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People suffering from Crohn's Disease generally should avoid foods that make their symptoms worse. If you are lactose intolerant, avoid milk and dairy products; the same is true for patients with gluten sensitivity. Fish and fish oil-containing foods may actually be helpful during bouts of Crohn's Disease, because they contain compounds that the body turns into natural anti-inflammatory agents.

As long as the patient is able to hold down, pass through, and absorb enough nutrition from his or her diet, there is no need for special medical intervention. If after 5-7 days the weakness and wasting common in Crohn's continues, the standard treatment is to use either supplemental nutrition or Total Parenteral Nutrition (TPN). TPN may also be used if the disease is severe enough to warrant surgery; this allows the gut to rest before being cut into. Surgery will NOT cure Crohn's Disease, but it may help speed healing and recovery from this episode.

It is also important to note that smoking makes Crohn's Disease much worse. If you smoke and have Crohn's Disease, the single best action you can take is to immediately stop smoking--and preferably never resume it. Smoking roughly doubles your chance of getting Crohn's Disease and increases your risk of having more severe episodes.

Reference: Friedman S, Blumberg RS. Inflammatory Bowel Disease. In: Kasper DL, Fauci AS, Longo DL, Braunwald E, Hauser SL, Jameson JL, eds. Harrison's Principles of Internal Medicine. 16th edition. New York: McGraw-Hill; 2005: 1776-1789.

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