Gastroenterologist Questions Gastroenterologist

How do I manage Crohn's symptoms when my surgery is delayed?

I am a 43 year old female. I had my colon and rectal surgery postponed because of covid-19. How do I manage my symptoms?

6 Answers

Homeopathy is a great solution for Crohn's disease and many of my patients didn't need surgery after my treatment.
Read more here: https://philaholisticclinic.com/natural-treatments-for-crohns-disease/
But don't treat yourself. Visit a well-trained homeopathic physician and expect great relief.
I use a lot of anti-inflammatories and gut healing supplements for my IBD patients. This includes turmeric, glutamine, fish oil, etc. Though if you are going into surgery soon you have to be careful because high dose turmeric and fish oil are blood thinners-- which is not what you want pre-surgery.
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I appreciate the difficulty in having procedures and surgeries cancelled during this pandemic. It is a situation many of our patients have recently found themselves in.
The short answer to your question is to be sure to continue all of your previous medications that had been prescribed by your doctor. For my Crohn's patients in a flare, I will often use Entocort (Budesonid) 9mg daily with a 3mg per month taper, or a prednisone taper starting at 50mg daily. Your surgery should be able to be scheduled in the near future, as most hospitals are now doing elective cases once again.
Hello! I am so sorry you are going through that. Hopefully, surgeries will be resumed soon as I know so many are suffering. The best I can recommend right now is eating as "clean" as possible. Here is a great article that might help you out. Best of luck!

https://www.crohnscolitisfoundation.org/diet-and-nutrition/what-should-i-eat
You should continue medical treatment as prescribed by your gastroenterologist until it’s safe to perform surgery. COVID-19 has caused elective procedures to be postponed however, if you have severe Crohn’s disease which requires urgent surgery then your surgeon will be able to schedule it.
I'm afraid that I cannot provide much advice regarding your questions because I don't have any details on your case. I don't know the reason for surgery or what surgery is planned, just for starters. I also don't know what symptoms you have.

I can state in general, however, that since it appears that you are talking about an elective surgery (i.e., not hospitalized, no urgent need for surgery due to an active bowel obstruction, abscess, etc.), then you should have a gastroenterologist managing the Crohns before you go to surgery. I assume medical therapy has failed. There are various medications that might
temporize any ongoing inflammation up until the time of surgery. Steroids would ideally be avoided since these are associated with the highest risk of post-op complications. For symptoms of abdominal pain and diarrhea, these can be treated sometimes with anti-spasmotics, narcotics (short-term)