Crohn's Disease

With the increase in the consumption of processed food, the incidence of Crohn's disease is increasing in the world and in our country. It has been reported that the disease has emerged in a more complicated form especially in the last 10 years.

The approach to Crohn’s disease in the RTM approach is quite different from the modern and other medical echoles. In the RTM approach, the target is not directly to eliminate the wounds that are the appearance of the disease in the large intestine. It is to reveal the causes that cause the disease specific to the individual and to determine the source of the disease. The aim of treatment is to eliminate the source causing the disease and to restore the function of the large intestine to normal.

Let’s glance shortly at Crohn’s disease

What is Crohn’s Disease?

Crohn’s disease, which is an inflammatory disease, can occur anywhere in the gastrointestinal tract, which is chronic and extends from the mouth to the anus. The parts of the body that Crohn’s disease mostly affects; The rectum is the lower part of the colon and small intestine, that is, the last part of the ileum. Although it is uncommon, the mouth, esophagus, or stomach may also be affected.

What Causes Crohn’s Disease?

Although the exact cause of Crohn’s disease emerge is not known, it is known that genetic and environmental factors are the triggering factor in the formation of this disease. Having Crohn’s disease in one’s first-degree relatives, as a trigger for a genetic factor, increases the risk of this disease in the person.

In addition to this, smoking, which is one of the environmental factors, can also be a trigger for the emergence of this disease. In addition, feeding the baby with breast milk appears to be a protective factor in the formation of Crohn’s disease.

What Are the Symptoms of Crohn’s Disease?

Like many diseases, Crohn’s disease also occurs some symptoms that affect daily life. These symptoms can be listed as follows;

  • Abdominal pain and swelling.
  • Diarrhea or constipation complaint.
  • Seeing blood during defecation.
  • Appearance of cracks, abscesses and discharges in the anus.
  • Feeling tired and sluggish.
  • Occurrence of loss of appetite.
  • Observation of weight loss.
  • Increased body temperature and fever

Who gets Crohn’s Disease?

Crohn’s disease, which can occur with inflammation of the intestines without any infectious microbe, is predominantly seen in the 20s and 30s.

How is Crohn’s Disease Diagnosed?

Crohn’s disease is suspected after the above-mentioned symptoms persist for weeks or months. The methods used in the diagnosis of this disease can be listed as follows;

  • Examination with blood analysis.
  • Performing a stool analysis.
  • Removal of stomach films or films of the small and large intestines.
  • Colonoscopy and gastroduodenoscopy, which are the most important tests for diagnosis.
  • Computed Tomography (CT) or Magnetic Resonance (MR) images.

How is Crohn’s Disease Treated in Rtm Approach?

What is the Cause of Crohn’s Disease in the Rtm approach?

Our body is in a constant balance against internal and external factors. With this balance, life continues by developing. The RTM approach includes unique diagnosis and treatment protocols. Diseases in the RTM approach; It is seen as a new balance or new adjustment points created in the body in order to continue life against internal and external negative conditions.

There is a source pattern called the Triad of Disease, which causes new settings to come into play in the body. This triple structure, which includes contamination in the body, system disorders and code changes in DNA (Epigenetics), functions as follows in Crohn’s disease;

CONTAMİNATİON

We call the accumulation of toxins in the body contamination. These toxins can be in the form of sometimes we are exposed to, sometimes free radicals that are constantly produced in the mitochondria, and sometimes general wastes that arise as a result of the body’s metabolic activities.

Sometimes the inadequacy of the detox, that is, the depurition systems, and sometimes the defects in familial gene transmission can be effective in the pollution processes of the body.

Liver, Skin, Kidney and Lung have been assigned to organize our body’s detox activities. Thanks to the detox organs, the accumulated wastes are removed from our body. Defects or insufficiency in the detox organs for various reasons (insufficiency due to excessive toxin exposure) will cause toxin accumulation in the tissues backwards. Toxins will begin to accumulate first in the blood and then in the related tissue.

The body is informed by the disruption in detox processes. As a result of this information, the relevant structures are activated. At first, the defense system temporarily takes over the detox process and reflexively increases the defense cells. If the toxic process continues, then the body switches to permanent information changes in the DNA and the defense cells are permanently increased.

