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Old 03-10-2010, 05:02 PM   #1
Mr. Flopnuts Mr. Flopnuts is offline
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further than that. I would imagine he just dropped to 3 or lower. Crohn's is serious.
Absolutely. I would not be surprised at all if it will shorten his career by at least 5 years. That really sucks for him.
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Old 03-11-2010, 07:01 AM   #2
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further than that. I would imagine he just dropped to 3 or lower. Crohn's is serious.
It depends so people only get hit with one flare up and done for life others it is more often.
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Old 03-10-2010, 04:52 PM   #3
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overview Crohn's disease is a form of inflammatory bowel disease (IBD). It usually affects the intestines, but may occur anywhere from the mouth to the end of the rectum (anus).

See also: Ulcerative colitis

Symptoms

Symptoms depend on what part of the gastrointestinal tract is affected. Symptoms range from mild to severe, and can come and go with periods of flare-ups.
The main symptoms of Crohn's disease are:
  • Crampy abdominal (belly area) pain
  • Fever
  • Fatigue
  • Loss of appetite
  • Pain with passing stool (tenesmus)
  • Persistent, watery diarrhea
  • Unintentional weight loss
Other symptoms may include:
  • Constipation
  • Eye inflammation
  • Fistulas (usually around the rectal area, may cause draining of pus, mucus, or stools)
  • Joint pain
  • Liver inflammation
  • Mouth ulcers
  • Rectal bleeding and bloody stools
  • Skin rash
  • Swollen gums

Treatment
DIET AND NUTRITION

No specific diet has been shown to improve or worsen the bowel inflammation in Crohn's disease. However, eating a healthy amount of calories, vitamins, and protein is important to avoid malnutrition and weight loss. Specific food problems may vary from person to person.
Certain types of foods may worsen diarrhea and gas symptoms, especially during times of active disease. Suggestions for diet during periods when symptoms are present include:
  • Eat small amounts of food throughout the day.
  • Drink lots of water (frequent consumption of small amounts throughout the day).
  • Avoid high-fiber foods (bran, beans, nuts, seeds, and popcorn).
  • Avoid fatty greasy or fried foods and sauces (butter, margarine, and heavy cream).
  • If your body does not digest dairy foods well, limit dairy products.
  • Avoid or limit alcohol and caffeine consumption.
People who have a blockage of the intestines may need to avoid raw fruits and vegetables. Those who have difficulty digesting milk sugar (lactose) may need to avoid milk products.
Ask your doctor about extra vitamins and minerals you may need:
  • Iron supplements (if you are anemic)
  • Calcium and vitamin D supplements to help keep your bones strong
  • Vitamin B-12 to prevent anemia
MEDICATIONS
Antidiarrheal drugs can help when you have very bad diarrhea. Loperamide (Imodium) can be bought without a prescription. Always talk to your doctor or nurse before using these drugs.
Medicines that may be prescribed include:
  • Aminosalicylates (5-ASAs) are medicines that help control mild to moderate inflammation. Some forms of the drug are taken by mouth; others must be given rectally.
  • Corticosteroids (prednisone and methylprednisolone) are used to treat moderate to severe Crohn's disease. They may be taken by mouth or inserted into the rectum.
  • Immunomodulators such as azathioprine or 6-mercaptopurine quiet the immune system's reaction. They help reduce the need for corticosteroids and can help heal some fistulas.
  • Antibiotics may be prescribed for abscesses or fistulas.
  • Biologic therapy is used to treat patients with severe Crohn's disease that does not respond to any other types of medication. Medicines in this group include Infliximab (Remicade) and adalimumab (Humira), certolizumab (Cimzia), and natalizumab (Tysabri). They belong to a class of drugs called monoclonal antibodies, which help block an immune system chemical that promotes inflammation.
SURGERY
If medicines do not work, a type of surgery called bowel resection may be needed to remove a damaged or diseased part of the intestine or to drain an abscess. A procedure called anastomosis is done to connect the remaining two ends of the bowel.
Most patients with Crohn's disease will need bowel surgery at some time. However, unlike ulcerative colitis, surgically removing the diseased portion of the intestine does not cure the condition.
Patients who have Crohn's disease that does not respond to medications may need surgery, especially when there are complications such as:
  • Bleeding (hemorrhage)
  • Fistulas (abnormal connections between the intestines and another area of the body)
  • Infections (abscesses)
  • Narrowing (strictures)
Some patients may need surgery to remove the entire large intestine (colon), with or without the rectum.
See also:
  • Total abdominal colectomy
  • Total proctolectomy with ileostomy

Causes
While the exact cause of Crohn's disease is unknown, the condition is linked to a problem with the body's immune system response.
Normally, the immune system helps protect the body, but with Crohn's disease the immune system can't tell the difference between normal body tissue and foreign substances. The result is an overactive immune response that leads to chronic inflammation. This is called an autoimmune disorder.
People with Crohn's disease have ongoing (chronic) inflammation of the gastrointestinal tract. Crohn's disease may occur in any area of the digestive tract. There can be healthy patches of tissue between diseased areas. The ongoing inflammation causes the intestinal wall to become thick.
There are five different types of Crohn's disease:
  • Ileocolitis is the most common form. It affects the lowest part of the small intestine (ileum) and the large intestine (colon).
  • Ileitis affects the ileum.
  • Gastroduodenal Crohn's disease causes inflammation in the stomach and first part of the small intestine, called the duodenum.
  • Jejunoileitis causes spotty patches of inflammation in the top half of the small intestine (jejunum).
  • Crohn's (granulomatous) colitis only affects the large intestine.
A person's genes and environmental factors seem to play a role in the development of Crohn's disease. The body may be overreacting to normal bacteria in the intestines.
The disease may occur at any age, but it usually occurs in people between ages 15 - 35. Risk factors include:
  • Family history of Crohn's disease
  • Jewish ancestry
  • Smoking

