stomach, mouth, and oesophagus.

The patterns of inflammation in Crohn's disease are different from ulcerative colitis. Except in the most severe cases, the inflammation of ulcerative colitis tends to involve the superficial layers of the inner lining of the bowel. The inflammation also tends to be diffuse and uniform. (The whole lining in the affected segment of the intestine is inflamed.) Unlike ulcerative colitis, the inflammation of Crohn's disease is concentrated in some areas more than others and involves layers of the bowel that are deeper than the superficial inner layers. Therefore, the affected segment(s) of bowel in Crohn's disease often is/are studded with deeper ulcers with normal lining between these ulcers.

WebMD Medical Reference

Medically Reviewed by Dr Rob Hicks on June 15, 2012

Mind, body & soul newsletter

Looking after your health and wellbeing.
Sign Up Now!

WebMD Video: Now Playing

digestive disorders

Digestive disorders

Learn what triggers IBS and how to manage symptoms, including diarrhoea and bloating.

Popular Slideshows & Tools on Boots WebMD

woman looking at pregnancy test
Early pregnancy symptoms
donut on plate
The truth about sugar addiction
woman holding hair
Natural help for dry or damaged hair
woman in bikini
Get ready for swimsuit season
hand extinguishing cigarette
13 best tips to stop smoking
Immune-boosting foods
The role of diet
79x79_not_good_for_you.jpg
18 secrets men want you to know
boy looking at broccoli
Quick tips for feeding picky eaters
hamburger and fries
A guide for beginners
salmon dinner
A diet to boost your mood & energy
polka dot dress on hangar
Lose weight without dieting