In other words, we now have defense and defense cells that act according to the toxic level. At first this seems fine. Because the troublesome situation caused by the toxicity has been resolved, albeit temporarily.

However, in order to ensure this situation, more defense cells are active than necessary, and accordingly, there is a constant state of alarm.

This process, which can be tolerated at first, opens the door to new patterns later on. Cells, which are quite large in number, do not stay idle over time and constantly determine new business processes for themselves. Over time, defense cells begin to shift the processes of reducing the toxic load in the blood to the tissues where toxic accumulations are present.

This action is the first signals of a new pattern process. Because the tissues with the accumulations begin to become the target of the defense cells over time. The defense response, which is general at first, becomes tissue-specific over time. Because the tissues related to new information were also perceived as harmful.

SYSTEMS DETERIORATION

Sometimes, our defense system may become irregular and inadequate due to recurrent infections or intensive antibiotic use or familial infrastructures. In the face of this situation, the body reveals new settings for defense. Although inadequacy is perceived as scarcity, the body exhibits the opposite transition with new adjustments.

With this transition, it protects itself against future actions. Even if it is not necessary, it activates the backup defense cells as if it is needed and increases the defense level to one when it should be. When attacked, these cells take action and coordinate the defense. But even if the danger situation is over, these cells always remain in the attack state. However, it has no specific task and no cell to attack. That is, these cells are both active and non-functional and empty.

So what do these functionless circulating defenseless cells do?

Deterioration in other systems appear as a chronic disease if the defense system is intact. However, if there are deteriorations in the other system in addition to the deterioration in the defense system, the defense cells can take on the task of correcting these deteriorations and try to correct them. For example; If there is an incorrect functioning in the gastrointestinal tract, digestion will not be fully realized.

This will fill the intestinal contents with indigestible waste. These accumulations in the intestine mean an invitation to non-functional defense cells. The non-functional cells that do this, on the other hand, become specific to the relevant structures by making work for themselves, and now we have defense cells that attack the accumulations in the intestine. Although we give the gastro-intestinal system as an example, disruptions in other systems can also get their share from defense cells.

Changes in the gene structure of foods can initiate foreign perception processes in the body. Because the gene structures of all existing foods are encoded in our bodies. With this coding, useful and harmful are detected. Every food whose gene structure is changed cannot be recognized by the body because it has different information and is considered foreign. These processes apply to all food structures.

Especially as a result of consuming genetically modified foods and products of animals fed with these foods, the body can consume this food and this food accumulation in the intestines or regions that are genetically similar in the structure of this food may become targets for the defense system.

INFORMATION EXCHANGE IN DNA

Causes such as contamination in the body or deteriorations in the systems we have explained above cause information changes in DNA, and as a result of this information change, defense cells increase. These increased defense cells will sometimes fight the toxins or metabolic wastes accumulating in the tissues, sometimes genetically modified nutrients, and sometimes the food wastes that are not digested in the intestinal wall, and will become specific and we will come across as Crohn’s disease.

Treatment of Crohn’s Disease in the Rtm Approach

In the RTM approach, the aim is not to directly make away with the symptoms of Crohn’s disease, but to eliminate the Disease Triad that causes Crohn’s disease, as we mentioned above. In the RTM approach, this is called the Treatment Triad.

Treatment Triad includes the processes of initiating the detox process to return to the normal state of balance in the body, eliminating the imbalance in the failing systems and reversing the epigenetic changes in DNA. This process is planned completely individually.

The main part of the treatment triad is RTM Phytotherapy. The phytotherapy protocol is determined by evaluating the detailed anamnesis, laboratory and imaging findings of the individual, and measurements specific to RTM clinics.

With the RTM Phytotherapy protocol, the part that is the source of the disease is treated by pulling back. By informing the body with the seed parts of the plants, it is aimed to normalize the epigenetic changes in DNA that determine the new adjustment constants.

In order to adapt the body to the normalization of this information, the treatment triad is activated by using the leafy parts of the plants, accelerating the detox activities in the body and regulating the systems. When you draw away the disease triad, the body will automatically return to the norm form.

In order to both support the body and accelerate the treatment process, in addition to RTM phytotherapeutics, nearly 25 traditional medicine methods such as Ozone, Hijama, Acupuncture, Magnetic field therapy are planned according to the needs of the patient.

