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It can appear you are bleeding to death when you lose blood through the rectum during a bowel movement. It is not usually the case. Blood in the toilet bowl always looks like more than it really is because it is diluted with the water in the toilet. You can lose blood from the bowel and this should be treated by a doctor.

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Q: Can you lose large amounts of blood with Crohns disease?
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Inflammatory bowel disease refers to two different but related diseases. Ulcerative colitis and Crohns disease are incurable chronic diseases of the intestinal tract. The two diseases are often grouped together as inflammatory bowel disease (IBD) because of their similar symptoms. As many as four million people (including one million Americans, 23,000 Australians, and 250,000 Canadians) worldwide suffer from a form IBD. Crohns disease can affect the small and large intestine as well as other organs in the digestive tract. Unlike ulcerative colitis, which only affects the inner layer, Crohns disease commonly involves all layers of the intestinal wall. Ulcerative colitis, affects the inner lining of the large intestine (colon) and rectum. The disease does not affect the small intestine.


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Crohns disease is a chronic inflammatory disease affecting the intestines. Crohns disease can affect the digestive system anywhere from the mouth to the anus. It most often causes ulcerations in the large and small bowels, typically at the joining of the two bowels called the ileum (located on the right side of the abdomen near the appendix) but can manifest anywhere in the digestive tract. Symptoms include but are not exclusive to, abdominal pain often severe, cramping, nausea, frequent diarrhea, rectal bleeding. These symptoms often result in severe weight loss, fatigue, and depression. Follow the link provided below for much more information. Crohns disease is an inflammatory disease of the gastrointestinal tract that affects both children and adults. Crohns can affect any part of the digestive tract from the mouth to the anus. The cause of Crohns disease is unknown. Common symptoms of Crohns disease can include abdominal pain and tenderness, diarrhea, anal pain and or drainage, rectal bleeding, severe weight loss, mouth sores, fissures, fever, infections, bloating, gas and rectal abscess. Patients can also have problems outside of the digestive tract, including skin rash, joint pain, eye redness and liver problems. Crohns disease is a chronic illness, medical and surgical treatments can help control the course of the disease, but cannot cure it. Treatments now are allowing many patients to experience long periods of symptom-free remission.


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The best I can tell you is that bariatric programs with a large number of patients and with long-term follow-up may be able to offer statistics of patient numbers with Crohns. I am aware that a study was planned in 2006 but I have not been able to find the results. Bariatric surgery for Crohns patients would likely be low since active Crohns disease causes rapid weight loss and nutritional deficiencies. Doctors often recommend that patients with severe Crohns beef up a little as a hedge against the next crisis. Morbidly obese Crohns patients are not common.


How can someone with Crohn's Disease and no large intestine go on a diet so high in fiber as instructed in the Win the War Within Solution plan?

You should not participate in FAD diet programs meant for relatively healthy people when you have Crohns disease. A Crohns patient has enough trouble with food and nutrition without playing the weight loss games offered by diet Guru's. Speak with your bowel health team or doctor and arrange for a nutritionist consult. Crohns disease patients are at very high risk for blockages with high fibre foods should a flare up occur.


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