Introduction of Crohn’s disease

Crohn’s disease is a long-term that causes inflammation of the lining of the digestive system.

Inflammation can affect any part of the digestive system, from the mouth to the back passage, but most commonly occurs in the last section of the small intestine (ileum) or the large intestine (colon).

Common symptoms can include:

People with Crohn’s disease sometimes go for long periods without symptoms, or with very mild symptoms. This is known as remission. Remission can be followed by periods where symptoms flare up and become particularly troublesome.

Read more about the symptoms of Crohn’s disease and diagnosing Crohn’s disease.

Why it happens

The exact cause of Crohn’s disease is unknown. However, research suggests that a combination of factors may be responsible. These include:

  • genetics – genes that you inherit from your parents may increase your risk of developing Crohn’s disease
  • the immune system – the inflammation may be caused by a problem with the immune system (the body’s defence against infection and illness) that causes it to attack healthy bacteria in the gut
  • previous infection – a previous infection may trigger an abnormal response from the immune system
  • smoking – smokers with Crohn’s disease usually have more severe symptoms than non-smokers
  • environmental factors – Crohn’s disease is most common in westernised countries, such as the UK, and least common in poorer parts of the world, such as Africa, which suggests the environment has a part to play

Read more about the possible causes of Crohn’s disease.

Treating Crohn’s disease

There is currently no cure for Crohn’s disease so the aim of treatment is to manage the symptoms.

The first treatment offered to reduce symptoms is usually steroid medication (corticosteroids). If this doesn’t help, medication to suppress the immune system (immunosuppressants) and medication to reduce inflammation may be used.

In many cases, surgery may be needed to remove the inflamed section of intestine.

Once your symptoms are under control (in remission), further medication may be needed to help maintain this.

Who is affected

Crohn’s disease is a relatively uncommon condition. There are currently around 115,000 people living with Crohn’s disease in the UK.

Crohn’s disease can affect people of all ages, including children. However, most cases first develop between the ages of 16 and 30. A large number of cases also develop between the ages of 60 and 80. It affects slightly more women than men, but in children more boys are affected than girls.

Crohn’s disease is more common in white people than in black or Asian people. It is most prevalent among Jewish people of European descent.

Read more about treating Crohn’s disease.


Over time, inflammation can damage sections of the digestive system, resulting in additional complications, such as narrowing of the intestine (stricture) and a channel that develops between the end of the bowel and the skin near the anus (fistula).

These problems usually require surgical treatment.

Read more about the possible complications of Crohn’s disease.

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