Frequently Asked Questions

What is the difference between Crohn’s Disease and Ulcerative Colitis?

Ulcerative colitis occurs only in the large intestine and completely covers the inner surface of the intestine. Crohn’s disease, on the other hand, can cover the inner surface of the entire digestive system, extending from the mouth to the anus. In addition, both diseases have periods of sudden exacerbation and recovery.

Can Inflammatory Bowel Diseases (IBD) have children?

Certain specific conditions may arise due to the use of salazosulfapyridine or sulfasalazine for the treatment of patients with inflammatory bowel disease. As a side effect of these drugs, it can cause temporary infertility (decrease in the capacity to have children) by causing a decrease in the sperm count in men.

How Much Does Inflammatory Bowel Disease Affect Fertility?

The fertility of most women with ulcerative colitis is on equal terms with healthy women. In addition, there is no such clear information about the fertility of women with Crohn’s disease.

Known as total colestomy and ileo-anal pouch for the treatment of ulcerative colitis patient; In the surgery, which is performed by removing the entire large intestine and connecting the small intestine to the anal canal by creating a pocket in the form of a pocket, a temporary decrease in fertility can be seen as a major and important operation is performed on the patient’s abdomen. However, it is known that this decrease is usually temporary. The patient’s fertility returns to normal within weeks or months.

Women with Crohn’s disease often have a decrease in fertility during active periods of the disease and after major surgery. However, in women with these two diseases, amenorrhea (absence of menstruation) can be seen due to excessive and rapid weight loss during the active periods of the disease.

In the periods when both diseases are exacerbated, it is recommended to postpone pregnancy until suitable conditions are met. If the disease has passed into a passive period and the patient has surgical wounds, it is recommended to wait for recovery. In addition, it should not be forgotten that the decrease in fertility in IBD patients may not always be due to this disease, therefore it should be investigated by considering other reasons.

How Does Inflammatory Bowel Disease Affect Baby’s Health During Pregnancy?

Approximately 85% of women suffering from this disease have a normal pregnancy process. About 1% of babies of women with Crohn’s disease or ulcerative colitis have a congenital abnormality. Again, it is seen that the risk of miscarriage during pregnancy is mostly at the same level.

It is known that these risks have similar proportions to the risks experienced by healthy women. In addition, problems or complications that affect the pregnancy process or the health of the baby are seen in approximately 15% of women with this disease.

However, abortion rates, premature births and various pregnancy problems increase considerably due to the fact that the pregnancy takes place during the active period of the disease. Therefore, if possible, active disease should be treated as soon as possible before the pregnancy period begins. For example, if it is known that surgery must be performed in the near future, this surgery should be performed before pregnancy begins.

Do People with Inflammatory Bowel Disease Have to Have Any Pre-Pregnancy Tests?

Before embarking on a planned pregnancy, a detailed interview with the physician following the pregnancy process is very important in order to determine the medical history, current health status, laboratory tests required to determine the movement of IBD, and nutritional deficiencies.

In addition, the follow-up of the patient’s abdomen and intestines by an experienced physician with an ultrasound examination can help to reach important findings. In addition, in order to examine the intestines of some patients, more detailed tests and examinations may be required, together with endoscopic and radiological examinations.

Taking folic acid in the first months of pregnancy is very beneficial for the growing and developing baby. Accordingly, folic acid supplementation can be recommended to all women with and without inflammatory bowel disease.

Can a Patient Who Have Been Surgical for Inflammatory Bowel Disease Become Pregnant?

Operations for the treatment of inflammatory bowel disease usually do not cause any adverse events during pregnancy. Pregnancy can proceed without any problems even after large bowel surgeries such as removal of the large intestine called colectomy or resection of the small intestine to the anterior abdominal wall with ileostomy operation.

However, at this point, it is very important that sufficient time has passed between the time of operation and the time of conception for the healing of surgical wounds. In addition, it should be ensured that there is no exacerbation period of an important disease.

In addition, it is generally recommended that women who have had major abdominal operations wait 1 year to become pregnant.

Although rarely seen during pregnancy, complications related to ileostomy (eg, obstruction, prolapse or bleeding) may also occur.

