Diagnosis and Treatment at Dr. Hossam Hamed Center

Crohn’s disease, affecting the small intestine, is a chronic inflammatory condition that can lead to serious health complications if not managed properly. At Dr. Hossam Hamed Center, we offer comprehensive and specialized care for patients with Crohn’s disease, emphasizing early diagnosis and effective treatment strategies.

Diagnosis:

1. Medical History and Physical Examination:

   • A thorough review of the patient’s medical history and a physical examination to identify symptoms such as abdominal pain, diarrhea, weight loss, and fatigue.

2. Endoscopy:

   • Procedures like colonoscopy and upper endoscopy allow direct visualization of the small intestine, helping to identify areas of inflammation, ulceration, and narrowing. Biopsies may be taken for histological examination.

3. Imaging Studies:

   • Magnetic Resonance Enterography (MRE) or CT Enterography: These imaging techniques provide detailed images of the small intestine to assess the extent and severity of the inflammation and complications such as strictures and fistulas.
   • Ultrasound: Can be used as a non-invasive method to assess bowel wall thickness and detect complications.

4. Capsule Endoscopy:

   • A small, ingestible camera captures images of the small intestine, providing a comprehensive view to identify areas of inflammation that may not be reachable by standard endoscopy.

5. Laboratory Tests:

   • Blood tests to check for anemia, inflammation markers (CRP, ESR), and nutritional deficiencies.
   • Stool tests to rule out infections and check for inflammation markers like calprotectin.

Treatment:

1. Medication:

   • Anti-inflammatory Drugs: Such as aminosalicylates to reduce inflammation.
   • Corticosteroids: For short-term use to manage flare-ups.
   • Immunosuppressants: To decrease the immune system’s response and reduce inflammation.
   • Biologic Therapies: Targeted treatments like TNF inhibitors (e.g., infliximab, adalimumab) to block specific proteins involved in the inflammatory process.
   • Antibiotics: If there is an infection or fistula present.

2. Nutrition Therapy:

   • Special diets and nutritional supplements to ensure adequate nutrition and manage symptoms. In some cases, enteral nutrition (liquid diets) may be recommended.

3. Lifestyle Modifications:

   • Dietary adjustments, stress management techniques, and regular exercise can help manage symptoms and improve overall health.

4. Surgical Treatment:

   • Surgery may be necessary for complications such as strictures, fistulas, or abscesses, or when medical therapy fails to control symptoms. This may involve resection of affected bowel segments or strictureplasty.

Follow-up:

Regular follow-up is crucial to monitor disease progression, assess treatment effectiveness, and manage any complications. This includes periodic imaging, endoscopic evaluations, and laboratory tests.

Conclusion:

At Dr. Hossam Hamed Center, we are dedicated to providing the highest quality care for patients with Crohn’s disease in the small intestine, focusing on accurate diagnosis and personalized treatment plans to enhance their quality of life and manage this chronic condition effectively.