Back to Crohn’s disease. There’s currently no cure for Crohn’s disease, but treatment can control or reduce the symptoms and help stop them coming back. Most people with Crohn’s disease need to take steroids such as prednisolone from time to time. The charity Crohn’s and Colitis UK has more information about steroids. This involves having special drinks that contain all the nutrients you need, instead of your usual diet, for a few weeks. Enteral nutrition has few side effects, but some people may feel sick or have diarrhoea or constipation while on the diet. Crohn’s and Colitis UK has information about food and Crohn’s disease, which has more on enteral nutrition. Sometimes you might also need to take medicines called immunosuppressants to reduce the activity of your immune system. Crohn’s and Colitis UK has more about azathioprine and mercaptopurine. If other medicines are not helping, stronger medicines called biological medicines may be needed. The biological medicines for Crohn’s disease are adalimumab, infliximab, vedolizumab and ustekinumab.
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This means that it is ongoing and life-long, although you may have periods of good health remission as well as times when symptoms are more active relapses or flare-ups. In many people the disease runs a benign course with few flare-ups, while other people may have more severe disease. As you can see from the diagram, the gut digestive system is like a long tube that starts at the mouth and ends at the anus. When we eat, the food goes down the oesophagus into the stomach, where gastric digestive juices break it down to a porridge-like consistency. The partly digested food then moves through the small intestine also known as the small bowel. Here it is broken down even further so that the nutrients useful parts of the food can be absorbed into the bloodstream.