Although it is rare, some patients may need an operation during pregnancy. In addition, the risk of premature birth or miscarriage can be seen in very few pregnant women who have undergone surgery.

On the other hand, uncomplicated pregnancies are possible even after major operations such as total colectomy and removal of the entire large intestine if ulcerative colitis patients do not respond to drug therapy.

How Does Pregnancy Affect the Course of Inflammatory Intestinal diseases?

It is known that most of the female patients whose Crohn’s treatment was completed before pregnancy did not experience any complications in their babies. However, Crohn’s disease can flare up again during pregnancy. In this case, negative effects can be seen on the baby. It is seen that 15% of women whose Crohn’s disease reactivates during pregnancy are at risk of giving birth to a premature baby.

It is recommended that pregnant women plan the pregnancy process together with their doctor for both their own health and the health of the baby. It is important to do pre-pregnancy tests. As a result of these tests, it will be healthier to plan the pregnancy process depending on the severity of the disease.

Do Medications Used to Treat Inflammatory Bowel Disease During Pregnancy Harm the Baby?

Most pregnant women are reluctant to take drugs during pregnancy, and this is expected. However, when the disease of people with IBD is activated, situations that require the use of drugs during pregnancy may be encountered, considering the harm that this disease will cause to the baby rather than the side effects of drug use.

On the other hand, after consultation with many specialists, if necessary, the treatment created for each case should be determined individually and only the medicine that must be used should be given to the patient. It should be noted that only 85% of healthy people complete the pregnancy process without any complications, and this information should be shared with patients with inflammatory bowel disease.

If the treatment process is not carried out correctly in inflammatory bowel diseases, this can cause more harm to both the baby and the mother than a drug treatment. Shortly, in some cases, if drug therapy is necessary for a pregnant woman, it should be recommended.

Can Inflammatory Bowel Patients Take Medication During Breastfeeding?

It is accepted that the doses of cortisone-type drugs used in the treatment of IBD do not increase the risk of anomaly that may occur in the fetus or cause abortion.

However, the use of these drugs in very high doses in the last stages of pregnancy can suppress the production of corticosteroids in the adrenal gland when the baby is first born, causing apathy and decreased activity, as well as low corticosteroid levels.

It is important to report this situation to the doctor following the newborn. For this reason, newborn babies should be followed by a specialist physician. The same is true during breastfeeding, as the cortisone passes to the baby through breast milk. After the cortisone intake is stopped, recovery is observed in both cases without any complications.

Can Crohn’s Disease Be Healed Completely?

There is no absolute cure for Crohn disease. In addition, treatments are applied for complaints that occur as a result of the disease. The drug therapy applied is given to reduce the symptoms of the disease and to prevent the reactivation of the disease. During periods of severe disease, support and advice on nutrition can be offered to the patient specifically.

What Happens If Crohn’s Disease Progresses?

Crohn’s disease is not an insidious disease. The diagnosis can be made in a short time with the findings in the patient. Thanks to this, Crohn’s disease can be intervened when complaints occur. However, it should be noted that people suffering from Crohn’s disease may face life-threatening risks if they are not treated.

When Crohn’s disease is not intervened with the right treatment methods, the severity of symptoms increases and the patient’s quality of life decreases significantly. However, the end of this disease, which affects a significant part of the digestive system and has a risk of spreading, may result in death.

What is Relapse?

Re-emergence of the disease is known as relapse.

How Can I Reduce Relapse?

The risk of recurrence is mostly seen in patients who smoke. Crohn’s disease is a lifelong disease that does not disappear completely.

Does Crohn’s disease cause cancer?

Compared to patients with ulcerative colitis, Crohn’s disease has a lower risk of developing cancer, albeit less. It is known that the probability of developing cancer increases in people with active Crohn’s disease for more than 10-15 years. That’s why Crohn’s patients should go to a doctor’s control regularly.

What should patients with Crohn’s disease eat?

Those with Crohn’s disease need to pay attention to their diet. In the diet list of these patients, low dietary fiber containing whole wheat products, vegetables, nuts, legumes and nuts should be limited. In the period when symptoms are not seen, foods rich in dietary fiber can be added to the diet gradually. In addition, Crohn’s patients should consume a main or snack every 3-4 hours.

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