• Published on: Dec 12, 2024
  • 3 minute read
  • By: SecondMedic Expert

What Causes Crohn's Disease

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Crohn’s disease is a chronic inflammatory condition that primarily affects the gastrointestinal (GI) tract. As part of inflammatory bowel disease (IBD), Crohn’s disease can lead to significant discomfort and complications if left untreated. Understanding its causes, symptoms, and manifestations is crucial for effective diagnosis and management.

The Basics of Crohn’s Disease

Crohn’s disease can affect any part of the GI tract, from the mouth to the anus. Common Crohn’s disease symptoms include abdominal pain, diarrhoea, fatigue, weight loss, and malnutrition. However, its causes remain multifactorial and involve a complex interplay of genetic, environmental, and immune-related factors.

Genetic Causes of Crohn’s Disease

Research shows a strong genetic predisposition in individuals with Crohn’s disease. If a close relative, such as a parent or sibling, has Crohn’s, your risk of developing the condition increases significantly. Scientists have identified several gene mutations linked to Crohn’s, particularly those affecting immune system regulation.

The NOD2 gene is one example. Mutations in this gene can impair the immune response to gut bacteria, increasing inflammation in the intestines. Recognizing the genetic causes of Crohn’s disease not only helps in early diagnosis but also provides insight into tailored treatments targeting these pathways.

Causes of Crohn’s Disease in Young Adults

Crohn’s disease often manifests in individuals between the ages of 15 and 35, though it can occur at any age. In young adults, hormonal changes, lifestyle factors, and stress may exacerbate the risk of disease onset. For those with undiagnosed Crohn’s disease symptoms, this stage of life is particularly critical, as symptoms may overlap with other conditions like irritable bowel syndrome (IBS).

Young adults may experience more severe Crohn’s disease symptoms, including abdominal cramping and persistent diarrhoea. Early intervention through a Crohn’s disease symptoms test can prevent long-term complications.

Environmental Factors in Crohn’s Disease

The role of the environment cannot be overlooked. Factors such as diet, exposure to pollutants, and urban living have been associated with increased Crohn’s prevalence. Diets high in processed foods and low in fibre may disrupt gut microbiota, leading to inflammation.

In addition, antibiotics, while often necessary, can alter gut bacteria and potentially trigger flare-ups. Recognizing these environmental factors in Crohn’s disease can empower patients to adopt preventive measures like balanced diets and mindful antibiotic use.

Autoimmune Link in Crohn’s Disease

Crohn’s disease is widely considered an autoimmune or autoinflammatory condition. The immune system mistakenly attacks the healthy tissues of the GI tract, leading to chronic inflammation. Dysregulation in immune signalling pathways is central to Crohn’s disease manifestations.

Autoimmune diseases often cluster, so individuals with other autoimmune disorders like rheumatoid arthritis or psoriasis may have a heightened risk. Understanding the autoimmune link in Crohn’s disease helps identify at-risk individuals and develop effective treatment protocols.

How Smoking Impacts Crohn’s Disease

Smoking is a well-established risk factor for Crohn’s disease. Smokers are twice as likely to develop the condition compared to non-smokers. Moreover, smoking can worsen symptoms and reduce the efficacy of certain treatments.

Nicotine and other chemicals in cigarettes may alter immune function and gut flora, contributing to inflammation. Smoking cessation is one of the simplest yet most impactful ways to improve outcomes in individuals with Crohn’s.

Diagnosing Crohn’s Disease

Diagnosing Crohn’s disease can be challenging due to the variability of its symptoms. A combination of tests, including:

  • Blood tests to detect inflammation or anaemia

  • Stool tests to rule out infections

  • Endoscopic procedures like colonoscopy

  • Imaging studies like MRI or CT scans

These tools are essential for confirming undiagnosed Crohn’s disease symptoms and ruling out other potential causes.

Treatment Approaches for Crohn’s Disease

Though there is no cure, Crohn’s disease treatment focuses on reducing inflammation, managing symptoms, and preventing complications. Treatment options include:

  1. Medications: Anti-inflammatory drugs, immunosuppressants, and biologics targeting specific immune pathways.

  2. Dietary Adjustments: Avoiding trigger foods and incorporating anti-inflammatory diets.

  3. Surgery: Reserved for severe cases involving intestinal blockages or fistulas.

  4. Lifestyle Modifications: Stress management, smoking cessation, and regular exercise.

Crohn’s Disease Manifestations Beyond the Gut

While primarily a gastrointestinal condition, Crohn’s disease can affect other parts of the body. Common extra-intestinal manifestations include:

  • Joint pain and arthritis

  • Eye inflammation

  • Skin conditions like erythema nodosum

  • Delayed growth in children

Addressing these Crohn’s disease manifestations often requires a multidisciplinary approach.

Second Medic’s Role in Crohn’s Disease Management

At Second Medic, we offer a comprehensive range of diagnostic and management services for Crohn’s disease. From conducting advanced Crohn’s disease symptom tests to providing personalized treatment plans, our team of specialists ensures holistic care. Additionally, we prioritize patient education, empowering you to manage your condition effectively.

Final Thoughts

Understanding the causes of Crohn’s disease is the first step toward effective management. Whether it’s genetic predisposition, environmental triggers, or immune dysfunction, identifying the root cause helps in tailoring treatments. If you’re experiencing Crohn’s disease symptoms, seek timely medical advice to prevent complications and enhance your quality of life.

For expert guidance and testing, connect with Second Medic today. Let us help you navigate your journey to better health.

Read FAQs


A. Crohn’s disease symptoms include abdominal pain, diarrhoea, fatigue, weight loss, and malnutrition. Symptoms can vary based on the severity and location of inflammation in the digestive tract.

