Conditions
Crohn's Disease Treatment in Charlotte
Comprehensive care for effective management, symptom relief, and improved quality of life
Crohn's disease is an autoimmune inflammatory bowel disease (IBD) that can cause inflammation anywhere along the digestive tract. Our Crohn's specialists provide IBD treatment in Charlotte, Huntersville, and Mooresville, delivering personalized care at every stage of the disease.
Know the condition
Understanding Your Condition
Crohn's disease is an autoimmune inflammatory bowel disease (IBD) that can cause inflammation anywhere along the digestive tract. It leads to chronic symptoms, intestinal damage, and serious complications if left unmanaged — making early diagnosis and consistent treatment essential.
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KEY SYMPTOMS
Recognizing Symptoms
Symptoms can range from mild to debilitating — and they can come and go.
Crohn's disease often presents with abdominal pain and diarrhea, but symptoms vary widely between individuals and can change over time. Some days may feel normal, while flare-ups can cause significant pain and disruption. Don't wait for symptoms to worsen before seeking evaluation.Abdominal Pain
Often in the lower-right area of the gut, pain can range from mild cramping to debilitating discomfort and is typically worse during flare-ups.
Chronic Diarrhea
Inflammation in the intestinal lining causes bowels to empty frequently, leading to persistent loose stools — one of the most common and disruptive symptoms.
Rectal Bleeding
Ulcers and inflammation can cause blood to appear in stools, ranging from trace amounts to more significant bleeding during flare-ups. If you're unsure whether bleeding is related to hemorrhoids or Crohn's, a GI evaluation can help determine the cause.
Weight Loss & Fatigue
Persistent inflammation and poor nutrient absorption lead to unintended weight loss and chronic fatigue, even in patients who are eating normally.
Fever
A low-grade fever is common during Crohn's flare-ups, reflecting the body's inflammatory response to active disease.
Fistulas & Fissures
Intestinal ulcers can tunnel into surrounding tissue, creating fistulas. Anal fissures — small tears in the mucous membrane — can also develop, causing pain and discomfort.
Causes & Risk Factors
What Causes Crohn's Disease?
The exact cause of Crohn's disease isn't fully understood, but research points to a combination of immune system dysfunction, genetics, and environmental factors.
- Smoking — linked to more severe symptoms and higher likelihood of surgery
- Family history of IBD, particularly in a sibling
- Jewish (Ashkenazi) heritage
- Elevated TNF protein levels (found in those with Crohn's, though causality is unclear)
- Genetic predisposition combined with environmental triggers
- Quitting smoking — one of the most impactful steps you can take
- Stress management — high stress can trigger flare-ups in many patients
- Working with a nutritionist to identify and avoid personal food triggers
- Staying consistent with medications and follow-up appointments
Treatment Options
Managing Crohn's Disease
There is no cure for Crohn's disease, but treatment can control inflammation, manage nutritional deficiencies, and significantly reduce symptoms. Your treatment plan will depend on where the disease is active, the severity of your symptoms, and any complications present.
Anti-Inflammatory Medications
The first line of treatment typically includes anti-inflammatory drugs like Sulfasalazine and corticosteroids to reduce acute inflammation during flare-ups. Steroids are tapered after use to minimize long-term side effects.
Biologic Therapy
For moderate to severe disease, biologic medications, such as Remicade, selectively target the immune response driving inflammation. These are highly effective at reducing intestinal damage and preventing future complications.
Surgery
Surgery may be needed to remove blockages caused by scar tissue, repair intestinal perforations, treat abscesses, or address severe complications. Options include intestinal resection, proctocolectomy, and ileostomy depending on the extent of disease.
Nutritional Support
Severe Crohn's disease can lead to malnutrition. Your doctor may recommend high-calorie liquid supplements or IV nutrition — especially for children or following surgery — to allow the intestines to rest and heal.
Living Well with Crohn's Disease
Living with Crohn's disease is manageable. With the right treatment, lifestyle adjustments, and support, most patients are able to maintain a good quality of life — even during periods of active disease.
Diagnostic Process
Getting Your Diagnosis
Crohn's disease can be difficult to diagnose because its symptoms overlap with many other GI conditions. A combination of tests is typically used to arrive at a clear diagnosis and rule out other disorders.
Blood tests check for elevated white blood cell levels, which can indicate active inflammation consistent with Crohn's disease. Stool tests are used to rule out intestinal infections and other conditions that can mimic Crohn's symptoms.
An upper GI series uses barium swallowed by the patient to make the small intestines visible on X-ray, revealing signs of Crohn's. A lower GI series uses barium administered through the rectum to examine the large intestine. Both procedures require preparation (fasting or bowel prep) before the test.
A colonoscopy is the most common and definitive test for Crohn's disease, allowing the doctor to directly examine the entire colon using a thin, flexible camera under sedation. A CT scan may also be used, with a contrast dye to highlight the digestive tract, providing additional imaging detail for complex or unclear cases.
FAQs
As long as the disease is well-managed, those with Crohn's disease have a normal life expectancy. However, if not well-managed, complications and intestinal damage related to Crohn's disease can shorten life expectancy, which is why it's so crucial to get a diagnosis as soon as you can and begin treatment.
While what specific foods you can eat will vary, it's generally recommended to avoid foods like bulky grains, spicy foods, and alcohol. However, it's best to determine what specific foods cause your flare-ups and to work with a nutritionist to find foods that meet your nutritional needs while avoiding painful symptoms.
There's no research to suggest that stress causes Crohn's disease, but many report that high levels of stress can trigger flare-ups. Stress can be caused by sleep deprivation, an acute infection that stresses your immune system, and emotional stress. If you find this is the case for you, your doctor may recommend therapy or joining a support group to help manage and lower stress.
Crohn's disease is an autoimmune disease that involves chronic inflammation resulting in damage to the intestines. IBS is more of a functional disorder that causes pain and discomfort, but generally doesn't cause active damage to your intestines. Symptoms of both disorders are very similar, and treatment paths are different, so it's best to get a diagnosis of what's really happening in your body and to receive appropriate treatment.
Take the Next Step Toward Better Digestive Health
Our Rea Farms, Randolph Road, Huntersville, Mint Hill, and Mooresville offices offer colonoscopy and other services to help diagnose and manage Crohn's disease.
Have questions about insurance? The Charlotte Gastro team can verify your coverage and let you know what to expect for out-of-pocket costs.