Tests & diagnosis
A physical examination may reveal an abdominal mass or tenderness, skin rash, swollen joints, or mouth ulcers. Tests to diagnose Crohn's disease include:
  • Barium enema
  • Colonoscopy
  • Computed tomography (CT scan) of the abdomen
  • Endoscopy, including capsule endoscopy
  • Magnetic resonance imaging (MRI) of the abdomen
  • Sigmoidoscopy
  • Enteroscopy
  • Upper GI series
A stool culture may be done to rule out other possible causes of the symptoms.
This disease may also alter the results of the following tests:
  • Albumin
  • C-reactive protein
  • Erythrocyte sedimentation rate
  • Fecal fat
  • Hemoglobin
  • Liver function tests
  • White blood cell count

Prognosis
There is no cure for Crohn's disease. The condition is marked by periods of improvement followed by flare-ups of symptoms.
It is very important to stay on medications long-term to try to keep the disease symptoms from returning. If you stop or change your medications for any reason, let your doctor know right away.
You have a higher risk for small bowel and colon cancer if you have Crohn's disease.

Complications
  • Abscess
  • Bowel obstructions
  • Complications of corticosteroid therapy, such as thinning of the bones
  • Erythema nodosum
  • Fistulas in the following areas:
    • Bladder
    • Skin
    • Vagina
  • Impaired growth and sexual development in children
  • Inflammation of the joints
  • Lesions in the eye
  • Nutritional deficiency (particularly vitamin B12 deficiency)
  • Pyoderma gangrenosum
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Old 03-10-2010, 04:56 PM   #4
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I would not draft him at all. IT depends on his disease, but as time goes on an he gets older it will get worse and more difficult for him to compete. You might not get his first contract out of him.
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Old 03-10-2010, 05:03 PM   #5
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Originally Posted by Garcia Bronco View Post
I would not draft him at all. IT depends on his disease, but as time goes on an he gets older it will get worse and more difficult for him to compete. You might not get his first contract out of him.
i just don't see anyone draft him top 10 now. He'll be lucky if he doesn't drop into round 2. Of course it depends on where the disease is specifically located.

can't be good
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Old 03-10-2010, 05:08 PM   #6
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i just don't see anyone draft him top 10 now. He'll be lucky if he doesn't drop into round 2. Of course it depends on where the disease is specifically located.

can't be good
I wouldn't be surprised if he didn't get drafted at all. I hope he took advantage of that free education. One of the problems with Chrons is you might not be able to keep weight on....key for an NFL football player.
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Old 03-10-2010, 05:09 PM   #7
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I wouldn't be surprised if he didn't get drafted at all. I hope he took advantage of that free education.
Because of Crohn's? Give me a break. When it flares, you do a course of Methotrexate and back to the field. How many times has it affected his play in college? Dude is getting drafted, I have no doubts about that.
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Old 03-10-2010, 05:12 PM   #8
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Because of Crohn's? Give me a break. When it flares, you do a course of Methotrexate and back to the field. How many times has it affected his play in college? Dude is getting drafted, I have no doubts about that.
You can't look at as just a "today". You have to look at it over atleast a 5 year period. It's not a good investment no matter which way you look at it. AS someone else put it..he could literally be a game time decsion every week.
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Old 03-11-2010, 11:25 AM   #9
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Because of Crohn's? Give me a break. When it flares, you do a course of Methotrexate and back to the field. How many times has it affected his play in college? Dude is getting drafted, I have no doubts about that.

That is some nasty stuff right there. My wife had an extremely bad case of psoriasis a couple of years ago (lost every inch of skin, every finger and toe nail, and most of her hair) that they treated with Methotrexate. I just know that she had to have a (I don't remember if it was kidney or liver) test every month to be sure it wasn't attacking the wrong things. After 6 months she had to come off of it to keep her systems from building it up.
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Old 03-10-2010, 04:57 PM   #10
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Crohn's can be a debilitating illness.

It seems like a lot of people are getting Crohn's these days.

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Old 03-11-2010, 07:00 AM   #11
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Crohn's can be a debilitating illness.

It seems like a lot of people are getting Crohn's these days.

FAX
I just think that they can finally diagnose it.
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Old 03-10-2010, 05:03 PM   #12
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It could be significant because Erin Henderson went from a 2nd round pick to not drafted because of the issue of him not having an ACL.
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Old 03-10-2010, 05:05 PM   #13
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It could be significant because Erin Henderson went from a 2nd round pick to not drafted because of the issue of him not having an ACL.
isnt an ACL a little more important when it comes to football than this issue
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Old 03-10-2010, 05:05 PM   #14
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isnt an ACL a little more important when it comes to football than this issue
No because he's fine now, he fell because they thought the issue would shorten his career, and this would be the same for McClain.
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Old 03-10-2010, 05:06 PM   #15
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No because he's fine now, he fell because they thought the issue would shorten his career, and this would be the same for McClain.
ok thanks
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