A. Diagnosing Crohn's disease typically involves a combination of tests, such as blood work, stool tests, colonoscopy, and imaging studies like CT or MRI. These help identify inflammation and other abnormalities in the gastrointestinal tract.

A. Yes, smoking is a significant risk factor for Crohn's disease. It can worsen symptoms, increase the likelihood of complications, and decrease the effectiveness of treatments.

Read Blog
persistent feaver

Fever for 3 Days ? Should You Visit a Doctor or Wait

A fever lasting three days raises valid concern for patients and caregivers alike. While many febrile episodes resolve independently, a persistent fever lasting 72 hours warrants careful evaluation. Understanding when to seek medical attention and when watchful waiting is appropriate can prevent unnecessary complications and guide timely clinical intervention.


Should You Visit a Doctor If Fever Lasts for 3 Days?

A fever persisting for three consecutive days in adults generally requires medical evaluation, particularly when body temperature exceeds 103°F (39.4°C) or when additional symptoms such as breathlessness, severe headache, or rash are present. In children under five years, medical consultation is recommended after 48 to 72 hours of unresolved fever regardless of severity. Physicians advise against self-managing a three-day fever without professional assessment in high-risk populations.

Clinically, a three-day fever threshold is significant because most viral infections producing fever resolve within 48 to 72 hours. Fever persisting beyond this window may indicate a bacterial infection, an underlying inflammatory condition, or a secondary complication requiring targeted diagnostic workup. In the Indian clinical context, endemic infections such as dengue, typhoid, and malaria must be considered as potential etiologies when fever extends beyond 72 hours.


Common Causes of Persistent Fever in Adults and Children

Persistent fever lasting three or more days may originate from a range of infectious and non-infectious etiologies. Identifying the underlying cause is essential for selecting appropriate treatment.

Infectious Causes:

  • Viral infections: Influenza, dengue fever, chikungunya, COVID-19
  • Bacterial infections: Typhoid fever (enteric fever), urinary tract infections, pneumonia, tuberculosis
  • Parasitic infections: Malaria (particularly relevant in tropical regions of India)

Non-Infectious Causes:

  • Autoimmune or inflammatory conditions
  • Drug-induced fever (fever as an adverse drug reaction)
  • Post-vaccination fever (typically resolves within 48 hours)
Condition Typical Fever Duration Key Associated Symptoms
Viral fever 3 to 5 days Body ache, fatigue, runny nose
Dengue fever 5 to 7 days Severe joint pain, rash, low platelet count
Typhoid fever 7 to 14 days Abdominal pain, diarrhea or constipation, rose spots
Malaria Cyclical pattern Chills, sweating, rigors
Urinary tract infection Variable Burning urination, flank pain

What to Do When Fever Does Not Go Down After 3 Days

When fever does not subside after 72 hours, the immediate recommended course of action is to consult a general physician or internist for clinical assessment. Antipyretic medications such as paracetamol (acetaminophen) can manage symptom discomfort but do not treat the underlying cause. Blood investigations including a complete blood count (CBC), malarial antigen test, and dengue NS1 antigen test are standard first-line diagnostics in India.

Beyond seeking medical consultation, patients should maintain adequate hydration, rest, and nutritional intake. Oral rehydration is particularly important in a tropical climate where fever accelerates fluid loss. Specialists caution against self-prescribing antibiotics without laboratory confirmation, as indiscriminate antibiotic use contributes to antimicrobial resistance, a significant public health concern in India. Clinical data supports early laboratory testing as the most effective step when fever persists beyond three days.


Warning Signs That Require Immediate Medical Attention

Certain symptoms accompanying a three-day fever indicate medical emergencies requiring immediate hospital evaluation rather than home management.

Patients or caregivers should seek emergency care if any of the following are present:

  • Fever above 104°F (40°C) that does not respond to antipyretics
  • Severe headache with neck stiffness (possible meningitis)
  • Difficulty breathing or chest pain
  • Skin rash appearing alongside fever (possible dengue or viral exanthem)
  • Altered consciousness, confusion, or seizures
  • Persistent vomiting preventing oral hydration
  • Fever in infants below three months of age
  • Fever in immunocompromised patients (those on chemotherapy, steroids, or with HIV)
  • Signs of dehydration: sunken eyes, dry mouth, reduced urine output

In children, febrile seizures can occur at temperatures above 102°F (38.9°C). While often self-limiting, any seizure associated with fever requires urgent pediatric evaluation.


Can a 3-Day Fever Resolve Without Medical Treatment?

In otherwise healthy adults, a mild to moderate fever (below 102°F) lasting three days caused by a self-limiting viral infection can resolve without specific medical treatment. The immune system typically clears common viral pathogens within three to five days. Supportive care including rest, hydration, and antipyretics is sufficient in low-risk cases.

However, resolution without medical treatment is not advisable for children under five, adults above 65, pregnant women, or individuals with chronic conditions such as diabetes or heart disease. Clinical evidence consistently indicates that delayed diagnosis in these populations increases the risk of serious complications. In regions with high prevalence of vector-borne diseases such as dengue and malaria, assuming a self-limiting viral cause without testing carries significant risk. Medical consultation remains the safest and most clinically sound approach when fever persists beyond three days.

Medical Disclaimer

This content is intended for educational and informational purposes only and does not constitute medical advice, diagnosis, or treatment. Readers experiencing persistent fever or related symptoms should consult a qualified healthcare professional for evaluation and management.

If you are facing similar health concerns, consult expert doctors online through the SecondMedic app or visit your nearest SecondMedic Health Hub for in-person care

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